Contributing factors and their association with blood pressure control amongst hypertensive patients


  • Ghulam Mujtaba Nasir Doctoral Researcher, Horizon 2020, Mari Sklodowska-Curie European Fellowship at Robert Gordon University, United Kingdom
  • Haroon Rashid Khan Public Health Specialist, Department of Community Medicine Islamabad Medical and Dental College, Bahrakahu Islamabad
  • Khuram Parvez Emergency Medicine Consultant, Royal Blackburn Teaching Hospital, United Kingdom
  • Juwayria Omar Assistant Professor, Fazaia Medical College, Air University, Islamabad
  • Alishba Mukhtar Women Medical Officer, Muralla, Mandi Bahaudin


Hypertension control, Contributing factors, Optimized blood pressure


Objective: To assess contributing factors and their association with blood pressure control amongst hypertensive patients.
Methodology: This cross sectional comparative study was conducted at OPD general medicine dept, Pakistan Institute of Medical Sciences, from July to December 2018. Hypertensive patients of both genders, having age more than 18 years, and on antihypertensive medication form at least six months were included in the study. Optimally controlled BP was defined as an average systolic BP < 140 and diastolic BP < 90 mmHg if the patient is younger than 60 years, or an average systolic BP < 150 and diastolic BP < 90mmHg if patient was older than 60 years. Logistic regression was applied to assess the effect of different factors on blood pressure control of the hypertensive patients.
Results: In the study sample majority 107 (55.4%) of the patients belonged to 41-60 years age group, and females 106 (54.9%) were predominant. Main bulk 155 (80.3%) of the patients was married and mostly 80 (41.5%) patients had monthly income in the range of 25000-50000. About half 89 (46.1%) of the patients enrolled for the study were doing adequate physical activity. Optimized blood pressure was found in 92 (47.67%) patients.
Conclusion: The proportion of hypertensive patients whose blood pressure was optimally controlled was relatively low and less than half of patients had blood pressure in acceptable limits. Age group (41-60) years, routine use of vegetable on most days of week, physical activity, adherence to treatment and taking less than three drugs have a strong relationship with blood pressure to keep in optimized limits.





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