ASSESSMENT OF THE IMPACT OF SOCIO-DEMOGRAPHIC FACTORS ON QUALITY OF LIFE IN PATIENTS WITH COEXISTING ARTERIAL HYPERTENSION AND ABDOMINAL OBESITY

Özet

A comprehensive approach to the management of arterial hypertension and abdominal obesity should include both pharmacological therapy and psychosocial support. Educational programs aimed at informing patients about the severity of the disease and the necessity of adhering to all medical recommendations play a crucial role. Improving quality of life and enhancing patient adherence to treatment require comprehensive and individualized interventions
Objective: To assess the influence of socio-demographic and behavioral factors on health-related quality of life (HRQoL) in patients with coexisting arterial hypertension and abdominal obesity.
Material and Methods: A cross-sectional study included 101 patients (mean age 54.5 ± 1.02 years; 19 men, 82 women) registered at the Clinical-Diagnostic Center of Khoja Akhmet Yassawi International Kazakh-Turkish University. Inclusion criteria were adults aged ≥18 years with physician-diagnosed arterial hypertension (≥140/90 mmHg) and abdominal obesity (waist circumference ≥102 cm for men, ≥88 cm for women). Anthropometric measurements, blood pressure, and HRQoL were assessed using the SF-36 questionnaire. Data were analyzed using descriptive statistics, Mann–Whitney U, and Kruskal–Wallis tests in SPSS 29.0.
Results: Women had lower scores than men in Role Physical (RP) and Role Emotional (RE) domains. Married participants showed reduced scores in General Health (GH), Vitality (VT), Social Functioning (SF), and Mental Health (MH). No significant differences were observed regarding educational level or occupation. Behavioral factors, including low physical activity and smoking, were associated with lower HRQoL in specific domains.
Conclusion: Socio-demographic and behavioral factors significantly impact HRQoL in patients with coexisting hypertension and abdominal obesity. Women and married individuals demonstrated lower quality-of-life scores in several physical and mental health domains, emphasizing the importance of targeted lifestyle and psychosocial interventions.