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Mental health problems and hypertension in the elderly: Review from the HOPE Asia Network

Turana Y 1 , Tengkawan J 1 , Chia YC 2 , Shin J 3 , Chen CH 4 , Park S 5 Show all authors , Tsoi K 6 , Buranakitjaroen P 7 , Soenarta AA 8 , Siddique S 9 , Cheng HM 10 , Tay JC 11 , Teo BW 12 , Wang TD 13 , Kario K 14

Affiliations 

  • 1 School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
  • 2 Department of Medical Sciences, School of Healthcare and Medical Sciences, Sunway University, Bandar Sunway, Malaysia
  • 3 Faculty of Cardiology Service, Hanyang University Medical Center, Seoul, Korea
  • 4 Institute of Public Health and Community Medicine Research Center, National Yang-Ming University School of Medicine, Taipei, Taiwan
  • 5 Division of Cardiology, Cardiovascular Hospital, Yonsei Health System, Seoul, Korea
  • 6 JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong
  • 7 Division of Hypertension, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • 8 Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia-National Cardiovascular Center, Jakarta, Indonesia
  • 9 Punjab Medical Center, Lahore, Pakistan
  • 10 Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan
  • 11 Department of General Medicine, Tan Tock Seng Hospital, Singapore, Singapore
  • 12 Division of Nephrology Department of Medicine, Yong Loo Lin School of Medicine, Singapore, Singapore
  • 13 Department of Internal Medicine, National Taiwan University College of Medicine, Taipei City, Taiwan
  • 14 Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan
J Clin Hypertens (Greenwich), 2021 Mar;23(3):504-512.
PMID: 33283971 DOI: 10.1111/jch.14121

Abstract

The "triple burden" of aging population, hypertension, and mental health problems making elderly in Asia is more vulnerable. There is evidence of a bidirectional relationship between mental health and hypertension, which results in lower quality of life, lower rate of treatment adherence, and higher mortality among elderly individuals. It is essential to overcome known barriers and care for the elderly with high-risk factors in order to address these burdens. This review revealed that elderly with hypertension were more likely to suffer from depression and anxiety. Therefore, debunking myths, creating awareness regarding mental health, and increasing access to mental health resources through holistic community-based programs would greatly reduce such problems and optimize the chances of success in controlling hypertension-related problems.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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