title: [Determinants of controlled hypertension in patients treated with antihypertensive drugs in France: The French League Against Hypertension Survey (FLAHS 2015)].
abstract: OBJECTIVE
  The FLASH 2015 survey sought the determinants of hypertension control in subjects treated with antihypertensive drugs in France.
  
  
  METHODS
  Sending self-administered questionnaire by mail to a representative sample of the population living in metropolitan France (MetaScope basis, TNS Sofres, France). Patients who declare taking antihypertensive drugs are considered treated hypertensives. A home blood pressure monitoring during 3 days was asked in subjects owing a blood pressure monitor and the average of 18 measurements was calculated.
  
  
  RESULTS
  A total of 6379 subjects aged 55 and older were included with 2814 (44.1%) treated with antihypertensive drugs. Home blood pressure was obtained from 1455 subjects including 882 (60.6%) treated. SBP/DBP are 129.3±13.5/75.5±9.0mmHg and are higher in treated subjects in each age category. BP<135/85 was observed in 55.4% and BP<140/90 in 71.7%. Determinants of BP control (<135/85) are the number of measurement for averaging (18 measures over 3 days vs 3 measurements on a morning; 55.4%/44.3%), age (55-64 years vs 80 years old; 57.6%/49.1%), gender (women vs men; 60.3%/50.1%), BMI (<25 vs >30; 63.1%/46.1%). In the 80 and older, a SBP<145 was observed in 74.7% of subjects. The control was 61% when considering an SBP/DBP<135/85 in 55-79 years and SBP<145 among 80 and older.
  
  
  CONCLUSIONS
  The control of hypertension evaluated by home blood pressure on a representative population living in metropolitan France is estimated at between 44.3% and 74.7% and several determinants influence the control of blood pressure like age, gender and BMI.
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@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; Hôpital Broca service de gériatrie, université Paris Descartes, EA 4468, Assistance publique des 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; Service de cardiologie unité hypertension, hôpital de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
authors.forename: B
authors.initials: B
authors.lastname: Vaïsse
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001795:Blood Pressure Determination / Q000379:methods; D018660:Blood Pressure Monitoring, Ambulatory / Q000706:statistics & numerical data*; D015992:Body Mass Index; D005260:Female; D005602:France / Q000453:epidemiology; D006306:Health Surveys; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged
chemical_list: D000959:Antihypertensive Agents
keywords: Arterial hypertension; Automesure tension; Controlled hypertension; Contrôle tensionnel; Enquête FLAHS; FLAHS survey; Home blood pressure monitoring; Hypertension artérielle