Hypertension is another common condition in older subjects, representing the most common morbid condition after osteoarthritis (Psaty et al., 2001). Hypertension represents a major risk factor for cardiovascular disease, the major source of morbidity among the over 65 population (ISTAT, 2005). In such a context, the aims of the present study were to investigate whether hypertension was associated independently with physical disability.

A cross-sectional survey was conducted, covering a sample of 598 subjects (202 male, 396 female, mean aged 72,3 years) aged 65 years and over. The study approved by ethics Committee and supported by OMS and FNUAP. Information was gathered by home-based personal interview using a structured questionnaire. We assessed their disability status, sociodemographic informations and health behaviours. Disability was recorded on three levels scale: (intense, moderate and no disability) Statistical analysis was performed with SPSS and the significance was accepted at the p > 0.05 level. Multiple logistic regression models were used to obtain the independent variables associated with hypertension.

The prevalence of hypertension was 52% (n=311), more frequent for female population (55% vs 45% for male). The prevalence of disability was 34.6%, only 10% have intense disability. Those with hypertension had higher Body Mass Index, waist circumference and diabetes. Regarding disability, the individuals who presented the highest prevalence of hypertension were more dependent. Multiple logistic regression revealed that the following were significantly independent factors of hypertension: Disability (OR = 1.6).Diabetes mellitus (OR = 2.36]).and a higher BMI (OR = 2.36).

We conclude that hypertension is associated not only to cardiovascular factors (Diabetes obesity) but also with higher functional disability. Older subjects are exposed at significantly higher likelihood of physical disability. Public health strategies to prevention hypertension in elderly may protect them also against disability.