Sengul Sule, Erdem Yunus, Akpolat Tekin, Derici Ulver, Sindel Sukru, Karatan Oktay, Turgan Cetin, Hasanoglu Enver, Caglar Sali, Erturk Sehsuvar
Department of Nephrology, Ankara University School of Medicine , Ankara, Turkey.
Department of Nephrology, Hacettepe University School of Medicine , Ankara, Turkey.
Kidney Int Suppl (2011). 2013 Dec;3(4):326-331. doi: 10.1038/kisup.2013.68.
Despite major progress in prevention, diagnosis, and treatment during the recent decades, hypertension remains the leading risk factor for cardiovascular disease and mortality throughout the world. The prevalence of hypertension in developing countries continues to rise reaching alarming rates. Several risk factors of hypertension appear to be more common in developing countries than in developed countries. In Turkey, hypertension is a prevalent condition affecting approximately 22.5 million individuals. Hypertension control (defined as blood pressure <140/90 mm Hg) rate increased from 8.1% in 2003 (first Prevalence, awareness, treatment, and control of hypertension in Turkey (PatenT) study) to 28.7% in 2012 (PatenT 2 study). Meanwhile, rates of cardiovascular morbidity and mortality remained high in Turkey. Controlling risk factors such as hypertension, tobacco use, unhealthy diet, obesity, diabetes, hyperlipidemia, and physical inactivity can prevent most of the deaths from cardiovascular disease. It is also crucial for the public health system to have a hypertension education program aimed at reducing cardiovascular disease and prevention and control of hypertension promoting a healthy lifestyle in Turkey. Such a program could positively affect other lifestyle-related diseases as well. Importantly, cooperation among the components of the health system could contribute to improved outcomes in hypertensive populations.
尽管近几十年来在预防、诊断和治疗方面取得了重大进展,但高血压仍然是全球心血管疾病和死亡的主要危险因素。发展中国家高血压的患病率持续上升,达到了惊人的速度。高血压的几个危险因素在发展中国家似乎比在发达国家更为常见。在土耳其,高血压是一种普遍存在的疾病,影响着约2250万人。高血压控制率(定义为血压<140/90 mmHg)从2003年(土耳其高血压患病率、知晓率、治疗率和控制率的首次研究(PatenT))的8.1%上升到2012年(PatenT 2研究)的28.7%。与此同时,土耳其心血管疾病的发病率和死亡率仍然很高。控制高血压、吸烟、不健康饮食、肥胖、糖尿病、高脂血症和缺乏体育锻炼等危险因素可以预防大多数心血管疾病导致的死亡。对公共卫生系统来说,制定一个旨在减少心血管疾病以及预防和控制高血压、在土耳其推广健康生活方式的高血压教育项目也至关重要。这样一个项目也可能对其他与生活方式相关的疾病产生积极影响。重要的是,卫生系统各组成部分之间的合作有助于改善高血压人群的治疗效果。