☆ 4.5 Article

Longitudinal predictors of health-related quality of life in middle-aged and older adults with hypertension: results of a population-based study

JOURNAL OF HYPERTENSION (2012)

Journal

JOURNAL OF HYPERTENSION

Volume 30, Issue 7, Pages 1364-1372

Publisher

LIPPINCOTT WILLIAMS & WILKINS

DOI: 10.1097/HJH.0b013e328353d81b

Keywords

cohort study; health-related quality of life; hypertension; middle-aged and older adults; population-based; prospective study

Funding

Baden Wurttemberg Ministry of Science, Research and Arts
German Federal Ministry of Education and Research
German Federal Ministry of Family, Senior Citizens, Women and Youth
German Ministry of Research and Education [01ET0718]

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Abstract

Objective: The aim of the study was to assess the longitudinal association between cardiovascular risk factors including albuminuria and other variables (e.g. awareness of hypertension, number of types of antihypertensive drugs, comorbidity), and health-related quality of life (HRQOL) in a large cohort of patients with hypertension, over a follow-up period of 5 years. Methods: Nine thousand nine hundred and fifty-three participants of the ESTHER (Epidemiologische Studie zu Chancen der Verhutung, Fruherkennung und optimierten Therapie chronischer Erkrankungen) study - a population-based cohort study of middle-aged and older adults aged 50-74 years at baseline were recruited by general practitioners (GPs) in 2000-2002 and included in the follow-up (2005-2007). HRQOL at baseline and follow-up was measured using the Short-Form General Health Survey (SF-12). Mental component scores (MCS) and physical component scores (PCS) were calculated. Multiple linear regression models were used to determine longitudinal predictors of HRQOL at follow-up. Results: Four thousand, two hundred and three patients with hypertension (98.2%) responded to the SF-12 both at baseline and after 5 years and were therefore included in the study. Smoking status, BMI, diabetes, macroalbuminuria, comorbid diseases, history of depression, and lower HRQOL at baseline predicted lower PCS at the 5-year follow-up. Lower MCS after 5 years was predicted by smoking status, dyslipidaemia, a reported history of depression, and HRQOL at baseline. No significant association was detected between awareness of hypertension and any HRQOL component score after 5 years. Conclusions: Macroalbuminuria and other variables related to increased cardiovascular risk have a negative impact on PCS. Suggestions of a link of treatment and awareness of hypertension with HRQOL from previous cross-sectional studies are not supported by our longitudinal findings.

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