{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:42:50Z","timestamp":1777858970931,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction\/Objectives:<\/jats:title>\n                    <jats:p>The 2017 American Heart Association hypertension management guidelines recommended optimal control of blood pressure under 130\/80\u2009mmHg. We aimed to study the factors associated with suboptimal and uncontrolled hypertension in the elderly patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We performed a retrospective review of suburban outpatient records of patients with hypertension, aged 65\u2009years and older, and grouped into optimally controlled (OC; BP &lt;130\/80\u2009mmHg), sub-optimally controlled (SOC; BP 130-139\/80-89\u2009mmHg), and uncontrolled (UC; BP\u2265140\/90\u2009mmHg) groups; and compared the associations of variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 1311 patients, there were 610 (46.5%) patients in OC, 391 (29.9%) in SOC, and 310 (23.6%) in UC groups. Mean ages were comparable (OC\u2009=\u200978\u2009\u00b1\u20098.1, SOC\u2009=\u200977\u2009\u00b1\u20097.4, UC\u2009=\u200978\u2009\u00b1\u20097.3\u2009years; P\u2009=\u2009.760). In all groups, the majority of patients were White followed by BIPOC (Black-indigenous-and-other-people-of-color; OC\u2009=\u200978.5% vs 21.5%, SOC\u2009=\u200978.3% vs 21.7%, and UC\u2009=\u200971% vs 29%, respectively). There were more BIPOC patients in UC compared to OC group (29.0% vs 21.5%; P\u2009=\u2009.011). Mean body-mass-index (BMI) of patients in SOC and UC groups were greater than OC group (27.9\u2009\u00b1\u20096.3 vs 26.9\u2009\u00b1\u20096.3\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ; P\u2009=\u2009.047; 28.1\u2009\u00b1\u20096.3 vs 26.9\u2009\u00b1\u20096.3\u2009kg\/m2; P\u2009=\u2009.027; respectively). There were significantly higher associations of certain comorbidities in SOC compared to OC group, such as transient ischemic attack (12.3% vs 3.6%; P\u2009&lt;\u2009.001), hyperlipidemia (72.4% vs 56.2%; P\u2009&lt;\u2009.001), atrial fibrillation (19.2% vs 11%; P\u2009&lt;\u2009.001), HFpEF (5.4% vs 1.5%; P\u2009&lt;\u2009.001), osteoarthritis (38.9% vs 30.5%; P\u2009=\u2009.006), malignancy (32.2% vs 19.5%; P\u2009&lt;\u2009.001), and left ventricular hypertrophy (LVH; 27.4% vs 15.9%; P\u2009&lt;\u2009.001). Logistic regression analysis showed that when compared to BIPOC, White race had lower odds of UC (OR\u2009=\u20090.63, 95% CI\u2009=\u20090.45-0.90). For every unit increase in BMI, there were greater odds of SOC (OR\u2009=\u20091.04, 95% CI\u2009=\u20091.01-1.06) and UC (OR\u2009=\u20091.04, 95% CI\u2009=\u20091.01-1.16). Patients with hyperlipidemia and LVH had greater odds of SOC (OR\u2009=\u20091.72, CI\u2009=\u200995% 1.25-2.37; and OR\u2009=\u20092.13, 95% CI\u2009=\u20091.02-4.43; respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In patients with sub-optimal and uncontrolled hypertension, there is a significantly higher association of BIPOC race, elevated BMI, hyperlipidemia, and left ventricular hypertrophy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319241306897","type":"journal-article","created":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T00:02:11Z","timestamp":1734307331000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk Factors in Optimal Management of Hypertension in Elderly Patients Following 2017 American College of Cardiology\u2014American Heart Association Guidelines"],"prefix":"10.1177","volume":"15","author":[{"given":"Zachary","family":"Walder","sequence":"first","affiliation":[{"name":"Cooper University Health Care, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7104-4260","authenticated-orcid":false,"given":"Satwiki","family":"Prasad","sequence":"additional","affiliation":[{"name":"Kasturba Medical College, Mangalore, KA, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana","family":"Guevara","sequence":"additional","affiliation":[{"name":"Cooper University Health Care, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amine Al","family":"Souedy","sequence":"additional","affiliation":[{"name":"Cooper University Health Care, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Martirosyan","sequence":"additional","affiliation":[{"name":"Cooper University Health Care, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Moshman","sequence":"additional","affiliation":[{"name":"Cooper University Health Care, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Porter","sequence":"additional","affiliation":[{"name":"Cooper University Health Care, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie","family":"Morris","sequence":"additional","affiliation":[{"name":"Cooper Medical School of Rowan University, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pooja","family":"Khatiwala","sequence":"additional","affiliation":[{"name":"Cooper Medical School of Rowan University, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Subhadra","family":"Thampi","sequence":"additional","affiliation":[{"name":"Cooper Medical School of Rowan University, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8991-2625","authenticated-orcid":false,"given":"Krystal","family":"Hunter","sequence":"additional","affiliation":[{"name":"Cooper University Health Care, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1536-3678","authenticated-orcid":false,"given":"Satyajeet","family":"Roy","sequence":"additional","affiliation":[{"name":"Cooper University Health Care, Camden, NJ, USA"},{"name":"Cooper Medical School of Rowan University, Camden, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,12,15]]},"reference":[{"key":"bibr1-21501319241306897","unstructured":"Jameson J, Fauci AS, Kasper DL, Hauser SL, Longo DL, Loscalzo J. eds. 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