Clinical and Experimental Hypertension, 30:327–337, 2008
Copyright © Informa Healthcare USA, Inc.
ISSN: 1064-1963 print / 1525-6006 online
DOI: 10.1080/10641960802269943
327
LCEH 1064-1963 1525-6006 Clinical and Experimental Hypertension, Vol. 30, No. 5, June 2008: pp. 1–21 Clinical and Experimental Hypertension
Gender-Specific Differences in Hypertension
Prevalence, Treatment, Control, and Associated
Conditions among the Elderly: Data from
a Greek Population
Gender Differences in Hypertension among the Elderly I. Ninios et al.
ILIAS NINIOS,
1
VLASIOS NINIOS,
2
FOTINI LAZARIDOU,
3
KYRIAKOS DIMITRIADIS,
4
OLGA KERASIDOU,
2
AND GEORGE LOURIDAS
1
1
1st Department of Cardiology, AHEPA Hospital, Aristotle University,
Thessaloniki, Greece
2
Heart Institute, St. Luke’s Hospital, Thessaloniki, Greece
3
Department of Cardiology, G. Genimatas Hospital, Thessaloniki, Greece
4
Department of Cardiology, Hippokration Hospital, Athens, Greece
Purpose. In the present study we sought to assess the gender-specific prevalence,
treatment rates, and control of hypertension, as well as to identify its associated
conditions and additional cardiovascular (CV) risk factors, in a Greek population
aged ³ 65 years old. Methods. This is a population-based study including a clinical
interview, an ECG recording, and blood pressure (BP) measurements by
sphygmomanometer. Results. The overall prevalence of hypertension was 83.3%,
higher in females and increasing with age. In males, hypertension was independently
associated with increased body mass index (BMI), a history of stroke, and myocardial
infarction, while in females increased age, BMI, and a history of diabetes were
independently associated with hypertension. A considerable proportion of hyperten-
sives were treated (77.3%), while an effective control of BP was achieved in 42.5% of
treated subjects. Despite the fact that hypertension treatment rates did not differ
between the genders, control rates were lower among females. Finally, more hypertensive
females presented additional CV risk factors than normotensives. Conclusion. Elderly
females exhibit a higher prevalence of hypertension and are characterized by lower
hypertension control compared to hypertensive males.
Keywords hypertension, prevalence, treatment, control, associated conditions
Submitted September 10, 2007; revised November 5, 2007; accepted November 15, 2007.
Address correspondence to Ilias Ninios, MD, PhD, 10 Parmenionos St., 60100 Katerini,
Greece; E-mail: iliasninios@gmail.com