Hypertension in overweight and obese primary care patients is highly prevalent and poorly controlled
Although the relationship between body weight and blood pressure (BP) is well established, there is a lack of data regarding the impact of obesity on the prevalence of hypertension in primary care practice. The objective of this study was to assess the prevalence of hypertension and the diagnosis, t...
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| Veröffentlicht in: | American journal of hypertension 2004-10, Vol.17 (10), p.904-910 |
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| container_title | American journal of hypertension |
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| creator | Bramlage, Peter Pittrow, David Wittchen, Hans-Ulrich Kirch, Wilhelm Boehler, Steffen Lehnert, Hendrik Hoefler, Michael Unger, Thomas Sharma, Arya M. |
| description | Although the relationship between body weight and blood pressure (BP) is well established, there is a lack of data regarding the impact of obesity on the prevalence of hypertension in primary care practice. The objective of this study was to assess the prevalence of hypertension and the diagnosis, treatment status, and control rates of hypertension in obese patients as compared to patients with normal weight.
A cross-sectional point prevalence study of 45,125 unselected consecutive primary care attendees was conducted in a representative nationwide sample of 1912 primary care physicians in Germany (HYDRA).
Blood pressure levels were consistently higher in obese patients. Overall prevalence of hypertension (blood pressure ≥140/90 mm Hg or on antihypertensive medication) in normal weight patients was 34.3%, in overweight participants 60.6%, in grade 1 obesity 72.9%, in grade 2 obesity 77.1%, and in grade 3 obesity 74.1%. The odds ratio (OR) for good BP control ( |
| doi_str_mv | 10.1016/j.amjhyper.2004.05.017 |
| format | Article |
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A cross-sectional point prevalence study of 45,125 unselected consecutive primary care attendees was conducted in a representative nationwide sample of 1912 primary care physicians in Germany (HYDRA).
Blood pressure levels were consistently higher in obese patients. Overall prevalence of hypertension (blood pressure ≥140/90 mm Hg or on antihypertensive medication) in normal weight patients was 34.3%, in overweight participants 60.6%, in grade 1 obesity 72.9%, in grade 2 obesity 77.1%, and in grade 3 obesity 74.1%. The odds ratio (OR) for good BP control (<140/90 mm Hg) in diagnosed and treated patients was 0.8 (95% confidence interval [CI] 0.7–0.9) in overweight patients, 0.6 (95% CI 0.6–0.7) in grade 1, 0.5 (95% CI 0.4–0.6) in grade 2, and 0.7 (95% CI 0.5–0.9) in grade 3 obese patients.
The increasing prevalence of hypertension in obese patients and the low control rates in overweight and obese patients document the challenge that hypertension control in obese patients imposes on the primary care physician. These results highlight the need for specific evidence-based guidelines for the pharmacologic management of obesity-related hypertension in primary practice.</description><identifier>ISSN: 0895-7061</identifier><identifier>EISSN: 1879-1905</identifier><identifier>EISSN: 1941-7225</identifier><identifier>DOI: 10.1016/j.amjhyper.2004.05.017</identifier><identifier>PMID: 15485752</identifier><identifier>CODEN: AJHYE6</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Antihypertensive Agents - therapeutic use ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Control ; Cross-Sectional Studies ; diagnosis ; Female ; Humans ; hypertension ; Hypertension - complications ; Hypertension - drug therapy ; Hypertension - epidemiology ; Hypertension - physiopathology ; Male ; Medical sciences ; Metabolic diseases ; Middle Aged ; Obesity ; Obesity - complications ; overweight ; Prevalence ; Primary Health Care ; treatment</subject><ispartof>American journal of hypertension, 2004-10, Vol.17 (10), p.904-910</ispartof><rights>2004 American Journal of Hypertension, Ltd.</rights><rights>2004 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Oct 2004</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c562t-203c602d30a3ba57b7898474f9957034da5091291931525be48ea31d2fadb2da3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16179546$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15485752$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bramlage, Peter</creatorcontrib><creatorcontrib>Pittrow, David</creatorcontrib><creatorcontrib>Wittchen, Hans-Ulrich</creatorcontrib><creatorcontrib>Kirch, Wilhelm</creatorcontrib><creatorcontrib>Boehler, Steffen</creatorcontrib><creatorcontrib>Lehnert, Hendrik</creatorcontrib><creatorcontrib>Hoefler, Michael</creatorcontrib><creatorcontrib>Unger, Thomas</creatorcontrib><creatorcontrib>Sharma, Arya M.</creatorcontrib><title>Hypertension in overweight and obese primary care patients is highly prevalent and poorly controlled</title><title>American journal of hypertension</title><addtitle>AJH</addtitle><description>Although the relationship between body weight and blood pressure (BP) is well established, there is a lack of data regarding the impact of obesity on the prevalence of hypertension in primary care practice. The objective of this study was to assess the prevalence of hypertension and the diagnosis, treatment status, and control rates of hypertension in obese patients as compared to patients with normal weight.
A cross-sectional point prevalence study of 45,125 unselected consecutive primary care attendees was conducted in a representative nationwide sample of 1912 primary care physicians in Germany (HYDRA).
Blood pressure levels were consistently higher in obese patients. Overall prevalence of hypertension (blood pressure ≥140/90 mm Hg or on antihypertensive medication) in normal weight patients was 34.3%, in overweight participants 60.6%, in grade 1 obesity 72.9%, in grade 2 obesity 77.1%, and in grade 3 obesity 74.1%. The odds ratio (OR) for good BP control (<140/90 mm Hg) in diagnosed and treated patients was 0.8 (95% confidence interval [CI] 0.7–0.9) in overweight patients, 0.6 (95% CI 0.6–0.7) in grade 1, 0.5 (95% CI 0.4–0.6) in grade 2, and 0.7 (95% CI 0.5–0.9) in grade 3 obese patients.
The increasing prevalence of hypertension in obese patients and the low control rates in overweight and obese patients document the challenge that hypertension control in obese patients imposes on the primary care physician. These results highlight the need for specific evidence-based guidelines for the pharmacologic management of obesity-related hypertension in primary practice.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</subject><subject>Control</subject><subject>Cross-Sectional Studies</subject><subject>diagnosis</subject><subject>Female</subject><subject>Humans</subject><subject>hypertension</subject><subject>Hypertension - complications</subject><subject>Hypertension - drug therapy</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - physiopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>overweight</subject><subject>Prevalence</subject><subject>Primary Health Care</subject><subject>treatment</subject><issn>0895-7061</issn><issn>1879-1905</issn><issn>1941-7225</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkU-P0zAQxS0EYkvhK6wiIbgl2I7_xDfQim2BFVxAQnuxHHtCHdK4a6eFfntcGliJCyfLM7_3ZjQPoUuCK4KJeNVXZttvjjuIFcWYVZhXmMgHaEEaqUqiMH-IFrhRvJRYkAv0JKUeZ1AI8hhdEM4aLjldILc-eUwwJh_Gwo9FOED8Af7bZirM6IrQQoJiF_3WxGNhTcwfM3kYp1T4VGwyOBxzHw5myMXfml0IMRdtGKcYhgHcU_SoM0OCZ_O7RF-u336-Wpc3n1bvrt7clJYLOpUU11Zg6mps6tZw2cpGNUyyTikucc2c4VgRqoiqCae8BdaAqYmjnXEtdaZeopdn310Md3tIk976ZGEYzAhhn7QQSgrKWAaf_wP2YR_HvJsmmApOWZ0HLpE4UzaGlCJ0er5DhvQpBd3rPynoUwoac51TyMLL2X7fbsHdy-azZ-DFDJhkzdBFM1qf7jlBpOJMZK48cz5N8PNv38TvWshacr3-eqvJavXh4y2_1u8z__rMQ77ywee1ks1ZWXA-gp20C_5_u_8CFf64rA</recordid><startdate>20041001</startdate><enddate>20041001</enddate><creator>Bramlage, Peter</creator><creator>Pittrow, David</creator><creator>Wittchen, Hans-Ulrich</creator><creator>Kirch, Wilhelm</creator><creator>Boehler, Steffen</creator><creator>Lehnert, Hendrik</creator><creator>Hoefler, Michael</creator><creator>Unger, Thomas</creator><creator>Sharma, Arya M.</creator><general>Elsevier Inc</general><general>Oxford University Press</general><general>Elsevier Science</general><scope>BSCLL</scope><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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20041001</creationdate><title>Hypertension in overweight and obese primary care patients is highly prevalent and poorly controlled</title><author>Bramlage, Peter ; Pittrow, David ; Wittchen, Hans-Ulrich ; Kirch, Wilhelm ; Boehler, Steffen ; Lehnert, Hendrik ; Hoefler, Michael ; Unger, Thomas ; Sharma, Arya M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c562t-203c602d30a3ba57b7898474f9957034da5091291931525be48ea31d2fadb2da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Antihypertensive Agents - therapeutic use</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</topic><topic>Control</topic><topic>Cross-Sectional Studies</topic><topic>diagnosis</topic><topic>Female</topic><topic>Humans</topic><topic>hypertension</topic><topic>Hypertension - complications</topic><topic>Hypertension - drug therapy</topic><topic>Hypertension - epidemiology</topic><topic>Hypertension - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>overweight</topic><topic>Prevalence</topic><topic>Primary Health Care</topic><topic>treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bramlage, Peter</creatorcontrib><creatorcontrib>Pittrow, David</creatorcontrib><creatorcontrib>Wittchen, Hans-Ulrich</creatorcontrib><creatorcontrib>Kirch, Wilhelm</creatorcontrib><creatorcontrib>Boehler, Steffen</creatorcontrib><creatorcontrib>Lehnert, Hendrik</creatorcontrib><creatorcontrib>Hoefler, Michael</creatorcontrib><creatorcontrib>Unger, Thomas</creatorcontrib><creatorcontrib>Sharma, Arya M.</creatorcontrib><collection>Istex</collection><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>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of hypertension</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bramlage, Peter</au><au>Pittrow, David</au><au>Wittchen, Hans-Ulrich</au><au>Kirch, Wilhelm</au><au>Boehler, Steffen</au><au>Lehnert, Hendrik</au><au>Hoefler, Michael</au><au>Unger, Thomas</au><au>Sharma, Arya M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hypertension in overweight and obese primary care patients is highly prevalent and poorly controlled</atitle><jtitle>American journal of hypertension</jtitle><addtitle>AJH</addtitle><date>2004-10-01</date><risdate>2004</risdate><volume>17</volume><issue>10</issue><spage>904</spage><epage>910</epage><pages>904-910</pages><issn>0895-7061</issn><eissn>1879-1905</eissn><eissn>1941-7225</eissn><coden>AJHYE6</coden><abstract>Although the relationship between body weight and blood pressure (BP) is well established, there is a lack of data regarding the impact of obesity on the prevalence of hypertension in primary care practice. The objective of this study was to assess the prevalence of hypertension and the diagnosis, treatment status, and control rates of hypertension in obese patients as compared to patients with normal weight.
A cross-sectional point prevalence study of 45,125 unselected consecutive primary care attendees was conducted in a representative nationwide sample of 1912 primary care physicians in Germany (HYDRA).
Blood pressure levels were consistently higher in obese patients. Overall prevalence of hypertension (blood pressure ≥140/90 mm Hg or on antihypertensive medication) in normal weight patients was 34.3%, in overweight participants 60.6%, in grade 1 obesity 72.9%, in grade 2 obesity 77.1%, and in grade 3 obesity 74.1%. The odds ratio (OR) for good BP control (<140/90 mm Hg) in diagnosed and treated patients was 0.8 (95% confidence interval [CI] 0.7–0.9) in overweight patients, 0.6 (95% CI 0.6–0.7) in grade 1, 0.5 (95% CI 0.4–0.6) in grade 2, and 0.7 (95% CI 0.5–0.9) in grade 3 obese patients.
The increasing prevalence of hypertension in obese patients and the low control rates in overweight and obese patients document the challenge that hypertension control in obese patients imposes on the primary care physician. These results highlight the need for specific evidence-based guidelines for the pharmacologic management of obesity-related hypertension in primary practice.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15485752</pmid><doi>10.1016/j.amjhyper.2004.05.017</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0895-7061 |
| ispartof | American journal of hypertension, 2004-10, Vol.17 (10), p.904-910 |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Adolescent Adult Aged Antihypertensive Agents - therapeutic use Arterial hypertension. Arterial hypotension Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Clinical manifestations. Epidemiology. Investigative techniques. Etiology Control Cross-Sectional Studies diagnosis Female Humans hypertension Hypertension - complications Hypertension - drug therapy Hypertension - epidemiology Hypertension - physiopathology Male Medical sciences Metabolic diseases Middle Aged Obesity Obesity - complications overweight Prevalence Primary Health Care treatment |
| title | Hypertension in overweight and obese primary care patients is highly prevalent and poorly controlled |
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