, Yasemin Çayır 2
, Güzin Zeren Öztürk 3
, Mehmet Akif Düzenli 4
, Muzaffer Değertekin 5
, Seçil Arıca 6
, Cüneyt Ardıç 7
, Burcu Kayhan Tetik8 8
, Hülya Çiçekçioğlu 9
, Sadık Volkan Emren 10
, Gökçe İşcan 11
, Veysel Oktay 12
, İsmail Arslan 13
, Dursun Çadırcı Barut 14
, Şenay Koçakoğlu 14
, Erhan Şimşek 15
, Muhammed Mustafa Uzan 16
, Ali Öztürk 17
2Department of Family Medicine, Faculty of Medicine, Atatürk University, Erzurum, Türkiye
3Department of Family Medicine, University of Health Sciences, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Türkiye
44Department of Cardiology, Faculty of Medicine, Necmettin Erbakan University, Konya, Türkiye
55Department of Cardiology, Yeditepe University Hospital, İstanbul, Türkiye
66Department of Family Medicine, University of Health Sciences, İstanbul, Türkiye
77Department of Family Medicine, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
88Department of Family Medicine, Faculty of Medicine, İnönü University, Malatya, Türkiye
99Department of Cardiology, University of Health Sciences, Ankara, Türkiye
1010Department of Cardiology, Faculty of Medicine, İzmir Katip Çelebi University, İzmir, Türkiye
11Department of Family Medicine, Faculty of Medicine, Dokuz Eylül University, İzmir, Türkiye
1212Cardiology Institute, Faculty of Medicine, İstanbul University-Cerrahpaşa, İstanbul, Türkiye
1313Department of Family Medicine, University of Health Sciences, Ankara, Türkiye
1414Department of Family Medicine, Faculty of Medicine, Harran University, Şanliurfa, Türkiye
1515Department of Family Medicine, Faculty of Medicine, Ankara Yildirım Beyazit University, Ankara, Türkiye
1616Department of Family Medicine, İzmir Tepecik Training and Research Hospital, İzmir, Türkiye
1717İstanbul Provincial Health Directorate, İstanbul, Türkiye
Abstract
Background: This study aimed to evaluate office blood pressure control, antihypertensive treatment patterns, and factors associated with uncontrolled office blood pressure among adults attending family health centers across Türkiye.
Methods: This multicenter cross-sectional study was conducted across the 7 geographical regions of Türkiye from February to December 2025. Adults aged ≥ 18 years with previous hypertension, antihypertensive treatment, and/or elevated office blood pressure
at the study visit were included. Controlled office blood pressure was defined as <140/90 mm Hg for the primary analysis; achievement of <130/80 mmHg was assessed descriptively. Antihypertensive agents, drug classes, clinical characteristics, and laboratory parameters were recorded. Multiple binary logistic regression analysis identified factors independently associated with uncontrolled office blood pressure.
Results: Among 1483 participants, median age was 63.0 years and 60.2% were female. Of 1456 participants with classifiable blood pressure, 902 (62.0%) had office blood pressure < 140/90 mm Hg. At the lower threshold, 438 of 1458 participants (30.0%) had office blood pressure < 130/80 mm Hg. Two-drug therapy was most common (38.7%), followed by monotherapy (27.1%) and 3-drug therapy (18.5%). Older age and higher body mass index were associated with greater odds of uncontrolled office blood pressure, whereas female sex was associated with lower odds; geographical region and antihypertensive treatment category were also independently associated with office blood pressure control.
Conclusion: Office blood pressure was <140/90 mm Hg in nearly two-thirds of participants, whereas 30.0% met the descriptive <130/80 mm Hg threshold. Combination therapy predominated, and office blood pressure control was associated with demographic, clinical, regional, and treatment-related factors.