MINICHAL and items predictors of worst quality of life in men with arterial hypertension

e202403026

Abstract

BACKGROUND // Systemic arterial hypertension is the most important modificable risk factor for morbidity and mortality and a Public Health problem. The objective was to estímate ítems of worse quality of life (Qol) in both domains of the MINICHAL questionarie and the associated variables.
METHODS // An observational study of prevalence in men was carried out. Sociodemographic, comorbidity, clinical, examination, control and serum parameters variables were collected. The following questionnaires were applied: MINICHAL, International Physical Activity Questionnaire, International Score of Prostatic Symptomatology and International Index of Erectile Function. Apart from the usual descriptive ones, a bivariate and a multivariate logistic regression were performed, determining Odds Ratio values with a 95% confidence interval.
RESULTS // 262 hypertensive patients were analyzed, of which 42% reported worse quality of life in the mental state dimensión compared to 47.3% in the somatic manifestacions dimensión. The multivariate logistic regression analysis showed as outstanding predictor variables: Metabolic Syndrome in the chest pain item without making any effort; the presence of filling symptoms in the item urinate more often; pathological cardiopulmonary auscultation in the item numbness or tingling in some part of the body; the presence of erectile dysfunction in the item difficulty falling asleep.
CONCLUSIONS // All the items of the MINICHAL questionnaire that assess the Somatic Manifestations dimension have a very negative impact on the quality of life of patients, and only the difficulty falling asleep item in the Mental State dimension.