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Biomedical subjects

J A Wilber

Publications and source records attributed to J A Wilber.

At least 19 recordsLinked to original sources
PubMed1988

Continuity of care in hypertension. An important correlate of blood pressure control among aware hypertensives.

Hypertensive patients frequently discontinue follow-up care. In a population-based survey of 4688 adults, we examined the impact of nonattendance on blood pressure control in aware hypertensives. Nonattendance was defined as a failure to visit a physician for hypertensive care within a six-month interval and was reported by 29% of 907 aware hypertensives. Nonattenders had a higher prevalence of diastolic blood pressure above 90 mm Hg (67% vs 30% for attenders). The nonattender profile was male, young, active in the work force, and without coexisting chronic diseases. Poor blood pressure control among nonattenders was associated with a lower treatment rate. Uncontrolled diastolic hypertension and less adherence to medications in nonattenders warrants concern by clinicians.

Adult↗
PubMed1987

Isolated systolic hypertension: declining prevalence in the elderly.

Isolated systolic hypertension is a prevalent condition among elderly U.S. residents of all age, sex, and race groups. In a population-based survey conducted on 4,672 adult residents of Georgia in 1981, prevalence rates were considerably below those noted in earlier surveys, such as Baldwin County, Georgia (1962), National Health Examination Series I (1960-1962), Evans County, Georgia (1967-1969), National Health and Nutrition Examination Survey I (1971-1974) and/or II (1976-1980). The lower 1981 prevalence of isolated systolic hypertension in Georgia was observed in association with a much greater likelihood of anti-hypertensive therapy in adult and elderly patients. The overall trend for early and more aggressive therapy of diastolic hypertension might account for less arterial rigidity and occurrence of isolated systolic hypertension in later life.

Age Factors↗
PubMed1982

The role of diet in the treatment of high blood pressure.

Recent reports on the effectiveness of moderate salt restriction and moderate weight loss in reducing elevated blood pressure have stimulated a renewed interest in dietary control of hypertension. It is possible that mild hypertensives (diastolic 90 to 104 mm. Hg.) can maintain normal blood pressure on diet therapy alone, with out anti-hypertensive medication. The role of the dietitian in the management of hypertensive patients is reviewed, and barriers to this role's effectiveness are discussed. It is recommended that national efforts be exerted to make this safe therapy available to all.

Body Weight↗