Achievement of Cardiometabolic Goals in Aware Hypertensive Patients in Spain: A Nationwide Population-Based Study
Despite the importance of achieving cardiometabolic goals beyond blood pressure, in the health of hypertensives, no comprehensive assessment of these characteristics has been performed in whole countries. We studied in 2008–2010 a total of 11 957 individuals representative of the Spanish population...
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| Veröffentlicht in: | Hypertension (Dallas, Tex. 1979) Tex. 1979), 2012-10, Vol.60 (4), p.898-905 |
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| container_title | Hypertension (Dallas, Tex. 1979) |
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| creator | Banegas, José R Graciani, Auxiliadora de la Cruz-Troca, Juan J León-Muñoz, Luz M Guallar-Castillón, Pilar Coca, Antonio Ruilope, Luis M Rodríguez-Artalejo, Fernando |
| description | Despite the importance of achieving cardiometabolic goals beyond blood pressure, in the health of hypertensives, no comprehensive assessment of these characteristics has been performed in whole countries. We studied in 2008–2010 a total of 11 957 individuals representative of the Spanish population aged ≥18 years. Information on cardiometabolic characteristics was collected at the participants’ homes, through structured questionnaires, physical examination, and fasting blood samples. A total of 3983 individuals (33.3%) had hypertension (≥140/90 mm Hg or current antihypertensive drug treatment), 59.4% were aware of their condition, 78.8% treated among those aware, and 48.5% controlled among those aware and treated (22.7% of all hypertensives). Of the aware hypertensives, 13.8% had a body mass index |
| doi_str_mv | 10.1161/HYPERTENSIONAHA.112.193078 |
| format | Article |
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We studied in 2008–2010 a total of 11 957 individuals representative of the Spanish population aged ≥18 years. Information on cardiometabolic characteristics was collected at the participants’ homes, through structured questionnaires, physical examination, and fasting blood samples. A total of 3983 individuals (33.3%) had hypertension (≥140/90 mm Hg or current antihypertensive drug treatment), 59.4% were aware of their condition, 78.8% treated among those aware, and 48.5% controlled among those aware and treated (22.7% of all hypertensives). Of the aware hypertensives, 13.8% had a body mass index <25 kg/m, 38.6% consumed <2.4 g/d of sodium, 19.3% were diabetic with 61% attaining goal hemoglobin A1c <6.5%, whereas 42.3% had hypercholesterolemia, with 38.1% reaching goal low-density lipoprotein <115 mg/dL. Only 30.7% of overweight patients received a prescription of specific method for weight loss, 17.4% of daily smokers were offered a smoking cessation strategy, and 15.8% of older patients were given a flu shot. Aware and unaware hypertensives showed a similar frequency of some lifestyle, such as adequate physical activity. In conclusion, in a European country with a well-developed, free-access healthcare system, achievement of many cardiometabolic goals among hypertensives is poor. Moreover, a serious deficiency in hypertension awareness and in the effectiveness of some lifestyle interventions among aware hypertensives is present. Greater effort is needed in the management of coexisting risk factors and on lifestyle medical advice to improve the cardiometabolic health of hypertensives</description><identifier>ISSN: 0194-911X</identifier><identifier>EISSN: 1524-4563</identifier><identifier>DOI: 10.1161/HYPERTENSIONAHA.112.193078</identifier><identifier>PMID: 22949530</identifier><identifier>CODEN: HPRTDN</identifier><language>eng</language><publisher>Hagerstown, MD: American Heart Association, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Antihypertensive agents ; Antihypertensive Agents - therapeutic use ; Arterial hypertension. Arterial hypotension ; Awareness ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Glucose ; Blood Pressure ; Cardiology. Vascular system ; Cardiovascular system ; Cross-Sectional Studies ; Exercise ; Female ; Glycated Hemoglobin A ; Goals ; Humans ; Hypertension - drug therapy ; Hypertension - epidemiology ; Hypertension - physiopathology ; Life Style ; Male ; Medical sciences ; Middle Aged ; Pharmacology. Drug treatments ; Prevalence ; Risk Factors ; Spain - epidemiology ; Surveys and Questionnaires ; Weight Loss</subject><ispartof>Hypertension (Dallas, Tex. 1979), 2012-10, Vol.60 (4), p.898-905</ispartof><rights>2012 American Heart Association, Inc.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4048-89a31a22f6e94561103e052ee8869761bb679bce9ae0783b06b72f2548c724bb3</citedby><cites>FETCH-LOGICAL-c4048-89a31a22f6e94561103e052ee8869761bb679bce9ae0783b06b72f2548c724bb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3674,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26346730$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22949530$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Banegas, José R</creatorcontrib><creatorcontrib>Graciani, Auxiliadora</creatorcontrib><creatorcontrib>de la Cruz-Troca, Juan J</creatorcontrib><creatorcontrib>León-Muñoz, Luz M</creatorcontrib><creatorcontrib>Guallar-Castillón, Pilar</creatorcontrib><creatorcontrib>Coca, Antonio</creatorcontrib><creatorcontrib>Ruilope, Luis M</creatorcontrib><creatorcontrib>Rodríguez-Artalejo, Fernando</creatorcontrib><title>Achievement of Cardiometabolic Goals in Aware Hypertensive Patients in Spain: A Nationwide Population-Based Study</title><title>Hypertension (Dallas, Tex. 1979)</title><addtitle>Hypertension</addtitle><description>Despite the importance of achieving cardiometabolic goals beyond blood pressure, in the health of hypertensives, no comprehensive assessment of these characteristics has been performed in whole countries. We studied in 2008–2010 a total of 11 957 individuals representative of the Spanish population aged ≥18 years. Information on cardiometabolic characteristics was collected at the participants’ homes, through structured questionnaires, physical examination, and fasting blood samples. A total of 3983 individuals (33.3%) had hypertension (≥140/90 mm Hg or current antihypertensive drug treatment), 59.4% were aware of their condition, 78.8% treated among those aware, and 48.5% controlled among those aware and treated (22.7% of all hypertensives). Of the aware hypertensives, 13.8% had a body mass index <25 kg/m, 38.6% consumed <2.4 g/d of sodium, 19.3% were diabetic with 61% attaining goal hemoglobin A1c <6.5%, whereas 42.3% had hypercholesterolemia, with 38.1% reaching goal low-density lipoprotein <115 mg/dL. Only 30.7% of overweight patients received a prescription of specific method for weight loss, 17.4% of daily smokers were offered a smoking cessation strategy, and 15.8% of older patients were given a flu shot. Aware and unaware hypertensives showed a similar frequency of some lifestyle, such as adequate physical activity. In conclusion, in a European country with a well-developed, free-access healthcare system, achievement of many cardiometabolic goals among hypertensives is poor. Moreover, a serious deficiency in hypertension awareness and in the effectiveness of some lifestyle interventions among aware hypertensives is present. Greater effort is needed in the management of coexisting risk factors and on lifestyle medical advice to improve the cardiometabolic health of hypertensives</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antihypertensive agents</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Awareness</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Glucose</subject><subject>Blood Pressure</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular system</subject><subject>Cross-Sectional Studies</subject><subject>Exercise</subject><subject>Female</subject><subject>Glycated Hemoglobin A</subject><subject>Goals</subject><subject>Humans</subject><subject>Hypertension - drug therapy</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - physiopathology</subject><subject>Life Style</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pharmacology. Drug treatments</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Spain - epidemiology</subject><subject>Surveys and Questionnaires</subject><subject>Weight Loss</subject><issn>0194-911X</issn><issn>1524-4563</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkFFr2zAUhcVYWdNuf2GIwWAvbiVZlq0-DLyQNoWSlqWD7clI8jXRZluuZDfk309Lsg32tCehc79zpHsQekfJBaWCXi6_PSw-Py5W69v7Vbkso8guqExJXrxAM5oxnvBMpC_RjFDJE0np11N0FsJ3QijnPH-FThmTXGYpmaGn0mwsPEMH_Yhdg-fK19Z1MCrtWmvwjVNtwLbH5VZ5wMvdAH6EPthnwA9qtNG2H68HZfsrXOJVFF2_tXWcu2Fq99fkkwpQ4_U41bvX6KSJmfDmeJ6jL9eLx_kyubu_uZ2Xd4nhhBdJIVVKFWONABnXoZSkQDIGUBRC5oJqLXKpDUgFcfFUE6Fz1rCMFyZnXOv0HH045A7ePU0QxqqzwUDbqh7cFKoYKGMWEUVErw6o8S4ED001eNspv4tQ9avy6p_Ko8iqQ-XR_Pb4zqQ7qP9Yf3ccgfdHQAWj2sar3tjwlxMpF_me-3jgtq4dwYcf7bQFX21AtePmf37yE2Esn6U</recordid><startdate>201210</startdate><enddate>201210</enddate><creator>Banegas, José R</creator><creator>Graciani, Auxiliadora</creator><creator>de la Cruz-Troca, Juan J</creator><creator>León-Muñoz, Luz M</creator><creator>Guallar-Castillón, Pilar</creator><creator>Coca, Antonio</creator><creator>Ruilope, Luis M</creator><creator>Rodríguez-Artalejo, Fernando</creator><general>American Heart Association, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201210</creationdate><title>Achievement of Cardiometabolic Goals in Aware Hypertensive Patients in Spain: A Nationwide Population-Based Study</title><author>Banegas, José R ; Graciani, Auxiliadora ; de la Cruz-Troca, Juan J ; León-Muñoz, Luz M ; Guallar-Castillón, Pilar ; Coca, Antonio ; Ruilope, Luis M ; Rodríguez-Artalejo, Fernando</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4048-89a31a22f6e94561103e052ee8869761bb679bce9ae0783b06b72f2548c724bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antihypertensive agents</topic><topic>Antihypertensive Agents - therapeutic use</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Awareness</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Glucose</topic><topic>Blood Pressure</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular system</topic><topic>Cross-Sectional Studies</topic><topic>Exercise</topic><topic>Female</topic><topic>Glycated Hemoglobin A</topic><topic>Goals</topic><topic>Humans</topic><topic>Hypertension - drug therapy</topic><topic>Hypertension - epidemiology</topic><topic>Hypertension - physiopathology</topic><topic>Life Style</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pharmacology. Drug treatments</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Spain - epidemiology</topic><topic>Surveys and Questionnaires</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Banegas, José R</creatorcontrib><creatorcontrib>Graciani, Auxiliadora</creatorcontrib><creatorcontrib>de la Cruz-Troca, Juan J</creatorcontrib><creatorcontrib>León-Muñoz, Luz M</creatorcontrib><creatorcontrib>Guallar-Castillón, Pilar</creatorcontrib><creatorcontrib>Coca, Antonio</creatorcontrib><creatorcontrib>Ruilope, Luis M</creatorcontrib><creatorcontrib>Rodríguez-Artalejo, Fernando</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Banegas, José R</au><au>Graciani, Auxiliadora</au><au>de la Cruz-Troca, Juan J</au><au>León-Muñoz, Luz M</au><au>Guallar-Castillón, Pilar</au><au>Coca, Antonio</au><au>Ruilope, Luis M</au><au>Rodríguez-Artalejo, Fernando</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Achievement of Cardiometabolic Goals in Aware Hypertensive Patients in Spain: A Nationwide Population-Based Study</atitle><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle><addtitle>Hypertension</addtitle><date>2012-10</date><risdate>2012</risdate><volume>60</volume><issue>4</issue><spage>898</spage><epage>905</epage><pages>898-905</pages><issn>0194-911X</issn><eissn>1524-4563</eissn><coden>HPRTDN</coden><abstract>Despite the importance of achieving cardiometabolic goals beyond blood pressure, in the health of hypertensives, no comprehensive assessment of these characteristics has been performed in whole countries. We studied in 2008–2010 a total of 11 957 individuals representative of the Spanish population aged ≥18 years. Information on cardiometabolic characteristics was collected at the participants’ homes, through structured questionnaires, physical examination, and fasting blood samples. A total of 3983 individuals (33.3%) had hypertension (≥140/90 mm Hg or current antihypertensive drug treatment), 59.4% were aware of their condition, 78.8% treated among those aware, and 48.5% controlled among those aware and treated (22.7% of all hypertensives). Of the aware hypertensives, 13.8% had a body mass index <25 kg/m, 38.6% consumed <2.4 g/d of sodium, 19.3% were diabetic with 61% attaining goal hemoglobin A1c <6.5%, whereas 42.3% had hypercholesterolemia, with 38.1% reaching goal low-density lipoprotein <115 mg/dL. Only 30.7% of overweight patients received a prescription of specific method for weight loss, 17.4% of daily smokers were offered a smoking cessation strategy, and 15.8% of older patients were given a flu shot. Aware and unaware hypertensives showed a similar frequency of some lifestyle, such as adequate physical activity. In conclusion, in a European country with a well-developed, free-access healthcare system, achievement of many cardiometabolic goals among hypertensives is poor. Moreover, a serious deficiency in hypertension awareness and in the effectiveness of some lifestyle interventions among aware hypertensives is present. Greater effort is needed in the management of coexisting risk factors and on lifestyle medical advice to improve the cardiometabolic health of hypertensives</abstract><cop>Hagerstown, MD</cop><pub>American Heart Association, Inc</pub><pmid>22949530</pmid><doi>10.1161/HYPERTENSIONAHA.112.193078</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 0194-911X |
| ispartof | Hypertension (Dallas, Tex. 1979), 2012-10, Vol.60 (4), p.898-905 |
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| source | MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete |
| subjects | Adolescent Adult Aged Aged, 80 and over Antihypertensive agents Antihypertensive Agents - therapeutic use Arterial hypertension. Arterial hypotension Awareness Biological and medical sciences Blood and lymphatic vessels Blood Glucose Blood Pressure Cardiology. Vascular system Cardiovascular system Cross-Sectional Studies Exercise Female Glycated Hemoglobin A Goals Humans Hypertension - drug therapy Hypertension - epidemiology Hypertension - physiopathology Life Style Male Medical sciences Middle Aged Pharmacology. Drug treatments Prevalence Risk Factors Spain - epidemiology Surveys and Questionnaires Weight Loss |
| title | Achievement of Cardiometabolic Goals in Aware Hypertensive Patients in Spain: A Nationwide Population-Based Study |
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