Modifiable factors to achieve target blood pressure in hypertensive participants

Tanaka-Mizuno, Sachiko; Nakatsu, Fumiko; Eguchi, Shunsuke; Iekushi, Kazuma; Nakagami, Hironori

doi:https://doi.org/10.1038/s41440-025-02134-x

Modifiable factors to achieve target blood pressure in hypertensive participants

Tanaka-Mizuno, Sachiko; Nakatsu, Fumiko; Eguchi, Shunsuke et al.

Hypertension Research, 2025

アクセス数:381件（2025-08-29 16:00 集計）

固定URL: https://hdl.handle.net/11094/100452

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タイトル	Modifiable factors to achieve target blood pressure in hypertensive participants
著者	NRID 1000050453824 1000050453824 著者名 Tanaka-Mizuno, Sachiko
	著者名 Nakatsu, Fumiko
	著者名 Eguchi, Shunsuke
	著者名 Iekushi, Kazuma
	NRID 1000020325369 1000020325369 ORCID 0000-0003-4494-3601 0000-0003-4494-3601 researchmap permalink hironorinakagami hironorinakagami Scopus Author ID 7006290279 7006290279 著者名 Nakagami, Hironori
キーワード等	Achievement
	Hypertension
	Prevention
	Specific health checkups
	Target blood pressure
内容	The version of record of this article, first published in Hypertension Research, is available online at Publisher’s website: https://doi.org/10.1038/s41440-025-02134-x.
抄録	The management of hypertension is one of the most important public health issues. Many patients with untreated hypertension in Japan require urgent treatment. This retrospective cohort study in Hiratsuka city aimed to evaluate the proportion of participants achieving target blood pressure and identify modifiable factors affecting the achievement. We retrospectively analyzed data from a merged database of claims, specific health checkup (SHC), and national health insurance data in Hiratsuka City, Japan, from June 2016 to March 2023. The study participants were adults aged 40–74 years without a history of hypertension treatment and with blood pressure ≥140/90 mmHg at SHC. The primary outcome was the achievement of target blood pressure <140/90 mmHg at the next SHC. Furthermore, multivariable logistic regression was performed to explore factors influencing the achievement. Of 5428 participants, 43.6% were female. The median age was 69 years, and 58.4% (95% confidence interval 57.1–59.7) achieved target blood pressure <140/90 mmHg. Multivariable logistic regression results showed that achievement of target blood pressure was associated with younger age (50–69 years), mild hypertension (grade I), no hypertension at the previous SHC, no record of SHC in the previous year, and willingness to improve lifestyle. One-third of people reported that their hypertension at SHCs failed to achieve target blood pressure. For community-level hypertension management, people who have the influencing factors must be educated by public health nurses, which might be effective for lifestyle improvement. Additionally, the elderly and people with persistent hypertension or severe hypertension should seek medical advice.
出版者	Springer Nature
収録物名	Hypertension Research
刊行年月	2025-02-19
言語	英語
ハンドルURL	https://hdl.handle.net/11094/100452
PISSN	09169636
eISSN	13484214
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.1038/s41440-025-02134-x
アクセス権	open access
権利情報	This article is licensed under a Creative Commons Attribution 4.0 International License.
出版タイプ	Version of Record
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCTERMS.bibliographicCitation	Hypertension Research. 2025
DC.title	Modifiable factors to achieve target blood pressure in hypertensive participants
DC.creator	Tanaka-Mizuno, Sachiko
	Nakatsu, Fumiko
	Eguchi, Shunsuke
	Iekushi, Kazuma
	Nakagami, Hironori
DC.publisher	Springer Nature
DC.language' scheme='DCTERMS.RFC1766	英語
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2025-02-19
DC.identifier	https://doi.org/10.1038/s41440-025-02134-x
DC.subject	Achievement
	Hypertension
	Prevention
	Specific health checkups
	Target blood pressure
DC.description	The version of record of this article, first published in Hypertension Research, is available online at Publisher’s website: https://doi.org/10.1038/s41440-025-02134-x.
DCTERMS.abstract	The management of hypertension is one of the most important public health issues. Many patients with untreated hypertension in Japan require urgent treatment. This retrospective cohort study in Hiratsuka city aimed to evaluate the proportion of participants achieving target blood pressure and identify modifiable factors affecting the achievement. We retrospectively analyzed data from a merged database of claims, specific health checkup (SHC), and national health insurance data in Hiratsuka City, Japan, from June 2016 to March 2023. The study participants were adults aged 40–74 years without a history of hypertension treatment and with blood pressure ≥140/90 mmHg at SHC. The primary outcome was the achievement of target blood pressure <140/90 mmHg at the next SHC. Furthermore, multivariable logistic regression was performed to explore factors influencing the achievement. Of 5428 participants, 43.6% were female. The median age was 69 years, and 58.4% (95% confidence interval 57.1–59.7) achieved target blood pressure <140/90 mmHg. Multivariable logistic regression results showed that achievement of target blood pressure was associated with younger age (50–69 years), mild hypertension (grade I), no hypertension at the previous SHC, no record of SHC in the previous year, and willingness to improve lifestyle. One-third of people reported that their hypertension at SHCs failed to achieve target blood pressure. For community-level hypertension management, people who have the influencing factors must be educated by public health nurses, which might be effective for lifestyle improvement. Additionally, the elderly and people with persistent hypertension or severe hypertension should seek medical advice.
DC.rights	This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	100452
citation_title	Modifiable factors to achieve target blood pressure in hypertensive participants
citation_author	Tanaka-Mizuno, Sachiko
	Nakatsu, Fumiko
	Eguchi, Shunsuke
	Iekushi, Kazuma
	Nakagami, Hironori
citation_publisher	Springer Nature
citation_language	英語
citation_date	2025-02-19
citation_journal_title	Hypertension Research
citation_doi	https://doi.org/10.1038/s41440-025-02134-x
citation_public_url	https://hdl.handle.net/11094/100452

Modifiable factors to achieve target blood pressure in hypertensive participants

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