Clinical Nutrition Open Science (Aug 2024)

Factors associated with Uncontrolled Hypertension among the elderly hypertension in Rural Region of Vietnam

  • Hung Nguyen Trong,
  • Huong Nguyen Thi,
  • Cuong Le Duc,
  • Thuy Bui Thi,
  • Linh Nguyen Phuong,
  • Minh Nguyet Tran Thi,
  • Nhung Le Thi Tuyet,
  • Dung Pham Thi,
  • Ninh Thi Nhung,
  • Loc Vu The,
  • Chinh Pham Thi Kieu,
  • Duong Phan Huong,
  • Hiep Phan Hoang,
  • Duong Tran Thanh,
  • Tien Nguyen Quoc,
  • Cuong Nguyen Duy

Journal volume & issue
Vol. 56
pp. 228 – 240

Abstract

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Summary: Objective: The aim of this study was to determine factors including biochemical markers, dietary habits, and social-anthropometric associated with uncontrolled hypertension among elderly hypertension in rural regions of Vietnam. Methods: This study included 272 hypertension patients aged over 60 years. Demographic data, anthropometric measurements, and risk factors associated with hypertension were from the cross-sectional study of 272 customers at the Medical Examination Department, Samson General Hospital, Thanh Hoa Province, Vietnam. Biochemical markers including total cholesterol, triglycerides, and fasting blood glucose were measured. Dietary habits were by using a frequency questionnaire. Uncontrolled hypertension was defined as systolic blood pressure of ≥140 mmHg and/or diastolic blood pressure of ≥90 mmHg in a patient taking anti-hypertensive medication.Generalized multiple linear regression was used to assess the impact of related factors on blood pressure, which were used as the dependent variables. Logistic regression analysis was used to calculate the odds ratios (ORs) and 95% confidence intervals (95% CIs) of related factors for hypertension status. Results: The study found that men had more uncontrolled hypertension than women among the elderly population. The prevalences of hyperglycemia, hypertriglyceridemia, and hypercholesterolemia were high in both controlled and uncontrolled groups. There was an inverse association between fruits (p=0.021) and vegetable consumption (p=0.038) and a positive correlation between salty habits (p=0.040) and processed food (p<0.001) with blood pressure in the uncontrolled hypertension group. Notably, in multivariable models, a high level of drinking habits was positively associated with uncontrolled hypertension (OR: 8.0; 95% CI: 1.0–63.2) and lack of vegetables (OR: 2.4; 95% CI: 1.1–5.0) in compared to those with controlled hypertension. Conclusions: This study suggests that unhealthy dietary habits including lack of vegetable consumption and high drinking habits are important factors associated with uncontrolled hypertension in elderly patients in rural Vietnam.

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