Symbolic image of high blood pressure affecting an elderly person's heart.

High Blood Pressure in Older Adults: Are We Doing Enough?

Mira Elwood in Health & Wellness August 2025 • 4 min read.

"A new study reveals the challenges of hypertension management in the elderly, highlighting the need for better prevention and treatment strategies."

Hypertension, or high blood pressure, is a major health concern that dramatically increases the risk of heart disease, stroke, and kidney problems. While it's a common condition, it's also one that can be managed effectively with the right approach. Public health policies recognize hypertension as both preventable and controllable, yet challenges persist, especially among older adults.

Globally, hypertension affects a significant portion of the adult population, with prevalence rates differing across countries and age groups. While wealthier nations have seen a decline in hypertension cases, low to middle-income countries are facing an increasing number of affected individuals. This shift is driven by demographic and social changes, emphasizing the need for improved lifestyle interventions and increased awareness.

A recent study focused on older adults in Tabriz, Iran, sheds light on the specific challenges of hypertension management in this population. By examining the prevalence, awareness, and control rates of high blood pressure, the study underscores the importance of tailored strategies to combat this widespread condition. Let's delve into the key findings and what they mean for our approach to heart health.

Hypertension in the Elderly: A Closer Look at the Numbers

Symbolic image of high blood pressure affecting an elderly person's heart.

The study, published in the Journal of Cardiovascular and Thoracic Research, involved a cross-sectional analysis of individuals aged 60 and older in Tabriz. Researchers collected data on blood pressure, awareness of hypertension, treatment approaches, and other relevant health factors. Here’s a snapshot of what they found:

Prevalence: A concerning 68% of participants had hypertension, defined as a systolic blood pressure of ≥150/90 mm Hg or the use of antihypertensive medications.

Awareness: Among those with hypertension, 81.8% were aware of their diagnosis.
Treatment: 78% of hypertensive individuals were receiving antihypertensive medications.
Control: However, only 46.2% of those being treated had their blood pressure adequately controlled.
Gender Differences: Women had a significantly higher prevalence of hypertension (74%) compared to men (60.7%). They were also more likely to be aware of their condition and receive treatment.

These numbers paint a clear picture: hypertension is highly prevalent among older adults, and while awareness and treatment rates are relatively high, effective control remains a significant challenge. The study also identified several factors associated with hypertension, including older age, fewer family members in the household, heart disease, a low-salt/low-fat diet, higher BMI, and lower education levels.

The Path Forward: Improving Hypertension Management

The findings from this study emphasize the need for a multi-faceted approach to hypertension management in older adults. While medication is a crucial component, lifestyle modifications, increased awareness, and regular monitoring are equally important. By addressing these factors, healthcare systems can work towards better prevention, control, and overall heart health for this vulnerable population.

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This article is based on research published under:

DOI-LINK: 10.15171/jcvtr.2016.35, Alternate LINK

Title: The Prevalence, Awareness And Control Rate Of Hypertension Among Elderly In Northwest Of Iran

Subject: Cardiology and Cardiovascular Medicine

Journal: Journal of Cardiovascular and Thoracic Research

Publisher: Maad Rayan Publishing Company

Authors: Samad Ghaffari, Leili Pourafkari, Arezou Tajlil, Mohammad Hasan Sahebihagh, Asghar Mohammadpoorasl, Jafar Sadegh Tabrizi, Nader D Nader, Akbar Azizi Zeinalhajlou

Published: 2016-12-30

Everything You Need To Know

What exactly is hypertension and why should I be concerned about it?

Hypertension, also known as high blood pressure, is a medical condition where the force of your blood against your artery walls is consistently too high. It's significant because it dramatically increases the risk of severe health problems such as heart disease, stroke, and kidney issues. Managing hypertension effectively is crucial for preventing these complications and maintaining overall health, especially as people age.

What did the study discover about how well older adults in Tabriz are managing their hypertension?

The study in Tabriz found that 68% of older adults had hypertension. Of those, 81.8% were aware of their condition and 78% were receiving treatment. However, only 46.2% had their blood pressure adequately controlled. This highlights a gap between awareness and effective management, indicating that current treatment approaches may not be sufficient for many older adults. It also identifies the need for strategies to improve blood pressure control even when individuals are aware and receiving treatment.

Were there any differences between men and women in the study regarding hypertension?

The study revealed that women had a higher prevalence of hypertension (74%) compared to men (60.7%). Women were also more likely to be aware of their condition and receive treatment. This difference is significant because it suggests that there may be gender-specific factors influencing hypertension risk and management. Further research is needed to understand these factors and tailor prevention and treatment strategies accordingly. It also underscores the need to improve treatment effectiveness for both genders.

What are some of the factors that seem to be linked to hypertension in older adults?

Several factors were associated with hypertension in older adults, including older age, fewer family members in the household, heart disease, a low-salt/low-fat diet, higher BMI, and lower education levels. These associations are important because they highlight potential risk factors that can be addressed through lifestyle modifications, education, and social support. For example, promoting a healthy diet, encouraging social interaction, and providing access to education could help reduce hypertension risk.

What can be done to manage hypertension effectively in older adults?

Effective management of hypertension in older adults requires a multi-faceted approach that includes medication, lifestyle modifications, increased awareness, and regular monitoring. Lifestyle modifications such as diet changes and exercise are important components. Regular monitoring helps in tracking blood pressure levels and adjusting treatment plans as needed. Increased awareness can empower individuals to take proactive steps to manage their health. By addressing these factors collectively, healthcare systems can improve prevention, control, and overall heart health for older adults.