 |
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2025, vol. 31, issue3
Subject Area: Public Health
-
DOI: 10.5272/jimab.2025313.6409
Published online: 20 August 2025
Original article
J of IMAB. 2025 Jul-Sep;31(3):6409-6417
ARTERIAL HYPERTENSION INFLUENCES THE HEALTH-RELATED QUALITY OF LIFE OF 65+ YEAR-OLD PATIENTS
Emilia K. Naseva1, 2
, Konstantin N. Ramshev3, Evelina M. Marinova4, Nikola A. Ramshev3, Vlayko E. Vodenicharov5,
1) Department of Health Management and Health Economics, Faculty of Public Health "Prof. Tzecomir Vodenitcharov, MD, DSc", Medical University of Sofia, Bulgaria.
2) Medical Faculty, Sofia University St. Kliment Ohridski, Sofia, Bulgaria.
3) Department of Cardiology, Clinic of Intensive Therapy, Military Medical Academy, MHAT – Sofia, Bulgaria.
4) Directorate of Public Health and Health Risk, National Center of Public Health and Analyses, Sofia, Bulgaria.
5) Department of Epidemiology and Hygiene, Medical Faculty, Medical University of Sofia, Bulgaria.
ABSTRACT:
This study aims to compare two health-related quality of life (HRQoL) measures of patients who reported having arterial hypertension (AH) and those who did not report this condition.
Materials and methods: A population-based observational survey was performed in Sofia in 2017 through face-to-face interviews among 246 persons aged 65 and above. Two HRQoL instruments (SF-12 and WHO-5) and visual analogue scale (VAS) for self- perceived health were used.
Results: The prevalence of AH was 67.1%. AH and non-AH patients were similar in age, gender, education, and marital status. VAS medians were significantly lower among AH patients (60 vs. 70, p = 0.012) as well as their SF-6D scores (78 vs. 82, p = 0.009). AH patients more often reported being limited in moderate activities (21.8% limited a lot vs. 7.4%, p= 0.018) as well as in climbing several flights of stairs (20.6% limited a lot vs. 11.1%, p = 0.001). They were also more affected by the pain (p= 0.026). This resulted in significantly lower scores in two SF-12 domains: Physical Functioning (p = 0.014) and Bodily Pain (p = 0.010). AH patients reported feeling active and vigorous less often (all the time 25.5% vs. 40.7%, p = 0.045). However, the total WHO-5 score did not differ significantly between groups (p > 0.05).
Conclusion: In general, AH patients showed lower HRQoL compared to normotensive patients.
Keywords: health-related quality of life, arterial hypertension, SF-12, WHO-5, VAS, ageing,
- Download FULL TEXT /PDF 539 KB/
Please cite this article as: Naseva EK, Ramshev KN, Marinova EM, Ramshev NA, Vodenicharov VE. Arterial hypertension influences the health-related quality of life of 65+ year-old patients. J of IMAB. 2025 Jul-Sep;31(3):6409-6417. [Crossref - 10.5272/jimab.2025313.6409]
Correspondence to: Emilia Naseva, Department of Health Management and Health Economics, Faculty of Public Health "Prof. Tsekomir Vodenicharov, MD, DSc", Medical University of Sofia; 8, Byalo more Str., 1527 Sofia, Bulgaria; E-mail: e.naseva@foz.mu-sofia.bg
REFERENCES:
1. McDowell I. Measuring health: a guide to rating scales and questionnaires. (3rd edition) Oxford university press. 6 April 2006. [Crossref]
2. Black N. Patient reported outcome measures could help transform healthcare. BMJ. 2013 Jan 28;346:f167. [PubMed]
3. Patrick DL, Deyo RA. Generic and disease-specific measures in assessing health status and quality of life. Med Care. 1989, 27(suppl 3):S217–S232. [PubMed]
4. Trevisol DJ, Moreira LB, Kerkhoff A, Fuchs SC, Fuchs FD. Health-related quality of life and hypertension: a systematic review and meta-analysis of observational studies. J Hypertens. 2011 Feb;29(2):179-88. [PubMed]
5. Masyuko S, Ngongo CJ, Smith C, Nugent R. Patient-reported outcomes for diabetes and hypertension care in low- and middle-income countries: A scoping review. PLoS One. 2021 Jan 15;16(1):e0245269. [PubMed]
6. Soni RK, Porter AC, Lash JP, Unruh ML. Health related quality of life in hypertension, chronic kidney disease, and coexistent chronic health conditions. Adv Chronic Kidney Dis. 2010 Jul;17(4):e17-e26. [PubMed]
7. Trevisol DJ, Moreira LB, Fuchs FD, Fuchs SC. Health-related quality of life is worse in individuals with hypertension under drug treatment: results of population-based study. J Hum Hypertens. 2012 Jun;26(6):374-80. [PubMed]
8. Wiklund I, Halling K, Rydйn-Bergsten T, Fletcher A. Does lowering the blood pressure improve the mood? Quality-of-life results from the Hypertension Optimal Treatment (HOT) study. Blood Press. 1997 Nov;6(6):357-64. [PubMed]
9. Rivasi G, Ceolin L, Capacci M, Matteucci G, Testa GD, Ungar A. Risks associated with intensive blood pressure control in older patients. Kardiol Pol. 2023; 81(5):446-454. [PubMed]
10. Mi B, Dang S, Li Q, Zhao Y, Yang R, Wang D, et al. Association Between Awareness of Hypertension and Health-Related Quality of Life in a Cross-Sectional Population-Based Study in Rural Area of Northwest China. Medicine (Baltimore). 2015 Jul;94(29):e1206. [PubMed]
11. Rantanen AT, Korkeila JJA, Löyttyniemi ES, Saxén UKM, Korhonen PE. Awareness of hypertension and depressive symptoms: a cross-sectional study in a primary care population. Scand J Prim Health Care. 2018 Sep;36(3):323-328. [PubMed]
12. Xu X, Rao Y, Shi Z, Liu L, Chen C, Zhao Y. Hypertension Impact on Health-Related Quality of Life: A Cross-Sectional Survey among Middle-Aged Adults in Chongqing, China. Int J Hypertens. 2016;2016:7404957. [PubMed]
13. Persons reporting a chronic disease, by disease, sex, age and broad group of citizenship. Eurostat. 09/11/2022. [Internet]
14. Omboni S, Ballatore T, Rizzi F, Tomassini F, Campolo L, Panzeri E. Age-related patterns of ambulatory blood pressure in a large cohort of individuals referred to Italian community pharmacies: results from the templar project. J Hypertens. 2023 Feb 1;41(2):336-343. [PubMed]
15. Larionow P. Emotion regulation and the quality of life in patients with essential hypertension: a search for psychological targets. Arterial hypertens. 2022;26(2):73-7. [Crossref]
16. Shmueli A. The Visual Analog rating Scale of health-related quality of life: an examination of end-digit preferences. Health Qual Life Outcomes. 2005 Nov 14;3:71. [PubMed]
17. Daniilidou NV, Gregory SP, Zavras DJ, Pavi EA, Athanasakis KP, Lionis CD et al. Comparison between two different measures of self-rated health: a single-question measure and a visual analogue scale. Folia Med (Plovdiv). 2010 Jan-Mar;52(1):63-9. [PubMed]
18. Szczкsny PS, Jagieііo K, Flis K, Zdrojewski T. Why some treated patients with arterial hypertension do not report of having it: Findings from epidemiological studies. Arterial Hypertens. 2023; 27(3):152-156. [Crossref]
19. Krawczyk-Suszek M, Kleinrok A. Health-Related Quality of Life (HRQoL) of People over 65 Years of Age. Int J Environ Res Public Health. 2022 Jan 6;19(2):625. [PubMed]
20. Vankova D, Kerekovska A, Kostadinova T, Todorova L. Researching health-related quality of life at a community level: results from a population survey conducted in Burgas, Bulgaria. Health Promot Int. 2016 Sep;31(3):534-41. [PubMed]
21. Katsi V, Kallistratos MS, Kontoangelos K, Sakkas P, Souliotis K, Tsioufis C, et al. Arterial Hypertension and Health-Related Quality of Life. Front Psychiatry. 2017 Dec 4;8:270. [PubMed]
22. Patil M, Hedaoo RP, Shah RP, Tauseef SM, Marzo RR, Ching SM, et al. Assessment of Health-Related Quality of Life Among Male Patients With Controlled and Uncontrolled Hypertension in Semi Urban India. Inquiry. 2023 Jan-Dec;60:469580231167010. [PubMed]
23. Postadzhiyan A, Yotov Y, Tisheva-Gospodinova S, Nikolov F, Ramshev K, Gruev I, et al. Opportunistic screening for hypertension among the general population in Bulgaria: a May campaign to measure the International Society of Hypertension. Bulgarian Cardiology. 2023 Sep;29(3):34-39. [Crossref]
24. Bargaoui Z, Mzoughi K, Mrad IB, Arroum R, Zairi I, Labbene S, et al. Hypertension control in the Tunisian elderly. Arterial Hypertens. 2023;27(1):46-55. [Crossref]
25. Ivanova M, Todorova A, Georgieva L, Pesheva M. Adherence to treatment among hypertensive patients as a result of specialized pharmaceutical care. J of IMAB. 2022 Jan-Mar;28(1):4264-4169. [Crossref]
26. Torbova S, Yotov Y, Shipkovenska E, Sirakova V, Tisheva S, Nikolov F. Clustering of risk factors in Bulgarians with newly diagnosed arterial hypertension. Int J Cardiol 2009. 137:S86. [Crossref]
27. Foroumandi E, Alizadeh M, Nikpayam O, Kheirouri S. Effectiveness of a self-management education program on hypertension control and contributing factors in older adults: an interventional trial. Arterial Hypertens. 2022;26(1):32-8. [Crossref]
28. Koleva G, Hristova I, Georgieva D, Yotov Y. Blood pressure reduction in difficult-to-control patients and the effect of a nurse-led program in Bulgaria. J Vasc Nurs. 2023 Sep;41(3):125-131. [PubMed]
29. Gіuszek J, Kosicka T. Effect of short-and long-time exposure to ambient air pollution on blood pressure. Arterial Hypertens. 2020; 24(1):10-5. [Crossref]
30. Qiu T, Jiang Z, Chen X, Dai Y, Zhao H. Comorbidity of Anxiety and Hypertension: Common Risk Factors and Potential Mechanisms. Int J Hypertens. 2023 May 25;2023:9619388. [PubMed]
31. Fang J, Zhang Z, Greenlund KJ. Association of depressive symptoms and hypertension prevalence, awareness, treatment and control among USA adults. J Hypertens 2022 Sep 1;40(9):1658-1665. [PubMed]
32. Bech P, Olsen LR, Kjoller M, Rasmussen NK. Measuring well-being rather than the absence of distress symptoms: a comparison of the SF-36 Mental Health subscale and the WHO-Five well-being scale. Int J Methods Psychiatr Res. 2003;12(2):85–91. [PubMed]
Received: 20 January 2025
Published online: 20 August 2025