High blood pressure in adults with disabilities: Influence of gender, body weight and health behaviors

• Published in: Research in developmental disabilities Vol. 33; no. 5; pp. 1508 - 1515
• Main Authors: Lin, Lan-Ping, Liu, Chien-Ting, Liou, Shih-Wen, Hsu, Shang-Wei, Lin, Jin-Ding
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Ltd 01.09.2012; Elsevier
• Subjects: Adult; Adults; Age Differences; Age Distribution; Aged; Arterial hypertension. Arterial hypotension; Biological and medical sciences; Blood and lymphatic vessels; Blood pressure; Body Composition; Body Weight; Cardiology. Vascular system; Diastolic BP; Disabilities; Disability; Disabled people; Eating Habits; Female; Foreign Countries; Gender; Gender Differences; Health Behavior; Healthy food; Humans; Hypertension; Hypertension - epidemiology; Influences; Intellectual Disability - epidemiology; Logistic Models; Male; Marital Status; Medical sciences; Middle Aged; Obesity; Obesity - epidemiology; Predictor Variables; Public Health; Risk Factors; Severity (of Disability); Severity of Illness Index; Sex Distribution; Systolic BP; Taiwan; Waist Circumference; Taiwan; Hypertension; Disability; Diastolic BP; Gender; Systolic BP; Health behavior; Human; Handicap; Health; Body weight; Sex; Cardiovascular disease; Corporal biometry; Developmental disorder; Adult; Arterial pressure; Blood pressure; Hemodynamics
• ISSN: 0891-4222; 1873-3379; 1873-3379
• DOI: 10.1016/j.ridd.2012.03.027

► To explore the profile of blood pressure, and to examine the influence of gender, body weight and health behaviors on hypertension in adults with disabilities. ► There were 27.4% subjects have a hypertension which they have high diastolic or/and systolic blood pressure. ► A logistic regression analysis found that age, BMI and waist circumference were variables that could significantly predict the hypertension condition of the subjects. The aims of this study were to explore the mean and distribution of systolic and diastolic blood pressure, and to examine the influence of gender, body weight and health behaviors on hypertension in adults with disabilities. We analyzed the 2010 annual community health examination chart of adults with disabilities in east Taiwan. The study samples included 833 adults with disabilities whose age 30years and over participated in the analyses. The mean value of diastolic and systolic blood pressure (mmHg) of the study participants was 76.51±12.65 (range=40–155) and 127.39±20.32 (range=77–221). Fifteen percent and 23.4% of the participants have high diastolic (≧90mmHg) and systolic (≧140mmHg) blood pressure. There were 27.4% of the participants who had hypertension, high diastolic or/and systolic blood pressure. Finally, we found that the factors of older age (OR=2.45, 95% CI=1.22–4.93), overweight or obese in BMI (OR=6.72, 95% CI=1.90–23.78; OR=6.76, 95% CI=1.84–24.84), waist circumference (OR=1.64, 95% CI=1.03–2.61) and vegetable/fruit intake (OR=0.61, 95% CI=0.39–0.94) were variables that could significantly predict the hypertension condition of the subjects after controlling factors of marital status, type and level of disability. To improve the healthcare for people who suffer with and prevention for hypertension, the study highlights the health authorities should pay much attention to blood pressure condition and their determinants for people with disabilities in the communities.