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May Measurement Month 2021: an analysis of blood pressure screening results from Argentina. 2021 年五月测量月:阿根廷血压筛查结果分析。
IF 1.7 4区 医学
European Heart Journal Supplements Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae044
Jessica Barochiner, Fortunato García Vázquez, Pedro Becerra, Cristina Rojas, Ricardo Pesenti, Noemi A Mazzei, Arnoldo Kalbermatter, Analía Fuentes, Mariana Fita, Diego Márquez, Mauro Ruise, Thomas Beaney, Carolina Janssen-Telders, Neil R Poulter, Marcos J Marín
{"title":"May Measurement Month 2021: an analysis of blood pressure screening results from Argentina.","authors":"Jessica Barochiner, Fortunato García Vázquez, Pedro Becerra, Cristina Rojas, Ricardo Pesenti, Noemi A Mazzei, Arnoldo Kalbermatter, Analía Fuentes, Mariana Fita, Diego Márquez, Mauro Ruise, Thomas Beaney, Carolina Janssen-Telders, Neil R Poulter, Marcos J Marín","doi":"10.1093/eurheartjsupp/suae044","DOIUrl":"10.1093/eurheartjsupp/suae044","url":null,"abstract":"<p><p>Hypertension continues to be the leading cause of death and disability in the industrialized world, with a high level of unawareness and unacceptably poor control rates. Therefore, the Argentinian Society of Hypertension, in association with the May Measurement Month (MMM) charity, implemented an awareness campaign during May 2021. A voluntary cross-sectional survey was carried out during the month of May 2021 in public spaces and health centres across 29 cities in Argentina. Hypertension was defined as systolic blood pressure (BP) ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg based on the mean of the second and third of three BP measurements or in those volunteers on treatment for high BP. Statistical analysis including multiple imputation followed the MMM protocol. A total of 26 070 individuals (average age 53.4 years, 14 816 women and 11 254 men) were evaluated. The age- and sex-standardized mean BP was 125.1/77.6 mmHg. Of all participants, 54.4% had hypertension. Although 79.8% of the hypertensive participants were aware of their condition and 76.9% were on antihypertensive treatment, only 42.5% of all individuals with hypertension had their BP controlled (<140/90 mmHg). Of those on antihypertensive medication, 55.3% were controlled. The low level of hypertension control highlights the critical need for community-based prevention strategies to increase the awareness and control of hypertension, thereby reducing the enormous health burden attributed to this condition.</p>","PeriodicalId":11956,"journal":{"name":"European Heart Journal Supplements","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
May Measurement Month 2021: an analysis of blood pressure screening results from Australia. 2021 年五月测量月:澳大利亚血压筛查结果分析。
IF 1.7 4区 医学
European Heart Journal Supplements Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae042
Revathy Carnagarin, James Leigh, Isabella Tan, Sonali Gnanenthiran, Jun Yang, Thomas Beaney, Jonathan Clarke, Neil R Poulter, Derrin Brockman, Markus P Schlaich
{"title":"May Measurement Month 2021: an analysis of blood pressure screening results from Australia.","authors":"Revathy Carnagarin, James Leigh, Isabella Tan, Sonali Gnanenthiran, Jun Yang, Thomas Beaney, Jonathan Clarke, Neil R Poulter, Derrin Brockman, Markus P Schlaich","doi":"10.1093/eurheartjsupp/suae042","DOIUrl":"10.1093/eurheartjsupp/suae042","url":null,"abstract":"<p><p>May Measurement Month (MMM) is a global and national blood pressure (BP) screening campaign initiated by the International Society of Hypertension to improve awareness of BP worldwide. This study reports on the findings of the MMM21 campaign in Australia. Adult participants (≥18 years) were screened through opportunistic sampling across Australia between 1 May and 30 November 2021. Trained volunteers recorded standardized BP measurements from community volunteer participants along with demographic data, lifestyle factors, comorbidities, and history of COVID-19 infection and vaccination. Hypertension was defined as systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg and/or taking antihypertensive medication. Data were collated and analysed centrally using the current MMM protocol and presented after the imputation of missing BP readings. A total of 1307 participants were screened in 2021, comprising 652 (49.9%) females and 654 (50.0%) males with a mean age of 48 years (SD 20.1). Of all 1307 participants, 524 (40.1%) had hypertension. Of participants with hypertension, 65.4% were aware and 59.3% were on antihypertensive medication. Of 311 participants on antihypertensive medication, 54.7% had controlled BP. Of all 524 participants with hypertension, 32.5% had controlled BP. The current 2021 data may indicate some progress in creating BP awareness; however, consecutive Australian data obtained since 2017 demonstrated stagnating treatment, and control rates compared with global rates and those in other high-income countries. Concerted efforts from all stakeholders will be required to further improve BP awareness, treatment, and control rates in Australia.</p>","PeriodicalId":11956,"journal":{"name":"European Heart Journal Supplements","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
May Measurement Month 2021: an analysis of blood pressure screening results from Venezuela. 2021 年五月测量月:委内瑞拉血压筛查结果分析。
IF 1.7 4区 医学
European Heart Journal Supplements Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae065
Rafael Hernández-Hernández, Mónica L Guzmán-Franulic, Yuly Rawik-Dagher, Thomas Beaney, Neil R Poulter, Amanda Duin-Balza, María J Armas-Hernández, Egle Silva, Igor Morr, José Andrés Octavio-Seijas, Sima Toopchiani, María C Armas-Padilla
{"title":"May Measurement Month 2021: an analysis of blood pressure screening results from Venezuela.","authors":"Rafael Hernández-Hernández, Mónica L Guzmán-Franulic, Yuly Rawik-Dagher, Thomas Beaney, Neil R Poulter, Amanda Duin-Balza, María J Armas-Hernández, Egle Silva, Igor Morr, José Andrés Octavio-Seijas, Sima Toopchiani, María C Armas-Padilla","doi":"10.1093/eurheartjsupp/suae065","DOIUrl":"10.1093/eurheartjsupp/suae065","url":null,"abstract":"<p><p>Cardiovascular diseases continue to be the main cause of death in Venezuela, and hypertension is the principal risk factor. The May Measurement Month (MMM) campaign is a global initiative aimed to raising awareness of hypertension, which has been conducted in Venezuela since 2017. May Measurement Month 2021 included 46 732 participants with a mean age of 56.4 years (SD 14.4), 57.9% of whom were female. The percentage with hypertension was 60.3% (57.9% of females and 63.7% of males), 82.3% (84.8% of females and 79.2% of males) were aware, and 80.2% were taking antihypertensive medication. Of those on antihypertensive medication, 44.2% (41.2% of females and 48.2% of males) were not controlled [blood pressure (BP) ≥ 140/≥90 mmHg], with 61.3% receiving one drug, 30.0% two drugs, and 8.7% three or more drugs. 87.5% of those on treatment reported taking it regularly. Conditions associated with higher BP levels include fewer years of education, having a previous diagnosis of hypertension, and women who were hypertensive during a previous pregnancy. Physical activity and pregnancy were conditions associated with lower BP levels. A previous positive COVID-19 test was reported in 11.1%, and one or more COVID-19 vaccinations reported in 22.7% of participants. Of those on antihypertensive medication, 78.8% reported their treatment was not affected by COVID-19. Results are consistent with previous MMM campaigns and indicate that the screening campaign is feasible and useful to identify hypertension even in exceptional conditions such as the COVID-19 pandemic.</p>","PeriodicalId":11956,"journal":{"name":"European Heart Journal Supplements","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
May Measurement Month 2021: an analysis of blood pressure screening results from Malawi. 2021 年五月测量月:马拉维血压筛查结果分析。
IF 1.7 4区 医学
European Heart Journal Supplements Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae056
Henry Ndhlovu, Maureen Chirwa, Lucia Mbulaje, Jonathan Chiwanda, Thomas Beaney, Carolina Janssen-Telders, Neil R Poulter
{"title":"May Measurement Month 2021: an analysis of blood pressure screening results from Malawi.","authors":"Henry Ndhlovu, Maureen Chirwa, Lucia Mbulaje, Jonathan Chiwanda, Thomas Beaney, Carolina Janssen-Telders, Neil R Poulter","doi":"10.1093/eurheartjsupp/suae056","DOIUrl":"10.1093/eurheartjsupp/suae056","url":null,"abstract":"<p><p>May Measurement Month (MMM) is a global initiative aiming at raising awareness and screening people for blood pressure (BP) for free. Malawi started participating in 2017 due to our membership with the International Society of Hypertension, and this was done mainly to raise awareness of high BP, which could be of benefit to the population. An opportunistic cross-sectional survey of participants aged 18 years and above was carried out from May to September 2021 in Blantyre and Lilongwe. All BP measurements, definition of hypertension, and statistical analysis followed the standard MMM protocol. A total of 7074 participants took part with 4348 (61.5%) being male and 2726 (38.5%) female. A total of 1525 (21.6%) participants were found to have hypertension. Of these, 84 (5.5%) were aware that they had the condition, and 81 (5.3%) of those with hypertension were on antihypertensive treatment. Of those on antihypertensive treatment, 61 (76.5%) had controlled BP. The screenings were done in just two districts and a few locations, which therefore are not representative of the whole country. This shows there is a significant need to expand screening opportunities within Malawi for early detection of hypertension to have a greater impact on the country as far as the fight against hypertension is concerned.</p>","PeriodicalId":11956,"journal":{"name":"European Heart Journal Supplements","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
May Measurement Month 2021: an analysis of blood pressure screening results from Mexico. 2021 年五月测量月:墨西哥血压筛查结果分析。
IF 1.7 4区 医学
European Heart Journal Supplements Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae055
Luis Alcocer, Silvia Palomo, Ricardo A Rangel-Zertuche, María Guadalupe Berumen-Lechuga, Julio M Medina-Serrano, Luis Rey García-Cortés, Oliva Mejía-Rodríguez, Thomas Beaney, Gabriele Kerr, Neil R Poulter
{"title":"May Measurement Month 2021: an analysis of blood pressure screening results from Mexico.","authors":"Luis Alcocer, Silvia Palomo, Ricardo A Rangel-Zertuche, María Guadalupe Berumen-Lechuga, Julio M Medina-Serrano, Luis Rey García-Cortés, Oliva Mejía-Rodríguez, Thomas Beaney, Gabriele Kerr, Neil R Poulter","doi":"10.1093/eurheartjsupp/suae055","DOIUrl":"10.1093/eurheartjsupp/suae055","url":null,"abstract":"<p><p>May Measurement Month 2021 (MMM21) in Mexico was an opportunistic survey that aimed to improve blood pressure awareness at the individual and population levels and to analyse the impact of the COVID-19 pandemic on the prevalence, knowledge, and rates of hypertension in the country. This survey followed the methodology of MMM, previously published. The total number of participants screened was 77 547, of which 47 793 (61.6%) were female and 29 178 (37.6%) were male. The mean age (SD) was 46.2 (16.6) years. Of all 77 547 participants, 14 939 (19.3%) had hypertension, of which 48% were aware. The frequency and awareness of hypertension in this survey are similar to those reported before the pandemic (MMM19-Mexico and the 2019 National Health Survey), suggesting that the impact of the COVID-19 pandemic in these parameters of arterial hypertension was not as important as expected. These data are concordant with the official reports in Mexico that showed that the pandemic had a severe impact on cardiovascular mortality but did not modify mortality due to hypertension or stroke.</p>","PeriodicalId":11956,"journal":{"name":"European Heart Journal Supplements","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
May Measurement Month 2021: an analysis of blood pressure screening results from Paraguay. 2021 年五月测量月:巴拉圭血压筛查结果分析。
IF 1.7 4区 医学
European Heart Journal Supplements Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae051
Maria Paniagua, José Ortellado, Thomas Beaney, Jonathan Clarke, Manuel Castillo, Abdón Villamayor, Neil R Poulter, Rocío Aparicio
{"title":"May Measurement Month 2021: an analysis of blood pressure screening results from Paraguay.","authors":"Maria Paniagua, José Ortellado, Thomas Beaney, Jonathan Clarke, Manuel Castillo, Abdón Villamayor, Neil R Poulter, Rocío Aparicio","doi":"10.1093/eurheartjsupp/suae051","DOIUrl":"10.1093/eurheartjsupp/suae051","url":null,"abstract":"<p><p>The aim of this study was to highlight the importance of measuring blood pressure (BP) to identify new, known, and treated individuals with hypertension and to raise awareness in the general population about the importance of good BP control. In Paraguay, 3663 individuals aged ≥18 years of both sexes were recruited from May to November 2021 as part of the May Measurement Month (MMM) campaign, which was initiated by the International Society of Hypertension in 2017. Volunteers of 18 regional health teams applied the questionnaire provided by the MMM 2021 organization throughout the country. Due to COVID-19 constraints, the majority of the questionnaires (52.2%) were administered in health centres of the Ministry of Health and concluded with three BP and pulse readings using OMRON-automated BP measurement devices. Hypertension was defined as a systolic BP ≥ 140 mmHg or as a diastolic BP ≥ 90 mmHg or taking antihypertensive medication. We found that 57.4% of screenees were hypertensive and 72.9% of these (82.3% of women and 59.4% of men) had known hypertension. Of patients with hypertension, 70.1% were on antihypertensive medication, and 40.9% had controlled BP (<140/90 mmHg). Among hypertensives detected, 79.7% of women were on antihypertensive medication and 44.1% had controlled BP, while 56.4% of men were on treatment and 34.3% had controlled BP. In summary, we found high levels of hypertension with high rates of awareness and treatment particularly among women, although control rates were low particularly among men. This may be because most screening was conducted predominately in hospital settings.</p>","PeriodicalId":11956,"journal":{"name":"European Heart Journal Supplements","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
May Measurement Month 2021: an analysis of blood pressure screening results from Nepal. 2021 年五月测量月:尼泊尔血压筛查结果分析。
IF 1.7 4区 医学
European Heart Journal Supplements Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae054
Yoko Inagaki, Sweta Koirala, Kiran Paudel, Kiran Tiwari, Abhishek Sapkota, Pabitra Babu Soti, Jonathan Clarke, Thomas Beaney, Neil R Poulter, Dinesh Neupane
{"title":"May Measurement Month 2021: an analysis of blood pressure screening results from Nepal.","authors":"Yoko Inagaki, Sweta Koirala, Kiran Paudel, Kiran Tiwari, Abhishek Sapkota, Pabitra Babu Soti, Jonathan Clarke, Thomas Beaney, Neil R Poulter, Dinesh Neupane","doi":"10.1093/eurheartjsupp/suae054","DOIUrl":"10.1093/eurheartjsupp/suae054","url":null,"abstract":"<p><p>Despite the well-recognized importance of prevention and early treatment of hypertension, the majority of adults in Nepal are not aware of their high blood pressure (BP) and are left untreated. In this paper, we report the result of the May Measure Month 2021 campaign in Nepal: a nationwide community-based hypertension screening campaign. An opportunistic cross-sectional survey was conducted in 15 districts between September 2021 and December 2021. An individual was included if aged 18 years or more and provided informed consent. Structured questionnaires were administered, and BP was measured three times in a sitting position by trained volunteers. A total of 5172 participants were included. The median age (interquartile range) was 37 (25-51), and 49.9% were female. The mean (SD) of the systolic and diastolic BP was 123.9 (14.9) and 80.2 (9.3) mmHg, respectively. A total of 1066 participants (20.6%) were identified as hypertensive (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg or on antihypertensive medication), of whom 399 (39.5%) and 298 (29.5%) were aware of their BP status and treated with at least one antihypertensive medicine, respectively. Blood pressure control (<140/90 mmHg) was achieved in 15.6% of all hypertensives and in 56.0% of treated individuals. Multivariate logistic regression showed an association between hypertension and the following variables: every 1-year increase of age [odds ratio (OR) = 1.13 (1.11-1.15) if age < 40 and OR = 1.05 (1.04-1.06) if age ≥ 40], male [OR = 1.57 (1.33-1.89)], regular alcohol use [OR = 1.59 (1.30-1.93)], and diabetes [OR = 2.63 (1.93-3.58)]. Hypertension awareness, treatment, and control were suboptimal in Nepal. This study supports a strong need to scale up community-based hypertension programmes in Nepal and raises the possibility of task sharing with community health workers.</p>","PeriodicalId":11956,"journal":{"name":"European Heart Journal Supplements","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
May Measurement Month 2021: results of 31 national blood pressure screening programmes. 2021 年五月测量月:31 个国家血压筛查计划的结果。
IF 1.7 4区 医学
European Heart Journal Supplements Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae069
Neil R Poulter, Markus P Schlaich, Aletta E Schutte, George S Stergiou, Gaia Kiru, Harsha McArdle, Thomas Beaney
{"title":"May Measurement Month 2021: results of 31 national blood pressure screening programmes.","authors":"Neil R Poulter, Markus P Schlaich, Aletta E Schutte, George S Stergiou, Gaia Kiru, Harsha McArdle, Thomas Beaney","doi":"10.1093/eurheartjsupp/suae069","DOIUrl":"10.1093/eurheartjsupp/suae069","url":null,"abstract":"","PeriodicalId":11956,"journal":{"name":"European Heart Journal Supplements","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
May Measurement Month 2021: an analysis of blood pressure screening results from a suburban community in the Democratic Republic of the Congo. 2021 年五月测量月:刚果民主共和国郊区社区血压筛查结果分析。
IF 1.7 4区 医学
European Heart Journal Supplements Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae050
Nathan B Buila, Tresor M Tshiswaka, Yves N Lubenga, Fortunat K Katamba, Pascal M Bayauli, Georges N Ngoyi, Jean-Marc B Bantu, Thomas Beaney, Gabriele Kerr, Neil R Poulter, Jean-René M'Buyamba-Kabangu
{"title":"May Measurement Month 2021: an analysis of blood pressure screening results from a suburban community in the Democratic Republic of the Congo.","authors":"Nathan B Buila, Tresor M Tshiswaka, Yves N Lubenga, Fortunat K Katamba, Pascal M Bayauli, Georges N Ngoyi, Jean-Marc B Bantu, Thomas Beaney, Gabriele Kerr, Neil R Poulter, Jean-René M'Buyamba-Kabangu","doi":"10.1093/eurheartjsupp/suae050","DOIUrl":"10.1093/eurheartjsupp/suae050","url":null,"abstract":"<p><p>Hypertension remains the most powerful contributor to the global morbidity and mortality. May Measurement Month (MMM), a worldwide screening campaign initiated by the International Society of Hypertension (ISH), is organized annually to increase awareness of high blood pressure (BP). We screened 20 913 adult (≥18 years) residents of suburb hamlets of Mbujimayi (mean age 35.1 ± 15.1 years; Black ethnicity: 98.8%; women: 29.6%; diabetes: 1.6%; alcohol drinkers: 16.8% and smokers: 6.7%, previous myocardial infarction: 1.4%; stroke: 0.8%; taking aspirin: 3.2%; taking statins: 1.9%). Three sitting BP readings were taken, and hypertension was defined as a systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg or being on antihypertensive medication. Half of the participants had never had their BP checked, whilst 4.2% of respondents had participated in the MMM19 campaign. 0.9% and 1.7% reported COVID-19 vaccination and positive test, respectively. After multiple imputation of missing BP readings, 14.0% of respondents had hypertension of which 35.8% were aware, 28.0% were on antihypertensive medication and 14.1% had controlled BP. Of those on antihypertensive medication, 40.4% were on monotherapy, 37.2% adhered to taking their medication regularly, and 50.4% had controlled BP (<140/90 mmHg). In regression analyses adjusted for age, sex, and antihypertensive treatment, smoking was associated with lower systolic BP, having more years of education was associated with higher systolic and diastolic BP, and physical activity was associated with lower systolic and diastolic BP. This campaign contributes somewhat to reducing the 'black hole' on the prevalence of hypertension in DRC pending systematic countrywide BP screening.</p>","PeriodicalId":11956,"journal":{"name":"European Heart Journal Supplements","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
May Measurement Month 2021: an analysis of blood pressure screening results from Georgia. 2021 年五月测量月:佐治亚州血压筛查结果分析。
IF 1.7 4区 医学
European Heart Journal Supplements Pub Date : 2024-07-24 eCollection Date: 2024-06-01 DOI: 10.1093/eurheartjsupp/suae048
Bezhan Tsinamdzgvrishvili, Amiran Gamkrelidze, Dali Trapaidze, Lela Sturua, Nino Grdzelidze, Tamar Abesadze, Nana Mebonia, Nia Giuashvili, Nino Gogilashvili, Nino Chikovani, Thomas Beaney, Gaia Kiru, Sima Toopchiani, Neil R Poulter
{"title":"May Measurement Month 2021: an analysis of blood pressure screening results from Georgia.","authors":"Bezhan Tsinamdzgvrishvili, Amiran Gamkrelidze, Dali Trapaidze, Lela Sturua, Nino Grdzelidze, Tamar Abesadze, Nana Mebonia, Nia Giuashvili, Nino Gogilashvili, Nino Chikovani, Thomas Beaney, Gaia Kiru, Sima Toopchiani, Neil R Poulter","doi":"10.1093/eurheartjsupp/suae048","DOIUrl":"10.1093/eurheartjsupp/suae048","url":null,"abstract":"<p><p>The annual global May Measurement Month screening campaign initiated by the International Society of Hypertension aims to raise awareness of raised blood pressure (BP) and in the absence of systematic screening is a useful surrogate indicating the size of the problem of hypertension in the general population in Georgia. May Measurement Month screening was carried out at 400 sites in Georgia in 2021, and more than 500 volunteers, including physicians (80%) and medical students (20%), carried out in the screening. Adults aged ≥18 years were recruited opportunistically, and three BP readings were measured, along with a questionnaire collecting information on demographics, lifestyle, and co- morbidities. Hypertension was defined as a systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg, based on the mean of the second and third readings, or in those on antihypertensive medication. A total of 4935 individuals were screened, with a mean age of 53.6 years (SD 17.1). A total of 2836 (57.5%) were found to have hypertension, of whom 2441 (86.1%) were aware of their condition and 83.5% were on hypertensive medication. Of those on medication, 41.6% had their BP controlled (<140/90 mmHg). Of all participants with hypertension, 34.7% were controlled. May Measurement Month data highlight the scale of hypertension in Georgia, with low rates of control in those on medication. Educational interventions among the population and medical personnel to raise awareness of high BP and improve control rates are of high importance, which require strong advocacy among policy makers.</p>","PeriodicalId":11956,"journal":{"name":"European Heart Journal Supplements","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11267732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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