title: Predictors of Uncontrolled Blood Pressure in Treated Hypertensive Individuals: First Population-Based Study in Lebanon.
abstract: Arterial hypertension is a leading risk factor for cardiovascular disease and stroke. This study aimed to assess the predictors of uncontrolled systolic and diastolic blood pressure (BP) in Lebanon among treated hypertensive individuals. The authors included 562 participants 40 years and older. The potential predictors included sociodemographic characteristics, self-reported health information, and medication adherence. Prevalence of uncontrolled systolic and diastolic BP reached 43.1% and 24.9%, respectively. Independent predictors of uncontrolled systolic BP were older age, male sex, and low and medium medication adherence level. Predictors of uncontrolled diastolic BP were younger age, obesity, and low medication adherence level. Married individuals and patients taking statins had better diastolic BP control. Uncontrolled BP is a major public health problem in Lebanon. The authors identified low adherence as a major modifiable risk factor for systolic and diastolic BP control and obesity as a major modifiable risk factor for diastolic BP control.
authors.affiliation: Doctoral School of Life and Health Sciences, Paris-Est University, Creteil, France. rita.farah@univ-paris-est.fr.|EA 4391, Excitabilité Nerveuse et Thérapeutique, Université Paris-Est, Creteil, France. rita.farah@univ-paris-est.fr.
authors.forename: Rita
authors.initials: R
authors.lastname: Farah
authors.affiliation: Doctoral School of Biology Health and Biotechnologies, Toulouse III University, Toulouse, France.
authors.forename: Rouba Karen
authors.initials: RK
authors.lastname: Zeidan
authors.affiliation: Foundation-Medical Research Institutes, F-MRI®, Beirut, Lebanon.
authors.forename: Mirna N
authors.initials: MN
authors.lastname: Chahine
authors.affiliation: Foundation-Medical Research Institutes, F-MRI®, Beirut, Lebanon.
authors.forename: Roland
authors.initials: R
authors.lastname: Asmar
authors.affiliation: Faculty of Medical Sciences, Lebanese University, Hadath, Lebanon.
authors.forename: Ramez
authors.initials: R
authors.lastname: Chahine
authors.affiliation: School of Pharmacy, Lebanese American University, Byblos, Lebanon.|Laboratory of Clinical and Epidemiology Research, Faculty of Pharmacy, Lebanese University, Hadath, Lebanon.
authors.forename: Pascale
authors.initials: P
authors.lastname: Salameh
authors.affiliation: Department of Cardiovascular Medicine, Hypertension, Risk Factors and Heart Failure Unit, Clinique Pasteur, Toulouse, France.
authors.forename: Atul
authors.initials: A
authors.lastname: Pathak
authors.affiliation: EA 4391, Excitabilité Nerveuse et Thérapeutique, Université Paris-Est, Creteil, France.|Department of Neurology, Henri Mondor Hospital AP-HP, Creteil, France.
authors.forename: Hassan
authors.initials: H
authors.lastname: Hosseini
mesh_terms: D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001794:Blood Pressure; D001795:Blood Pressure Determination; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000503:physiopathology*; D007861:Lebanon; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D012959:Socioeconomic Factors; D016903:Drug Monitoring
chemical_list: D000959:Antihypertensive Agents