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2018年5月测量月:中国血压筛查结果分析

May Measurement Month 2018: an analysis of blood pressure screening results from China.

作者信息

Chen Xin, Li Yan, Hu Zhe, Liu Min, Yu Jing, Wang Hong-Yu, Xu Li-Ying, Zhou Bi-Rong, Yu Wei, Li Li, Tang Guo-Bao, Beaney Thomas, Ster Anca Chis, Poulter Neil R, Wang Ji-Guang

机构信息

Department of Hypertension, Ruijin Hospital North, Shanghai Jiaotong University School of Medicine, Xiwang Road 999, Shanghai 201801, China.

The Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Ruijin 2nd Road 197, Shanghai 200025, China.

出版信息

Eur Heart J Suppl. 2020 Aug;22(Suppl H):H40-H42. doi: 10.1093/eurheartj/suaa024. Epub 2020 Aug 28.

Abstract

To further improve awareness, treatment, and control of hypertension, the May Measurement Month (MMM) campaign continued in 2018 in China. Study subjects were adults aged 18 years or more, ideally those who had not their blood pressure (BP) measured for at least a year. Blood pressure was measured three times consecutively with a 1-min interval in the sitting position, using automated BP monitors in 288 342 participants and transmitted to a central database by a smartphone app. Questionnaire data were collected with the same app. After imputation, the overall proportion of hypertension was 29.8%. Of those with hypertension, the rates of awareness, treatment, and control were 62.3%, 57.3%, and 35.9%, respectively. In analysis based on linear regression models, both systolic and diastolic BP were higher with cigarette smoking, alcohol intake, and overweight and obesity. Our study results suggest that hypertension management is improving in comparison with the data in MMM 2017 and the nationwide survey in 2012-15, and several known lifestyle factors are key to hypertension management.

摘要

为进一步提高高血压的知晓率、治疗率和控制率,2018年中国继续开展“五月测量月”(MMM)活动。研究对象为18岁及以上成年人,最好是那些至少一年未测量血压(BP)的人。在288342名参与者中,采用自动血压监测仪,让受试者坐位,每隔1分钟连续测量3次血压,并通过智能手机应用程序传输至中央数据库。问卷数据通过同一应用程序收集。经过数据插补后,高血压总体患病率为29.8%。在高血压患者中,知晓率、治疗率和控制率分别为62.3%、57.3%和35.9%。基于线性回归模型的分析显示,吸烟、饮酒、超重和肥胖者的收缩压和舒张压均较高。我们的研究结果表明,与2017年“五月测量月”数据以及2012 - 2015年全国调查数据相比,高血压管理正在改善,并且一些已知的生活方式因素是高血压管理的关键。

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