Blood PressurePub Date : 2026-12-01Epub Date: 2026-10-14DOI: 10.1080/08037051.2026.2744456
Kofi Aduo-Adjei, James Akazili, Leila Barmoudeh, Mizan Kiros, Øystein Ariansen Haaland, Lumbwe Chola
{"title":"Socioeconomic inequalities in catastrophic expenditures for hypertension management in the Greater Accra Region of Ghana.","authors":"Kofi Aduo-Adjei, James Akazili, Leila Barmoudeh, Mizan Kiros, Øystein Ariansen Haaland, Lumbwe Chola","doi":"10.1080/08037051.2026.2744456","DOIUrl":"10.1080/08037051.2026.2744456","url":null,"abstract":"<p><strong>Objective: </strong>In this study, we aimed to explore the socio-economic inequalities in Ghana's catastrophic expenditure on hypertension management.</p><p><strong>Methods: </strong>We used data from our catastrophic health expenditure survey (CHE), which was conducted in two primary health care facilities in the Greater Accra Region of Ghana: Weija Gbawe Municipal Hospital (WGMH) and Shai Osoduko District Hospital (SODH). Data collection at these facilities took place from December 2023 to February 2024. We estimated the distribution of unstandardised CHE (in terms of wealth and sex). We decomposed our data to measure socioeconomic inequality in CHE and assess the contribution of each explanatory variable to these inequalities.</p><p><strong>Results: </strong>Our findings showed that CHE is extensive among patients in the lower (OR = 0.86, 95% CI: 0.79-0.99, <i>p</i> value = 0.03) and lowest quintiles (OR = 0.76, 95% CI: 0.69-0.93, <i>p</i> value = 0.02). Socioeconomic status remains a key contributor to CHE inequality in hypertension care in Ghana.</p><p><strong>Conclusion: </strong>It is our view that patients with lower socioeconomic status are targeted by policy actions to address their vulnerability in hypertension care.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2744456"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149103964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood PressurePub Date : 2026-12-01Epub Date: 2025-12-22DOI: 10.1080/08037051.2025.2587495
Hawkar A Nasralla, Yadgar N Abbas, Fahmi H Kakamad
{"title":"Comment on: 'Exploring the impact of short sleep on hypertension prevalence in the Chinese population: dose-response relationships, standardisation, and health behaviours'.","authors":"Hawkar A Nasralla, Yadgar N Abbas, Fahmi H Kakamad","doi":"10.1080/08037051.2025.2587495","DOIUrl":"10.1080/08037051.2025.2587495","url":null,"abstract":"","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2587495"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145470481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood PressurePub Date : 2026-12-01Epub Date: 2026-06-05DOI: 10.1080/08037051.2026.2676362
Lucas Gladzki, Mattias Brunström, Julia Otten
{"title":"Reduced antihypertensive treatment with maintained ambulatory blood pressure control following weight loss in type 2 diabetes.","authors":"Lucas Gladzki, Mattias Brunström, Julia Otten","doi":"10.1080/08037051.2026.2676362","DOIUrl":"10.1080/08037051.2026.2676362","url":null,"abstract":"<p><strong>Background: </strong>In individuals with type 2 diabetes and hypertension, weight loss may reduce antihypertensive treatment needs, but effects on blood pressure variability and nocturnal dipping are unclear. We investigated changes in antihypertensive treatment and ambulatory blood pressure following a weight-loss intervention in adults with overweight and type 2 diabetes.</p><p><strong>Methods: </strong>This single-arm intervention trial included 32 participants with type 2 diabetes undergoing a dietary weight-loss intervention. Antihypertensive medications were discontinued at intervention start and reintroduced if blood pressure increased. Changes in antihypertensive treatment, ambulatory blood pressure, and office blood pressure were assessed from baseline to 12 months.</p><p><strong>Results: </strong>Mean (SD) age was 61 ± 6 years and baseline weight 102 ± 16 kg. Mean weight loss at 12 months was 11.6 ± 6.0 kg. The median number of antihypertensive medications decreased from 2 to 1 (<i>p</i> = 0.004), and antihypertensive treatment use from 88% to 59%. Office and ambulatory blood pressure, including nocturnal dipping, remained largely unchanged. Daytime and night-time heart rate, and night-time systolic blood pressure variability decreased (all <i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>In adults with overweight and type 2 diabetes, office and ambulatory blood pressure remained stable after weight loss, despite a reduction in antihypertensive treatment.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2676362"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147970114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood PressurePub Date : 2026-12-01Epub Date: 2026-06-30DOI: 10.1080/08037051.2026.2692815
M Fahmi Zakariyah, Rivo Nugroho, Issac Bryan Alisyahbana
{"title":"Comment on: 'Health literacy and its role in promoting medication adherence among hypertension patients'.","authors":"M Fahmi Zakariyah, Rivo Nugroho, Issac Bryan Alisyahbana","doi":"10.1080/08037051.2026.2692815","DOIUrl":"10.1080/08037051.2026.2692815","url":null,"abstract":"","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2692815"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148283218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood PressurePub Date : 2026-12-01Epub Date: 2026-08-07DOI: 10.1080/08037051.2026.2692239
Adriana Lääti, Konsta Teppo, Jenni Vire, Matti Viitanen, Ville Langén
{"title":"Positive life orientation and blood pressure in older adults: evidence from two Finnish generational cohorts born 20 years apart.","authors":"Adriana Lääti, Konsta Teppo, Jenni Vire, Matti Viitanen, Ville Langén","doi":"10.1080/08037051.2026.2692239","DOIUrl":"10.1080/08037051.2026.2692239","url":null,"abstract":"<p><strong>Background: </strong>This study investigates the association between positive life orientation (PLO) and blood pressure (BP) in two Finnish cohorts of older adults born 20 years apart.</p><p><strong>Methods: </strong>Seventy-year-old residents of Turku, Finland, were surveyed in 1990 (1920-born Turku Older Adults Study [TUVA] cohort) and in 2010 (1940-born New Turku Older Adults Study [UTUVA] cohort). PLO was derived from questionnaire items capturing life satisfaction, feeling needed, future plans, zest for life and frequency of depressive feelings and loneliness. Associations between PLO and BP were examined using analysis of variance with post hoc tests and chi-squared tests for categorical outcomes and multiple linear regression adjusted for age, gender, smoking and BMI. Analyses included 684 TUVA and 870 UTUVA participants.</p><p><strong>Results: </strong>The mean PLO score was 0.86 in TUVA and 0.88 in UTUVA (<i>p</i> = .047 for inter-cohort difference). In TUVA, systolic BP differed across PLO tertiles (153.3 ± 20.1, 158.2 ± 21.5 and 156.3 ± 21.0 mmHg; <i>p</i> = .038), as did diastolic BP (84.3 ± 10.0, 87.3 ± 10.1 and 85.4 ± 9.9 mmHg; <i>p</i> = .005). In UTUVA, no significant BP differences were observed across tertiles (<i>p</i> ≥ .13). Regression analyses showed no significant associations between PLO score and systolic or diastolic BP in either cohort (<i>p</i> ≥ .13). In UTUVA, antihypertensive medication use differed across PLO tertiles (61.4%, 55.9% and 50.7%; <i>p</i> = .035). Other comparisons for hypertension prevalence and medication use were not significant (<i>p</i> ≥ .217) in the cohorts.</p><p><strong>Conclusions: </strong>In these two population-based cohorts, PLO had at most a minor relationship with BP, and any such association appeared attenuated in the context of widespread antihypertensive treatment in the later-born cohort.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2692239"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood PressurePub Date : 2026-10-28DOI: 10.1080/08037051.2026.2715847
Xiaorui Yang, Xinyue Huang, Yue Cui, Ke Zhao
{"title":"Impact of artificial intelligence-assisted health management on blood pressure and self-management efficacy in older adults with hypertension.","authors":"Xiaorui Yang, Xinyue Huang, Yue Cui, Ke Zhao","doi":"10.1080/08037051.2026.2715847","DOIUrl":"https://doi.org/10.1080/08037051.2026.2715847","url":null,"abstract":"<p><strong>Purpose: </strong>This paper examined the impacts of artificial intelligence (AI)-assisted health management on blood pressure control and self-management effectiveness in older adults with hypertension.</p><p><strong>Materials and methods: </strong>Two hundred hypertensive patients were randomly assigned to a usual care group (routine health management) or an intervention group (AI-assisted health management, including aspects such as intelligent monitoring, early warning and proactive intervention, among others) (n = 100 each). Primary outcomes included blood pressure control rate (<140/<90 mm Hg) and systolic and diastolic blood pressure (SBP and DBP). Secondary outcomes included improvement in lifestyle behaviors, level of hypertension knowledge awareness, self-management efficacy, medication beliefs, quality of life, and management satisfaction.</p><p><strong>Results: </strong>Following one year intervention, the intervention group demonstrated a higher blood pressure control rate than the usual care group (88.66% vs. 64.89%), along with lower SBP (128.49 ± 6.63 vs. 135.38 ± 7.31 mmHg) and DBP (77.49 ± 6.07 vs. 81.84 ± 5.44 mmHg) (all <i>P</i> < 0.05). Additionally, the intervention group showed superior improvements in smoking behavior change, alcohol consumption behavior change, low-salt and low-fat diet adherence, and regular exercise attainment, as well as higher scores on the Hypertension Knowledge-Level Scale, Hypertension Patient Self-Management Behavior Rating Scale, Modified Beliefs about Medicines Questionnaire, physical component summary and the mental component summary, and Client Satisfaction Questionnaire-8 (all <i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>AI-assisted health management enhances blood pressure control, and improves self-management capacity, quality of life, and service satisfaction in older adults with hypertension.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"1-18"},"PeriodicalIF":2.3,"publicationDate":"2026-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149284931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}