Yusufali Afzalhussein, Bazargani Nooshin, Bin Belaila Buthaina A, Suhail Aisha M, Shuri Hassan H, Agrawal Amrish, Muhammed Khalifa, Gabroun Ahmed, Albawab Amer, Vazir Zainab, Ravi Kumar Rajakumari, Ghannam Dana, Beaney Thomas, Ster Anca Chis, Poulter Neil R
Dubai Health Authority, Hatta Hospital, Dubai, UAE.
Dubai Medical University, Dubai, UAE.
Eur Heart J Suppl. 2020 Aug;22(Suppl H):H128-H131. doi: 10.1093/eurheartj/suaa046. Epub 2020 Aug 28.
Hypertension is one of the most important modifiable risk factors for cardiovascular disease and death even in high-income countries. According to the PURE Study, globally only half of hypertensives are aware and less than a fifth controlled. May Measurement Month (MMM) is a global campaign to raise awareness and screen for high blood pressure (BP) of formal screening. United Arab Emirates (UAE) has taken part in MMM since its inception and here data from MMM18 are reported. Trained volunteers from 54 sites screened 31 316 individuals from all the Emirates of UAE using convenience sampling. Blood pressure measurement, the definition of hypertension, and statistical analysis followed the standard MMM protocol. The mean age was 36.8 ± 11.4 years and 18 411(59%) were male. Participants of Arab descent were 11 829 (38%) and 11 569 (37%) were South Asian. Mean body mass index was 26.8 ± 5.29 kg/m. Of those screened, 7 917 (25%) had never had a BP recorded, while 16 892 (54%) had recorded BP in the previous year. After imputation, 6 243 (20%) had hypertension. Of those participants, only 2 540 (41%) were aware and 2 331 (37%) were on antihypertensive medication, of which 61% were controlled. Of all hypertensives, only 23% were controlled. May Measurement Month in UAE expanded significantly compared to 2017. A quarter had never had BP measured and awareness of hypertension low (41%). This opportunistic screening method found a substantial number of adults with untreated or inadequately treated hypertension.
高血压是心血管疾病和死亡的最重要的可改变风险因素之一,即使在高收入国家也是如此。根据PURE研究,全球只有一半的高血压患者知晓自己的病情,不到五分之一的患者血压得到控制。五月测量月(MMM)是一项提高高血压(BP)意识并进行正式筛查的全球活动。阿拉伯联合酋长国(阿联酋)自活动启动以来一直参与五月测量月活动,本文报告了2018年五月测量月的数据。来自54个地点的经过培训的志愿者使用便利抽样法对阿联酋所有酋长国的31316人进行了筛查。血压测量、高血压的定义以及统计分析均遵循标准的五月测量月方案。平均年龄为36.8±11.4岁,18411人(59%)为男性。阿拉伯裔参与者有11829人(38%),南亚裔有11569人(37%)。平均体重指数为26.8±5.29kg/m²。在接受筛查的人群中,7917人(25%)从未记录过血压,而16892人(54%)上一年记录过血压。经过估算,6243人(20%)患有高血压。在这些参与者中,只有2540人(41%)知晓自己的病情,2331人(37%)正在服用抗高血压药物,其中61%的患者血压得到控制。在所有高血压患者中,只有23%的患者血压得到控制。与2017年相比,阿联酋的五月测量月活动规模显著扩大。四分之一的人从未测量过血压,高血压知晓率较低(41%)。这种机会性筛查方法发现了大量未治疗或治疗不充分的高血压成年人。