Castillo Rafael R, Mercado-Asis Leilani B, Atilano Alberto A, David-Ona Deborah Ignacia, Diaz Alejandro F, Granada Carmela N, Bonzon Dolores D, Vilela Gilbert C, Chua Carlos L, Gomez Lynn A, Oliva Raymond V, Morales Dante D, Beaney Thomas, Ster Anca Chis, Poulter Neil R
Section of Cardiology, Department of Internal Medicine, Manila Doctors Hospital, 667 United Nations Avenue, Ermita, Manila 1000, Philippines.
CardioMetabolic Research Unit (CaMeRU), FAME Leaders Academy, 5F Narra Building, Pasong Tamo Extn, Makati City 1232, Philippines.
Eur Heart J Suppl. 2020 Aug;22(Suppl H):H104-H107. doi: 10.1093/eurheartj/suaa040. Epub 2020 Aug 28.
Building on the gains of May Measurement Month 2017 (MMM17), the Philippine Society of Hypertension once again took part in MMM18 to raise awareness of high blood pressure (BP) in the country and to harness opportunistic BP screening in detecting unaware hypertensive individuals and referring them for treatment. We followed the standard MMM18 protocol designed by the International Society of Hypertension, utilizing convenience sampling with volunteer investigators, taking three sitting BP measurements of volunteer adults (≥18 years). Basic data on demographic, lifestyle, and environmental factors were also taken. We analysed 177 176 screened individuals from the Philippines. Of these, 29.1% (51 527) had also participated in MMM17, whereas 68.8% (121 893) were new screenees; and 14.2% (25 232) had their BP taken for the first time ever. After multiple imputation, 39.0% (69 126) were hypertensive. Of these, 50.3% (34 795) were aware they were hypertensive. 49.9% (34 491) were on antihypertensive medication, 58.0% (20 010) of whom had controlled BP <140/90 mmHg. Only 28.9% of all participants with hypertension had controlled BP. Systolic BPs and diastolic BPs were significantly higher in the overweight and obese, in those receiving antihypertensive medications, in patients with diabetes, and significantly lower in pregnant women. MMM18 has again shown that opportunistic BP screening, harnessing volunteers, is a pragmatic public health measure to improve awareness and treatment rates of raised BP.
基于2017年5月测量月（MMM17）所取得的成果，菲律宾高血压学会再次参与了MMM18，以提高该国对高血压的认识，并利用机会性血压筛查来发现未被诊断的高血压患者并将他们转诊接受治疗。我们遵循了国际高血压学会设计的标准MMM18方案，采用便利抽样法，由志愿者调查员对成年志愿者（≥18岁）进行三次坐位血压测量。还收集了有关人口统计学、生活方式和环境因素的基础数据。我们分析了来自菲律宾的177176名接受筛查的个体。其中，29.1%（51527名）也参与了MMM17，而68.8%（121893名）是新的受检者；14.2%（25232名）是首次测量血压。经过多重填补后，39.0%（69126名）为高血压患者。其中，50.3%（34795名）知晓自己患有高血压。49.9%（34491名）正在服用降压药，其中58.0%（20010名）的血压得到控制，即收缩压<140/90 mmHg。所有高血压参与者中只有28.9%的血压得到控制。超重和肥胖者、正在服用降压药者、糖尿病患者的收缩压和舒张压显著更高，而孕妇的收缩压和舒张压显著更低。MMM18再次表明，利用志愿者进行机会性血压筛查是一项切实可行的公共卫生措施，有助于提高对血压升高的认识和治疗率。
