Prevalence of hypertension and associated risk factors in people with long-term spinal cord injury living in the Netherlands

ALLRISC

doi:10.3109/09638288.2016.1172349

Prevalence of hypertension and associated risk factors in people with long-term spinal cord injury living in the Netherlands

ALLRISC

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Purpose: To describe the prevalence of hypertension and associated risk factors in people with long-term spinal cord injury (SCI) and to compare the prevalence of high blood pressure and/or the use of antihypertensive drugs with the prevalence in the Dutch general population. Method: Multicentre cross-sectional study (N = 282). Hypertension was defined as a systolic blood pressure (SBP) of ≥140 mmHg and/or a diastolic blood pressure (DBP) of ≥90 mmHg after ≥2 blood pressure measurements during ≥2 doctor visits. High blood pressure was defined as a single measurement of a SBP of ≥140 mmHg and/or a DBP of ≥90 mmHg. Results: The prevalence of hypertension was 21.5%. Significant predictors were: lesion level below C8 (T1–T6: OR =6.4, T7–L5: OR =10.1), history of hypercholesterolemia (OR =4.8), longer time since injury (OR =1.1), higher age (OR =1.1). The prevalence of high blood pressure and/or the use of antihypertensive drugs was higher in men (T1–T6 lesion: 48%; T7–L5 lesion: 57%) and women (T1–T6 lesion: 48%; T7–L5 lesion: 25%) with a SCI below C8 compared to Dutch able-bodied men (31%) and women (18%). Conclusion: High blood pressure is common in people with SCI. Screening for hypertension during annual checkups is recommended, especially in those with a SCI below C8. Implications for Rehabilitation High blood pressure is common in people with long-term SCI living in the Netherlands and its prevalence is higher in both men and women with a spinal cord lesion level below C8 compared with the age-matched Dutch general population. It is recommended to screen for hypertension during annual checkups in people with SCI, especially in those with a higher risk of developing hypertension, e.g. those with a spinal cord lesion level below C8 and an age of ≥45 years or a time since injury of ≥20 years. When a high blood pressure is measured in people with SCI, they should receive a further assessment of the blood pressure according to the available guidelines for the general population, including ambulatory 24 h-blood pressure monitoring.

Original language	English
Pages (from-to)	919-927
Number of pages	9
Journal	Disability and Rehabilitation
Volume	39
Issue number	9
DOIs	https://doi.org/10.3109/09638288.2016.1172349
Publication status	Published - 24 Apr 2017
Externally published	Yes

Funding

We thank all ALLRISC research assistants and SCI rehabilitation physicians for collecting all the data and the following participating Dutch rehabilitation centers: Rehabilitation Center De Hoogstraat (Utrecht), Reade Center for Rehabilitation (Amsterdam); Rehabilitation Center Het Roessingh (Enschede); Adelante Rehabilitation Center (Hoensbroek); Sint Maartenskliniek (Nijmegen); University Medical Center Groningen, Center for Rehabilitation-location Beatrixoord (Haren); Rehabilitation Center Heliomare (Wijk aan Zee) and Rijndam Rehabilitation Center (Rotterdam).

Keywords

Blood pressure
cardiovascular disease
long-term care
spinal cord injuries

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10.3109/09638288.2016.1172349

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@article{ff6344aba4ea4d6fb3d41845690a3dec,

title = "Prevalence of hypertension and associated risk factors in people with long-term spinal cord injury living in the Netherlands",

abstract = "Purpose: To describe the prevalence of hypertension and associated risk factors in people with long-term spinal cord injury (SCI) and to compare the prevalence of high blood pressure and/or the use of antihypertensive drugs with the prevalence in the Dutch general population. Method: Multicentre cross-sectional study (N = 282). Hypertension was defined as a systolic blood pressure (SBP) of ≥140 mmHg and/or a diastolic blood pressure (DBP) of ≥90 mmHg after ≥2 blood pressure measurements during ≥2 doctor visits. High blood pressure was defined as a single measurement of a SBP of ≥140 mmHg and/or a DBP of ≥90 mmHg. Results: The prevalence of hypertension was 21.5\%. Significant predictors were: lesion level below C8 (T1–T6: OR =6.4, T7–L5: OR =10.1), history of hypercholesterolemia (OR =4.8), longer time since injury (OR =1.1), higher age (OR =1.1). The prevalence of high blood pressure and/or the use of antihypertensive drugs was higher in men (T1–T6 lesion: 48\%; T7–L5 lesion: 57\%) and women (T1–T6 lesion: 48\%; T7–L5 lesion: 25\%) with a SCI below C8 compared to Dutch able-bodied men (31\%) and women (18\%). Conclusion: High blood pressure is common in people with SCI. Screening for hypertension during annual checkups is recommended, especially in those with a SCI below C8. Implications for Rehabilitation High blood pressure is common in people with long-term SCI living in the Netherlands and its prevalence is higher in both men and women with a spinal cord lesion level below C8 compared with the age-matched Dutch general population. It is recommended to screen for hypertension during annual checkups in people with SCI, especially in those with a higher risk of developing hypertension, e.g. those with a spinal cord lesion level below C8 and an age of ≥45 years or a time since injury of ≥20 years. When a high blood pressure is measured in people with SCI, they should receive a further assessment of the blood pressure according to the available guidelines for the general population, including ambulatory 24 h-blood pressure monitoring.",

keywords = "Blood pressure, cardiovascular disease, long-term care, spinal cord injuries",

author = "Adriaansen, \{Jacinthe J.E.\} and Yvonne Douma-Haan and \{van Asbeck\}, \{Floris W.A.\} and \{van Koppenhagen\}, \{Casper F.\} and \{de Groot\}, Sonja and Smit, \{Christof A.\} and Visser-Meily, \{Johanna M.A.\} and Post, \{Marcel W.M.\} and ALLRISC",

year = "2017",

month = apr,

day = "24",

doi = "10.3109/09638288.2016.1172349",

language = "English",

volume = "39",

pages = "919--927",

journal = "Disability and Rehabilitation",

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publisher = "Informa Healthcare",

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TY - JOUR

T1 - Prevalence of hypertension and associated risk factors in people with long-term spinal cord injury living in the Netherlands

AU - Adriaansen, Jacinthe J.E.

AU - Douma-Haan, Yvonne

AU - van Asbeck, Floris W.A.

AU - van Koppenhagen, Casper F.

AU - de Groot, Sonja

AU - Smit, Christof A.

AU - Visser-Meily, Johanna M.A.

AU - Post, Marcel W.M.

AU - ALLRISC

PY - 2017/4/24

Y1 - 2017/4/24

N2 - Purpose: To describe the prevalence of hypertension and associated risk factors in people with long-term spinal cord injury (SCI) and to compare the prevalence of high blood pressure and/or the use of antihypertensive drugs with the prevalence in the Dutch general population. Method: Multicentre cross-sectional study (N = 282). Hypertension was defined as a systolic blood pressure (SBP) of ≥140 mmHg and/or a diastolic blood pressure (DBP) of ≥90 mmHg after ≥2 blood pressure measurements during ≥2 doctor visits. High blood pressure was defined as a single measurement of a SBP of ≥140 mmHg and/or a DBP of ≥90 mmHg. Results: The prevalence of hypertension was 21.5%. Significant predictors were: lesion level below C8 (T1–T6: OR =6.4, T7–L5: OR =10.1), history of hypercholesterolemia (OR =4.8), longer time since injury (OR =1.1), higher age (OR =1.1). The prevalence of high blood pressure and/or the use of antihypertensive drugs was higher in men (T1–T6 lesion: 48%; T7–L5 lesion: 57%) and women (T1–T6 lesion: 48%; T7–L5 lesion: 25%) with a SCI below C8 compared to Dutch able-bodied men (31%) and women (18%). Conclusion: High blood pressure is common in people with SCI. Screening for hypertension during annual checkups is recommended, especially in those with a SCI below C8. Implications for Rehabilitation High blood pressure is common in people with long-term SCI living in the Netherlands and its prevalence is higher in both men and women with a spinal cord lesion level below C8 compared with the age-matched Dutch general population. It is recommended to screen for hypertension during annual checkups in people with SCI, especially in those with a higher risk of developing hypertension, e.g. those with a spinal cord lesion level below C8 and an age of ≥45 years or a time since injury of ≥20 years. When a high blood pressure is measured in people with SCI, they should receive a further assessment of the blood pressure according to the available guidelines for the general population, including ambulatory 24 h-blood pressure monitoring.

AB - Purpose: To describe the prevalence of hypertension and associated risk factors in people with long-term spinal cord injury (SCI) and to compare the prevalence of high blood pressure and/or the use of antihypertensive drugs with the prevalence in the Dutch general population. Method: Multicentre cross-sectional study (N = 282). Hypertension was defined as a systolic blood pressure (SBP) of ≥140 mmHg and/or a diastolic blood pressure (DBP) of ≥90 mmHg after ≥2 blood pressure measurements during ≥2 doctor visits. High blood pressure was defined as a single measurement of a SBP of ≥140 mmHg and/or a DBP of ≥90 mmHg. Results: The prevalence of hypertension was 21.5%. Significant predictors were: lesion level below C8 (T1–T6: OR =6.4, T7–L5: OR =10.1), history of hypercholesterolemia (OR =4.8), longer time since injury (OR =1.1), higher age (OR =1.1). The prevalence of high blood pressure and/or the use of antihypertensive drugs was higher in men (T1–T6 lesion: 48%; T7–L5 lesion: 57%) and women (T1–T6 lesion: 48%; T7–L5 lesion: 25%) with a SCI below C8 compared to Dutch able-bodied men (31%) and women (18%). Conclusion: High blood pressure is common in people with SCI. Screening for hypertension during annual checkups is recommended, especially in those with a SCI below C8. Implications for Rehabilitation High blood pressure is common in people with long-term SCI living in the Netherlands and its prevalence is higher in both men and women with a spinal cord lesion level below C8 compared with the age-matched Dutch general population. It is recommended to screen for hypertension during annual checkups in people with SCI, especially in those with a higher risk of developing hypertension, e.g. those with a spinal cord lesion level below C8 and an age of ≥45 years or a time since injury of ≥20 years. When a high blood pressure is measured in people with SCI, they should receive a further assessment of the blood pressure according to the available guidelines for the general population, including ambulatory 24 h-blood pressure monitoring.

KW - Blood pressure

KW - cardiovascular disease

KW - long-term care

KW - spinal cord injuries

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UR - https://www.scopus.com/pages/publications/84966706420#tab=citedBy

U2 - 10.3109/09638288.2016.1172349

DO - 10.3109/09638288.2016.1172349

M3 - Article

C2 - 27157316

AN - SCOPUS:84966706420

SN - 0963-8288

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JO - Disability and Rehabilitation

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IS - 9

ER -

Prevalence of hypertension and associated risk factors in people with long-term spinal cord injury living in the Netherlands

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