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A pooled secondary analysis of the Philippines’ 2018, 2019, and 2021 Expanded National Nutrition Survey (DOST-FNRI ENNS) found isolated systolic hypertension (ISH) prevalence was 9.10% (95% CI 8.68–9.53) and rose sharply with age; adults ≥70 had the highest odds (AOR 11.71, 95% CI 8.38–16.35). After adjustment, Diabetes mellitus (DM) (AOR 1.62), family history of hypertension (AOR 2.26), and current alcohol use (AOR 1.24) were also significantly associated.
Why It Matters To Your Practice
ISH is common in Filipino adults and increases markedly with aging, sharpening the need for proactive BP screening and follow-up in older patients.
Risk clustering matters: DM, family history of hypertension, and alcohol use identify patients who may benefit from earlier counseling and closer monitoring.
Clinical Benefits
Improves risk stratification: patients ≥70 (AOR 11.71) and those with a family history of hypertension (AOR 2.26) represent high-yield groups for targeted BP checks and lifestyle interventions.
Supports integrated cardiometabolic care: the association with DM (AOR 1.62) reinforces aligning BP assessment with diabetes visits and care plans.
Managing Risks
Confirm elevated systolic readings with proper technique and repeat measurements before labeling ISH, especially in older adults.
Address modifiable contributors: screen for current alcohol use (AOR 1.24) and provide brief intervention/referral when appropriate.
Don’t overlook social determinants: little to no formal education was associated with ISH (AOR 1.39), suggesting a need for plain-language counseling and adherence support.
The Bottom Line
In national Philippine survey data, ISH affected ~1 in 11 adults and was most strongly linked to older age, plus DM, family history of hypertension, and alcohol use—use these cues to prioritize screening, counseling, and follow-up.
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