Dr. Cai and Dr. Zheng contributed equally to this work.
Prevalence, Awareness, Treatment, and Control of Hypertension in Elderly Adults with Chronic Kidney Disease: Results from the Survey of Prevalence, Awareness, and Treatment Rates in Chronic Kidney Disease Patients with Hypertension in China
Article first published online: 25 NOV 2013
© 2013, Copyright the Authors Journal compilation © 2013, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 61, Issue 12, pages 2160–2167, December 2013
How to Cite
J Am Geriatr Soc 61:2160–2167, 2013.
- Issue published online: 12 DEC 2013
- Article first published online: 25 NOV 2013
- State Key Development Program for Basic Research of China. Grant Number: 2013CB530800
- National Key Technology R&D Program. Grant Number: 2011BAI10B00
- Health Industry Scientific Research Special Project. Grant Number: 20100210
- Clinical Medicine Special Purpose Fund of the Chinese Medical Association. Grant Number: 12020390329
- chronic kidney disease;
- elderly adults;
Data regarding hypertension in elderly adults with chronic kidney disease (CKD) remains limited. This study aimed to assess the epidemiological characteristics of hypertension in elderly adults with CKD using data from a nationwide survey.
A nationwide, multicenter, cross-sectional study with a large sample.
The Survey of Prevalence, Awareness, and Treatment Rates in Chronic Kidney Disease Patients with Hypertension in China (PATRIOTIC).
Participants in PATRIOTIC (aged ≥60; n = 2,414).
Trained physicians measured blood pressure (BP) using a standard protocol with a mercury sphygmomanometer at the time of admission.
The prevalence, awareness, and treatment of hypertension in elderly adults with CKD were 82.0%, 90.7%, and 87.3%, respectively. The control of hypertension at BP less than 140/90 mmHg was 29.6% and at BP less than 130/80 mmHg it was 12.1%. No significant differences were noted in the prevalence, awareness, treatment, or control of hypertension in individuals with CKD divided into the age groups of 60 to 69, 70 to 79, and 80 and older (P > .05). With increasing age, the proportion of isolated systolic hypertension in elderly adults with CKD with uncontrolled hypertension increased (P = .02). Obesity (P = .01), CKD Stages 4 and 5 (P < .001), and concomitant diabetes mellitus (P = .002) were significantly associated with uncontrolled hypertension in elderly adults with CKD, using the goal of BP less than 140/90 mmHg.
The prevalence of hypertension in elderly adults in China with CKD is high, and its control is poor. Most elderly adults with CKD with uncontrolled hypertension have systolic hypertension. Obesity, CKD Stages 4 and 5, and diabetes mellitus were adversely associated with greater uncontrolled hypertension in elderly adults with CKD.