全球妊娠期间和妊娠后血压筛查:2019年5月测量月。

IF 6.9 1区 医学 Q1 PERIPHERAL VASCULAR DISEASE
Hypertension Pub Date : 2024-11-01 Epub Date: 2024-09-09 DOI:10.1161/HYPERTENSIONAHA.124.23458
Liza Bowen, Richard J Stevens, Aletta E Schutte, Thomas Beaney, Neil R Poulter, Richard J McManus, Lucy C Chappell
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引用次数: 0

摘要

背景:妊娠期高血压疾病与孕产妇和胎儿的高发病率和高死亡率有关。有关妊娠期和妊娠后高血压妇女特征的全球数据十分有限:方法:"五月测量月 "是一项旨在提高人们对血压重要性认识的全球性活动。在 2019 年 5 月期间,通过机会性采样招募的成年人(≥18 岁)进行了血压测量,并收集了合并症和生活方式数据。这项二次分析包括来自 64 个国家的 16 519 名孕妇和 529 172 名非孕妇(其中 16 457 名曾在妊娠期出现过血压升高):近一半的孕妇(56.7%)表示在过去一年中没有测量过血压,14.3%(95% CI,12.1-16.6)的孕妇患有高血压(血压≥140/90 mm Hg 或正在服用降压药)。7.6%(5.9-9.3)的高血压孕妇和 2.8%(1.9-3.6)的无高血压孕妇自我报告患有糖尿病。在有妊娠高血压史和无妊娠高血压史的非孕妇中,目前患有高血压的年龄标准化比例分别为 53.2% (50.8-55.7) 和 33.3% (29.3-37.3);患有糖尿病的比例分别为 14.4% (11.8-17.0) 和 8.5% (6.3-10.9);体重指数≥30 kg/m2 的比例分别为 28.4% (23.5-33.3) 和 16.6% (13.0-20.2):结论:在这一全球样本中,妊娠期高血压很常见,但许多病例以前并未发现。目前患有高血压的孕妇和以前妊娠期血压升高的孕妇都存在心血管风险因素。这项工作凸显了对孕妇进行高血压筛查的重要性,而这在世界上大部分地区仍是一项挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Global Blood Pressure Screening During and After Pregnancy: May Measurement Month 2019.

Background: Hypertensive disorders of pregnancy are associated with high maternal and fetal morbidity and mortality. There are limited global data on the characteristics of women during and after pregnancy hypertension.

Methods: May Measurement Month is a global campaign to raise awareness of the importance of blood pressure. Adults (≥18 years) recruited through opportunistic sampling during May 2019 had blood pressure measured and comorbidities and lifestyle data collected. This secondary analysis included 16 519 pregnant women and 529 172 nonpregnant women (16 457 with previous raised blood pressure in pregnancy) from 64 countries.

Results: Almost half of the pregnant women (43.3%) reported not having had their blood pressure measured in the past year, and 14.3% (95% CI, 12.1-16.6) had hypertension (blood pressure ≥140/90 mm Hg or taking antihypertensive medication). Diabetes was self-reported in 7.6% (5.9-9.3) of pregnant women with hypertension and 2.8% (1.9-3.6) of pregnant women without hypertension. In nonpregnant women with and without a history of pregnancy hypertension, age-standardized proportions with current hypertension were 53.2% (50.8-55.7) versus 33.3% (29.3-37.3); with diabetes were 14.4% (11.8-17.0) versus 8.5% (6.3-10.9); and with body mass index ≥30 kg/m2 were 28.4% (23.5-33.3) versus 16.6% (13.0-20.2).

Conclusions: Hypertension in pregnancy was common in this global sample but many cases had not previously been identified. There was a clustering of cardiovascular risk factors in both pregnant women with current hypertension and previously raised blood pressure in pregnancy. This work highlights the importance of screening pregnant women for hypertension, which remains a challenge in large parts of the world.

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来源期刊
Hypertension
Hypertension 医学-外周血管病
CiteScore
15.90
自引率
4.80%
发文量
1006
审稿时长
1 months
期刊介绍: Hypertension presents top-tier articles on high blood pressure in each monthly release. These articles delve into basic science, clinical treatment, and prevention of hypertension and associated cardiovascular, metabolic, and renal conditions. Renowned for their lasting significance, these papers contribute to advancing our understanding and management of hypertension-related issues.
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