Does the previous diagnosis of arterial hypertension affect one´s daily life? Pró-Saúde Study

In addition to damaging several target organs, arterial hypertension may negatively impact patients' activities of daily living. Biological and behavioral mechanisms underlying such limitations have yet to be clarified. The objectives of this study were to investigate whether having been previously told of a hypertension diagnosis is associated with the frequency and duration of temporary limitations in activities of daily living, and whether these relationships differ by gender, age, or socioeconomic position. We analyzed sectional data from 2,666 participants (56% women; 55% with high school or lower schooling) at the baseline phase (1999 - 2001) of a longitudinal investigation of university employees in Rio de Janeiro, Brazil (Pró-Saúde Study), asking participants whether they had ever been diagnosed with hypertension by a health professional, if they had been unable to perform any activities of daily living due to a health problem in the previous 2 weeks, and for how many days that had occurred. Multinomial logistic regression models were fitted for the overall study population and for age, gender, educational level, and per capita household income strata. Associations between hypertension diagnosis and temporary limitations were not observed in the overall study population and in gender, education and income strata. However, there were higher odds of temporary limitations among participants aged 55 years old or more with hypertension diagnosis (adjusted OR = 9.5; 95%CI 1.5 - 58.6), regardless of blood pressure levels and use of antihypertensive medication. Elderly people may keep an attitude of higher vigilance regarding conditions or events potentially worsening their health status. Além de lesões em vários órgãos-alvo, a hipertensão arterial pode determinar outras consequências negativas no cotidiano do portador, mas os mecanismos biológicos e comportamentais possivelmente envolvidos ainda não foram esclarecidos. Os objetivos deste estudo foram investigar se o histórico autorrelatado de hipertensão associa-se com freqüência e duração de incapacidade temporária para atividades habituais, e se esta relação modifica-se de acordo com sexo, idade ou posição socioeconômica. Analisamos dados seccionais relativos a 2666 participantes (56% mulheres; 55% ensino médio ou menos) da linha de base (1999 - 2001) de uma investigação longitudinal de funcionários de universidade no Rio de Janeiro (Estudo Pró-Saúde): se o indivíduo alguma vez havia sido informado por