de Lolio C A
Faculdade de Saúde Publica, São Paulo.
Arq Bras Cardiol. 1990 Sep;55(3):167-73.
To study the prevalence of high blood pressure (HBP) in Araraquara, São Paulo, Brazil.
Cross sectional study: cluster equiprobabilistic sampling of 1.8% of the urban population aged 15-74 years, old (1.199 adults: 533 men and 66 women). For each subject, an interview was performed, with the fulfilling of a questionnaire; measures of blood pressure (BP, systolic and 2nd diastolic) as well as height and weight were taken. Criteria of definition for HBP were those of WHO (greater than or equal to 160/95).
Systolic BP (mean +/- standard error) for men 137.6 +/- 0.8 mmHg, and for women 130.9 +/- 1.0 mmHg. Second diastolic BP for men 88.5 +/- 0.5 mmHg and for women 84.0 +/- 0.6 mmHg. Prevalence of definite HBP: 32.0% of men and 25.3% women (28.3% both sexes). Prevalence of borderline HBP; 18.7% of men and 12.0% of women (14.8% for both sexes). The greater part of hypertensives (68.3%) was of mild cases (less than 105 mmHg the second diastolic BP).
It is the highest prevalence of HBP in Brazil described till now, and, therefore, an important public health problem.
研究巴西圣保罗州阿拉拉夸拉市高血压(HBP)的患病率。
横断面研究:对15 - 74岁城市人口进行1.8%的整群等概率抽样(1199名成年人:533名男性和666名女性)。对每位受试者进行访谈并填写问卷;测量血压(收缩压和舒张压)以及身高和体重。高血压的定义标准采用世界卫生组织的标准(大于或等于160/95)。
男性收缩压(均值±标准误)为137.6±0.8 mmHg,女性为130.9±1.0 mmHg。男性舒张压为88.5±0.5 mmHg,女性为84.0±0.6 mmHg。确诊高血压的患病率:男性为32.0%,女性为25.3%(男女总体患病率为28.3%)。临界高血压的患病率:男性为18.7%,女性为12.0%(男女总体患病率为14.8%)。大多数高血压患者(68.3%)为轻度病例(舒张压低于105 mmHg)。
这是目前巴西所报道的高血压最高患病率,因此是一个重要的公共卫生问题。