Adhikari Tara Ballav, Bhattarai Harikrishna, Ranabhat Kamal, Khanal Pratik, Mishra Shiva Raj, Koirala Sweta, Pandey Sadhna, Devkota Surya, Gairhe Milan, Dhamala Bimala, Soti Pabitra Babu, Paudel Sandip, Lohani Gunaraj, Koirala Bhagawan, Beaney Thomas, Ster Anca Chis, Poulter Neil R, Neupane Dinesh
COBIN Project, Nepal Development Society, Bharatpur 10, Chitwan, Nepal.
Center for Global Health, Department of Public Health, Aarhus University, Aarhus, Denmark.
Eur Heart J Suppl. 2020 Aug;22(Suppl H):H92-H95. doi: 10.1093/eurheartj/suaa037. Epub 2020 Aug 28.
Raised blood pressure (BP) is a leading risk factor for mortality globally and in Nepal. May Measurement Month (MMM) is a global initiative aimed at screening for hypertension and raising awareness on high BP worldwide. This study provides the results of the 2018 MMM (MMM18) in Nepal. An opportunistic cross-sectional survey of volunteers aged ≥18 years was carried out in May 2018 nationwide. The standard MMM protocol was followed for BP measurement, the definition of hypertension, and statistical analysis. The campaign was publicized through various social media for recruiting volunteers and inviting participation. A total of 15 561 (58.7% male) from 35 districts of Nepal were screened in MMM18, of which 4 321 (27.8%) had hypertension. A total of 2 633 (19.0%) of 13 873 individuals who were not on antihypertensive treatment were found to be hypertensive. Of those on medication, 799 (47.4%) had uncontrolled BP. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were significantly higher in people on antihypertensive treatment, smokers, and alcohol drinkers compared with those who were not on antihypertensive treatment, smokers, and alcohol drinkers, respectively. Likewise, SBP and DBP steadily increased across increasing body mass index categories. MMM18 was the largest BP screening campaign undertaken in Nepal. MMM has highlighted the importance of a periodic public health program at the national level to increase awareness on hypertension detection and control rate, and thus, the prevention of cardiovascular diseases.
高血压是全球及尼泊尔死亡率的主要危险因素。五月测量月（MMM）是一项全球倡议，旨在筛查高血压并提高全球对高血压的认识。本研究提供了2018年尼泊尔五月测量月（MMM18）的结果。2018年5月在全国范围内对年龄≥18岁的志愿者进行了机会性横断面调查。血压测量、高血压定义及统计分析均遵循标准的MMM方案。通过各种社交媒体宣传该活动以招募志愿者并邀请参与。MMM18共筛查了尼泊尔35个地区的15561人（男性占58.7%），其中4321人（27.8%）患有高血压。在13873名未接受抗高血压治疗的个体中，共有2633人（19.0%）被发现患有高血压。在接受药物治疗的人群中，799人（47.4%）血压未得到控制。与未接受抗高血压治疗、不吸烟和不饮酒的人相比，接受抗高血压治疗的人、吸烟者和饮酒者的收缩压（SBP）和舒张压（DBP）明显更高。同样，随着体重指数类别的增加，SBP和DBP稳步上升。MMM18是尼泊尔开展的最大规模的血压筛查活动。五月测量月突出了国家层面定期公共卫生项目对于提高高血压检测和控制率意识以及预防心血管疾病的重要性。
