Association between Frailty and Hypertension Prevalence, Treatment, and Control in the Elderly Korean Population

Abstract Frailty is a common geriatric syndrome characterized by increased risk of disability, hospitalization, and mortality. Hypertension (HTN) is one of the most common chronic medical conditions in the elderly. However, there have been few studies regarding the association between frailty and HT...

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Autores principales:	Min-gu Kang, Sun-wook Kim, Sol-Ji Yoon, Jung-Yeon Choi, Kwang-il Kim, Cheol-Ho Kim
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/cd8a09c149ec48ca84136ea36bb49216
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spelling	oai:doaj.org-article:cd8a09c149ec48ca84136ea36bb492162021-12-02T11:52:27ZAssociation between Frailty and Hypertension Prevalence, Treatment, and Control in the Elderly Korean Population10.1038/s41598-017-07449-52045-2322https://doaj.org/article/cd8a09c149ec48ca84136ea36bb492162017-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-07449-5https://doaj.org/toc/2045-2322Abstract Frailty is a common geriatric syndrome characterized by increased risk of disability, hospitalization, and mortality. Hypertension (HTN) is one of the most common chronic medical conditions in the elderly. However, there have been few studies regarding the association between frailty and HTN prevalence, treatment, and control rates. We analyzed data of 4,352 older adults (age ≥ 65 years) from the fifth Korea National Health and Nutrition Examination Survey. We constructed a frailty index based on 42 items and classified participants as robust, pre-frail, or frail. Of the subjects, 2,697 (62.0%) had HTN and 926 (21.3%) had pre-HTN. Regarding frailty status, 721 (16.6%), 1,707 (39.2%), and 1,924 (44.2%) individuals were classified as robust, pre-frail and frail, respectively. HTN prevalence was higher in frail elderly (67.8%) than pre-frail (60.8%) or robust elderly (49.2%) (P < 0.001). Among hypertensive patients, frail elderly were more likely to be treated than pre-frail or robust elderly (P < 0.001), but the proportion of patients whose blood pressure was under control ( < 150/90 mmHg) was lower in frail elderly (P = 0.005). Considering the adverse cardiovascular outcomes associated with frailty, more attention should be paid to the blood pressure control of the frail elderly.Min-gu KangSun-wook KimSol-Ji YoonJung-Yeon ChoiKwang-il KimCheol-Ho KimNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-8 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Min-gu Kang Sun-wook Kim Sol-Ji Yoon Jung-Yeon Choi Kwang-il Kim Cheol-Ho Kim Association between Frailty and Hypertension Prevalence, Treatment, and Control in the Elderly Korean Population
description	Abstract Frailty is a common geriatric syndrome characterized by increased risk of disability, hospitalization, and mortality. Hypertension (HTN) is one of the most common chronic medical conditions in the elderly. However, there have been few studies regarding the association between frailty and HTN prevalence, treatment, and control rates. We analyzed data of 4,352 older adults (age ≥ 65 years) from the fifth Korea National Health and Nutrition Examination Survey. We constructed a frailty index based on 42 items and classified participants as robust, pre-frail, or frail. Of the subjects, 2,697 (62.0%) had HTN and 926 (21.3%) had pre-HTN. Regarding frailty status, 721 (16.6%), 1,707 (39.2%), and 1,924 (44.2%) individuals were classified as robust, pre-frail and frail, respectively. HTN prevalence was higher in frail elderly (67.8%) than pre-frail (60.8%) or robust elderly (49.2%) (P < 0.001). Among hypertensive patients, frail elderly were more likely to be treated than pre-frail or robust elderly (P < 0.001), but the proportion of patients whose blood pressure was under control ( < 150/90 mmHg) was lower in frail elderly (P = 0.005). Considering the adverse cardiovascular outcomes associated with frailty, more attention should be paid to the blood pressure control of the frail elderly.
format	article
author	Min-gu Kang Sun-wook Kim Sol-Ji Yoon Jung-Yeon Choi Kwang-il Kim Cheol-Ho Kim
author_facet	Min-gu Kang Sun-wook Kim Sol-Ji Yoon Jung-Yeon Choi Kwang-il Kim Cheol-Ho Kim
author_sort	Min-gu Kang
title	Association between Frailty and Hypertension Prevalence, Treatment, and Control in the Elderly Korean Population
title_short	Association between Frailty and Hypertension Prevalence, Treatment, and Control in the Elderly Korean Population
title_full	Association between Frailty and Hypertension Prevalence, Treatment, and Control in the Elderly Korean Population
title_fullStr	Association between Frailty and Hypertension Prevalence, Treatment, and Control in the Elderly Korean Population
title_full_unstemmed	Association between Frailty and Hypertension Prevalence, Treatment, and Control in the Elderly Korean Population
title_sort	association between frailty and hypertension prevalence, treatment, and control in the elderly korean population
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/cd8a09c149ec48ca84136ea36bb49216
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Association between Frailty and Hypertension Prevalence, Treatment, and Control in the Elderly Korean Population

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