eng Oriental Scientific Publishing Company Biomedical and Pharmacology Journal 0974-6242 2025-12-30 18 4 3234 3242 10.13005/bpj/3331 69543 article Rasha Eldeeb 1 May Khalil 1 Mahir Jallo 2 Jan Althea Ellao 1 Tayyaba Fatima Kamal 1 Biomedical Sciences Department, College of Medicine, Gulf Medical University, Ajman, UAE Internal Medicine department, Thumbay Teaching Hospital, Gulf Medical University, Ajman, UAE The relationship between hemoglobin levels, anemia, and blood pressure remains insufficiently defined, particularly in Middle Eastern populations. This retrospective study evaluated 200 hypertensive adults treated at a tertiary hospital in the UAE between 2021 and 2025, using medical record data that included hemoglobin levels, anemia status based on WHO criteria, blood pressure according to ACC/AHA thresholds, and relevant demographic variables. Anemia was present in 44% of participants. Hemoglobin demonstrated modest positive correlations with systolic (r = 0.22, p = 0.0015) and diastolic blood pressure (r = 0.27, p < 0.001); however, this association did not remain significant in adjusted models, where hemoglobin was not an independent predictor of hypertension. Age emerged as the strongest determinant of elevated blood pressure, and hemoglobin levels showed no significant variation across antihypertensive medication classes. Overall, hemoglobin appears to contribute only modestly to blood pressure variation, while age-related factors exert a more dominant influence. These findings highlight the value of targeted anemia screening and age-specific approaches to hypertension management in similar populations. https://biomedpharmajournal.org/vol18no4/association-between-hemoglobin-levels-anemia-and-blood-pressure-in-hypertensive-adults-a-retrospective-study/ Anemia (AN) Blood Pressure (BP) Cardiovascular Risk (CVR) Hemoglobin (Hb) Hypertension (HTN)