IJCS | Volume 33, Nº2, March / April 2020

DOI: 10.5935/2359-4802.20190092 Introduction It is estimated that cardiovascular diseases are responsible for approximately 30% of worldwide deaths. 1 In Brazil, the mortality rate reached at least 20% of individuals older than 30, which corresponded to 962,931 deaths, in 2009 alone, according to theMinistry of Health. 2 Thereby, the costs associatedwith cardiovascular diseases were around 30.8 billion, burdening the Health System. One of the main risk factors for cardiovascular and cerebrovascular diseases is systemic arterial hypertension, 3 which affects around 25% of the general population and 65% of the elderly population. 4 Besides the cardiovascular problems, a recent meta- analysis 5 demonstrated that hypertensive patients present worse quality-of-life indicators compared to 133 ORIGINAL ARTICLE International Journal of Cardiovascular Sciences. 2020; 33(2):133-142 Mailing Address: Breno Quintella Farah Universidade Federal Rural de Pernambuco. Departamento de Educação Física. Avenida Manuel de Medeiros, s/n. Postal Code: 52171-900, Dois Irmãos, Recife, PE - Brazil. E-mail: breno.farah@ufrpe.br Factors Associated with Quality of Life in Patients with Systemic Arterial Hypertension Gustavo O. Silva, 1 A luísio Andrade-Lima, 2 A ntônio Henrique Germano-Soares, 3 D alton de Lima-Junior, 4 Sergio L. C. Rodrigues, 5 R aphael M. Ritti-Dias, 1 Breno Q. Farah 5 Universidade Nove de Julho, 1 São Paulo, SP - Brazil Universidade Federal de Sergipe, 2 Aracaju, SE - Brazil Universidade de Pernambuco, 3 Recife, PE - Brazil Universidade Federal da Paraíba, 4 João Pessoa, PB - Brazil Universidade Federal Rural de Pernambuco, 5 Recife, PE - Brazil Manuscript received on September 20, 2018, revised manuscript on June 05, 2019, accepted on June 10, 2019. Abstract Background: Hypertensive patients present, in addition toworse cardiovascular health, lower health-related quality of life compared to normotensive subjects. Factors such as functional capacity, functional status, pain, participation in social activities, mental and emotional health, fatigue and energy level, along with perception of general health, seem to be relevant for evaluation in this population. However, evidence is unclear in hypertensive patients. Objective: To analyze the factors associated with quality of life in hypertensive patients. Methods: Forty-five patients were recruited. The dependent variables of the present study are the quality of life domains. Demographic data and clinical conditions were considered independent variables. The Medical Outcomes Short-Form Health Survey (SF-36) questionnaire was used to measure quality of life. Handgrip strength, blood pressure and anthropometric indicators were evaluated. Crude and adjusted linear regression analysis was used. Results: It was verified that education level, body mass index and muscle strength were associated with the functional capacity domain (p < 0,05), whereas systolic blood pressure was associated with the physical domain (p < 0,05). Women presented lower quality of life on the pain domain compared to men and educational level was associated with the social domain (p < 0,05). Conclusion: Hypertensive patients with lower levels of body mass index, higher levels of education and muscle strength presented a better quality of life on the physical domain, while the social aspects presented a positive relationship with education level. Women presented a worse quality of life on the pain domain compared to men. (Int J Cardiovasc Sci. 2020; 33(2):133-142) Keywords: Cardiovascular Diseases/physiopathology; Hypertension; Vital capacity; Exercise; Quality of Life; Risk Factors.