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Blood pressure and cholesterol control in patients with hypertension and hypercholesterolemia: the results from the Polish multicenter national health survey WOBASZ II.
Pol Arch Intern Med. 2019 12 23; 129(12):864-873.PA

Abstract

INTRODUCTION

Persons with multiple risk factors of cardiovascular disease (CVD) are at a greater risk than persons exposed to a single risk factor. Control of specific risk factors of CVD in Poland is rather poor. Effective control of comorbid hypertension and hypercholesterolemia seems especially challenging.

OBJECTIVES

The aim of the study was to assess the control of hypertension and hypercholesterolemia in patients with both hypertension and hypercholesterolemia; data from the Polish multicenter national health survey, WOBASZ II, were analyzed.

PATIENTS AND METHODS

The WOBASZ II study was a cross‑sectional survey conducted from 2013 to 2014 in 6170 people (3410 women and 2760 men) from all 16 Polish voivodships.

RESULTS

Age‑standardized prevalence of coexisting hypertension and hypercholesterolemia in WOBASZ II sample was 34.6%. The prevalence of hypercholesterolemia in participants with hypertension was 69.7%. Age‑standardized rates of control of hypertension, hypercholesterolemia, and both hypertension and hypercholesterolemia in the entire analyzed age range of 19 to 99 years was 24.3%, 11.2%, and 5.4%, respectively. In multivariable logistic regression models, control of both hypertension and hypercholesterolemia was associated with smoking (odds ratio [OR], 0.5; 95% CI, 0.34-0.76), cardiovascular disease (OR, 2.25; 95% CI, 1.70-2.97), frequent medical visits (OR, 1.76; 95% CI, 1.33-2.32), and high education level (OR, 1.37; 95% CI, 1.03-1.80).

CONCLUSIONS

Comorbid hypertension and hypercholesterolemia were observed in one‑third of the Polish population (included in WOBASZ II study). Only 5.4% have both risk factors controlled. After adjustment for covariates, female sex, nonsmoking, comorbid CVD or diabetes, the frequency of medical visits, and high level of education appeared to increase the proportion of controlled hypertension or hypercholesterolemia.

Authors+Show Affiliations

Department of Hypertension, Angiology and Internal Disease, Poznan University of Medical Science, Poznań, Poland. aniklas@mp.plDepartment of Computer Science and Statistics, Poznan University of Medical Science, Poznań, PolandDepartment of Epidemiology and Population Studies, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, PolandDepartment of Epidemiology and Population Studies, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, PolandDepartment of Arterial Hypertension and Diabetology, Medical University of Gdańsk, Gdańsk, PolandDepartment of Epidemiology, Cardiovascular Disease Prevention and Health Promotion, Institute of Cardiology, Warsaw, Poland; Department of Social and Preventive Medicine, Medical University of Lodz, Łódź, PolandDepartment of Epidemiology, Cardiovascular Disease Prevention and Health Promotion, Institute of Cardiology, Warsaw, PolandDepartment of Social and Preventive Medicine, Medical University of Lodz, Łódź, Poland3rd Department of Cardiology, Medical University of Silesia, Katowice, PolandDepartment of Hypertension, Angiology and Internal Disease, Poznan University of Medical Science, Poznań, Poland

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31596271

Citation

Niklas, Arkadiusz, et al. "Blood Pressure and Cholesterol Control in Patients With Hypertension and Hypercholesterolemia: the Results From the Polish Multicenter National Health Survey WOBASZ II." Polish Archives of Internal Medicine, vol. 129, no. 12, 2019, pp. 864-873.
Niklas A, Marcinkowska J, Kozela M, et al. Blood pressure and cholesterol control in patients with hypertension and hypercholesterolemia: the results from the Polish multicenter national health survey WOBASZ II. Pol Arch Intern Med. 2019;129(12):864-873.
Niklas, A., Marcinkowska, J., Kozela, M., Pająk, A., Zdrojewski, T., Drygas, W., Piwońska, A., Kwaśniewska, M., Kozakiewicz, K., & Tykarski, A. (2019). Blood pressure and cholesterol control in patients with hypertension and hypercholesterolemia: the results from the Polish multicenter national health survey WOBASZ II. Polish Archives of Internal Medicine, 129(12), 864-873. https://doi.org/10.20452/pamw.15013
Niklas A, et al. Blood Pressure and Cholesterol Control in Patients With Hypertension and Hypercholesterolemia: the Results From the Polish Multicenter National Health Survey WOBASZ II. Pol Arch Intern Med. 2019 12 23;129(12):864-873. PubMed PMID: 31596271.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Blood pressure and cholesterol control in patients with hypertension and hypercholesterolemia: the results from the Polish multicenter national health survey WOBASZ II. AU - Niklas,Arkadiusz, AU - Marcinkowska,Justyna, AU - Kozela,Magdalena, AU - Pająk,Andrzej, AU - Zdrojewski,Tomasz, AU - Drygas,Wojciech, AU - Piwońska,Aleksandra, AU - Kwaśniewska,Magdalena, AU - Kozakiewicz,Krystyna, AU - Tykarski,Andrzej, Y1 - 2019/10/09/ PY - 2019/10/10/pubmed PY - 2020/10/21/medline PY - 2019/10/10/entrez SP - 864 EP - 873 JF - Polish archives of internal medicine JO - Pol Arch Intern Med VL - 129 IS - 12 N2 - INTRODUCTION: Persons with multiple risk factors of cardiovascular disease (CVD) are at a greater risk than persons exposed to a single risk factor. Control of specific risk factors of CVD in Poland is rather poor. Effective control of comorbid hypertension and hypercholesterolemia seems especially challenging. OBJECTIVES: The aim of the study was to assess the control of hypertension and hypercholesterolemia in patients with both hypertension and hypercholesterolemia; data from the Polish multicenter national health survey, WOBASZ II, were analyzed. PATIENTS AND METHODS: The WOBASZ II study was a cross‑sectional survey conducted from 2013 to 2014 in 6170 people (3410 women and 2760 men) from all 16 Polish voivodships. RESULTS: Age‑standardized prevalence of coexisting hypertension and hypercholesterolemia in WOBASZ II sample was 34.6%. The prevalence of hypercholesterolemia in participants with hypertension was 69.7%. Age‑standardized rates of control of hypertension, hypercholesterolemia, and both hypertension and hypercholesterolemia in the entire analyzed age range of 19 to 99 years was 24.3%, 11.2%, and 5.4%, respectively. In multivariable logistic regression models, control of both hypertension and hypercholesterolemia was associated with smoking (odds ratio [OR], 0.5; 95% CI, 0.34-0.76), cardiovascular disease (OR, 2.25; 95% CI, 1.70-2.97), frequent medical visits (OR, 1.76; 95% CI, 1.33-2.32), and high education level (OR, 1.37; 95% CI, 1.03-1.80). CONCLUSIONS: Comorbid hypertension and hypercholesterolemia were observed in one‑third of the Polish population (included in WOBASZ II study). Only 5.4% have both risk factors controlled. After adjustment for covariates, female sex, nonsmoking, comorbid CVD or diabetes, the frequency of medical visits, and high level of education appeared to increase the proportion of controlled hypertension or hypercholesterolemia. SN - 1897-9483 UR - https://www.unboundmedicine.com/medline/citation/31596271/Blood_pressure_and_cholesterol_control_in_patients_with_hypertension_and_hypercholesterolemia:_the_results_from_the_Polish_multicenter_national_health_survey_WOBASZ_II_ L2 - http://pamw.pl/en/issue/article/31596271 DB - PRIME DP - Unbound Medicine ER -