title: [Hypertension in the elderly in France: Characteristics of treatments and frequency of cognitive complaint according to the 2014 French League against Hypertension Survey].
abstract: OBJECTIVE
  Describe hypertensive patients treated in 2014 in France by age and estimate the degree of cognitive complaint among subjects aged 55 and over.
  
  
  METHODS
  French League against Hypertension Survey (FLAHS) was conducted by mail in a representative sample of subjects aged 35 and over living in metropolitan France. Antihypertensive treatment data were obtained by self-administered questionnaire. Among the owners of a self-measurement device, blood pressure was considered to be controlled if the average of three measurements in the morning was below 135/85 mmHg. Cognitive complaint was detected by the cognitive complaint questionnaire (QPC) and analyzed by age and medical history of each subject.
  
  
  RESULTS
  In 2014, 30% of the population aged 35 and over (11.6 million) was treated with antihypertensive drugs. The number of treated hypertensive was: 3.45 million in the 75 and older, 2.96 million in 65-74 years, 3.24 million in 55-64 years, 1.58 million in the 45-54 years and 0.441 million in 35-44. The mono/bi/tri/quad-therapy is used in 46%/35%/14%/5% of patients. This distribution varies with age with monotherapy used in 63% of subjects under 55 years but in 40% of subjects 75 years and over. A positive QPC was noted in 11% of 55-64 years, in 21% of 75 years and older (P<0.001), in 20% of uncontrolled hypertensive patients, and in 34% of subjects with a personal history of stroke.
  
  
  CONCLUSIONS
  In France, hypertension is a disease that affects mainly the elderly. The modalities of treatment are different depending on age. Cognitive complaints are more common in uncontrolled hypertensive patients and in patients with a history of stroke.
authors.affiliation: Comité français de lutte contre l'hypertension artérielle (CFLHTA), 5, rue des Colonnes-du-Trône, 75012 Paris, France; Pôle cœur métabolisme, unité de prévention cardiovasculaire, hôpital de La Pitié-Salpêtrière, 83, boulevard de l'Hôpital, 75651 Paris cedex 13, France. Electronic address: Xavier.girerd@psl.aphp.fr.
authors.forename: X
authors.initials: X
authors.lastname: Girerd
authors.affiliation: Comité français de lutte contre l'hypertension artérielle (CFLHTA), 5, rue des Colonnes-du-Trône, 75012 Paris, France; Service de gériatrie, université Paris-Descartes, EA 4468, hôpital Broca, Assistance publique-Hôpitaux de Paris, 54-56, rue Pascal, 75013 Paris, France.
authors.forename: O
authors.initials: O
authors.lastname: Hanon
authors.affiliation: Comité français de lutte contre l'hypertension artérielle (CFLHTA), 5, rue des Colonnes-du-Trône, 75012 Paris, France; Service de médecine, hôpital F.H.-Manhès, 8, rue Roger-Clavier, 91712 Fleury-Mérogis, France.
authors.forename: B
authors.initials: B
authors.lastname: Pannier
authors.affiliation: Comité français de lutte contre l'hypertension artérielle (CFLHTA), 5, rue des Colonnes-du-Trône, 75012 Paris, France; Unité médecine interne-HTA, hôpital Avicenne, 125, rue de Stalingrad, 93009 Bobigny, France.
authors.forename: J J
authors.initials: JJ
authors.lastname: Mourad
authors.affiliation: Comité français de lutte contre l'hypertension artérielle (CFLHTA), 5, rue des Colonnes-du-Trône, 75012 Paris, France; Unité hypertension, service de cardiologie, hôpital de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
authors.forename: B
authors.initials: B
authors.lastname: Vaïsse
mesh_terms: D000328:Adult; D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D003072:Cognition Disorders / Q000453:epidemiology / Q000209:etiology*; D005602:France; D006306:Health Surveys; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000188:drug therapy*; D008875:Middle Aged
chemical_list: D000959:Antihypertensive Agents
keywords: Antihypertensive drugs; Arterial hypertension; Elderly; Enquête FLAHS; FLAHS survey; Hypertension artérielle; Sujet âgé; Traitements antihypertenseurs