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Titolo:
ANTIHYPERTENSIVE MEDICATION USE AMONG RECRUITS FOR THE TRIAL OF NONPHARMACOLOGIC INTERVENTIONS IN THE ELDERLY (TONE)
Autore:
ESPELAND MA; KUMANYIKA S; KOSTIS JB; ALGIRE J; APPLEGATE WB; ETTINGER W; WHELTON PK; BAHNSON J;
Indirizzi:
WAKE FOREST UNIV,BOWMAN GRAY SCH MED,BIOSTAT SECT,300 S HAWTHORNE RD WINSTON SALEM NC 27157 PENN STATE UNIV,COLL MED HERSHEY PA 00000 UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH NEW BRUNSWICK NJ 00000 UNIV TENNESSEE MEMPHIS TN 00000 JOHNS HOPKINS MED INST BALTIMORE MD 21205
Titolo Testata:
Journal of the American Geriatrics Society
fascicolo: 10, volume: 44, anno: 1996,
pagine: 1183 - 1189
SICI:
0002-8614(1996)44:10<1183:AMUARF>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
CLINICAL-PRACTICE; MYOCARDIAL-INFARCTION; TEMPORAL PATTERNS; UNITED-STATES; HYPERTENSION; TRENDS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
38
Recensione:
Indirizzi per estratti:
Citazione:
M.A. Espeland et al., "ANTIHYPERTENSIVE MEDICATION USE AMONG RECRUITS FOR THE TRIAL OF NONPHARMACOLOGIC INTERVENTIONS IN THE ELDERLY (TONE)", Journal of the American Geriatrics Society, 44(10), 1996, pp. 1183-1189

Abstract

OBJECTIVES: To examine the distribution and correlates of the classesof antihypertensive medications taken by persons aged 60 to 80. DESIGN: Cross-sectional screening. SETTING: Four academic medical centers in the southern and eastern United States. PARTICIPANTS: Volunteers (N = 2601) entering a clinical trial testing the value of nonpharmacologic approaches to control blood pressure who were either taking one or two (single or combined) medications for the treatment of hypertension and expressed willingness to be withdrawn from these medications according to a standardized protocol MEASUREMENTS: Medication use, blood pressure, and data from self-administered questionnaires collected during standardized clinic visits. RESULTS: Calcium channel blockers (23.9%) were the most frequent single agent antihypertensive medications used by cohort members, followed by diuretics (17.9%) and angiotensin-converting enzyme (ACE) inhibitors (17.5%). The most common combination agents were composed of diuretics with either calcium channel blockers (5.4%), ACE inhibitors (4.0%), or beta-blockers (3.7%). Women were twice as likely to be taking diuretics, and less likely to be taking ACE inhibitors and beta-blockers, than men. Blacks were more likely to be taking diuretics and calcium channel blockers, and less likely to be taking beta-blockers and ACE inhibitors, than others. These relationships could not be attributed to differences in geographical area, other demographic factors, age, or medical history. CONCLUSIONS: These usagepatterns appear to mirror those in the population of the United States as a whole, which has trended toward greater usage of calcium channel blockers and ACE inhibitors with declining use of diuretics. The distribution of antihypertensive medications among older hypertensives ismarkedly different between women and men and between black Americans and others.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/11/20 alle ore 11:35:59