Longitudinal Trends in Hypertension Management and Mortality Among Octogenarians: Prospective Cohort Study

Alex Dregan*, Rathi Ravindrarajah, Nisha Hazra, Shota Hamada, Stephen H.D. Jackson, Martin C. Gulliford

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

28 Citations (Scopus)
177 Downloads (Pure)

Abstract

The role of hypertension management among octogenarians is controversial. In this long-term follow-up (>10 years) study, we estimated trends in hypertension prevalence, awareness, treatment, and control among octogenarians, and evaluated the relationship of systolic blood pressure (SBP) ranges with mortality. Data were based on the English Longitudinal Study of Ageing (ELSA). Outcome measures were hypertension prevalence, awareness, treatment and control, and cardiovascular disease, and all-cause mortality events. Participants were separated into 8 categories of SBP values (169 mm Hg). Among 2692 octogenarians, mean SBP levels declined from 147 mm Hg in 1998/2000 to 134 mm Hg in 2012/2013. The decline was of lower magnitude in the 50 to 79 years old subgroup (n=22007). Hypertension prevalence and awareness were 40% and 13%, respectively, higher among octogenarians than the 50 to 79 years of age subgroup, but hypertension treatment rates were similar (≈90%). Around 47% of the treated octogenarians achieved conventional BP targets (

Original languageEnglish
Pages (from-to)97-105
Number of pages9
JournalHypertension
Volume68
Issue number1
Early online date9 May 2016
DOIs
Publication statusPublished - Jul 2016

Keywords

  • aging
  • blood pressure
  • hypertension
  • mortality
  • prevalence

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