Biffi Alessandro, Gallo Giovanna, Fernando Fredrick, Sirico Felice, Signorello Maria Grazia, Messina Michele, Manole Giorge, Triglione Nicola, Volpe Massimo
Med-Ex, Medicine & Exercise srl, Rome, Italy.
Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy.
J Hum Hypertens. 2022 Mar;36(3):308-314. doi: 10.1038/s41371-021-00528-1. Epub 2021 Mar 23.
The aim of our study was to evaluate the prevalence, awareness, and control of hypertension in an apparently healthy company population. We conducted a cross-sectional study on a total sample of 2058 individuals with a mean age of 38 ± 9 years, enrolled for the first time to the Ferrari corporate wellness program "Formula Benessere". Hypertension was defined as systolic blood pressure (SBP) level ≥140 mmHg or diastolic BP (DBP) ≥90 mmHg or use of antihypertensive medication, whereas BP control was defined as BP level <130/80 mmHg. All 2058 participants were divided into three groups based on age: Group 1 aged <40 years (n = 1177, 57%), Group 2 aged 40-50 years (n = 627, 30%), and Group 3 aged >50 years (n = 254, 13%). Four-hundred and one subjects had BP levels ≥130/80 mmHg (19.5%). Two-hundred and sixty-one individuals (12.7%) had high-normal BP values and 140 subjects had rest SBP ≥140 mmHg and/or DBP ≥90 mmHg (6,8%), of which 41 (29.3%) with grade 2 hypertension. In the overall population, 259 individuals (12.5%) were affected by hypertension, the prevalence increasing with age. Only a minority (51%) was aware of being hypertensive and already treated with antihypertensive medications (45.9%). An adequate BP control was achieved in only 57% of subjects who received BP-lowering therapy. Corporate wellness programs may represent an essential tool in identifying apparently healthy subjects with an inadequate control of cardiovascular (CV) risk factors, such as hypertension. These preventive programs in the workplace may help to improve and spread primary CV prevention at the population level.
我们研究的目的是评估一个看似健康的公司员工群体中高血压的患病率、知晓率和控制情况。我们对2058名平均年龄为38±9岁的个体进行了横断面研究,这些个体首次参加了法拉利公司的健康计划“健康方程式”。高血压定义为收缩压(SBP)水平≥140 mmHg或舒张压(DBP)≥90 mmHg或正在使用抗高血压药物,而血压控制定义为血压水平<130/80 mmHg。所有2058名参与者根据年龄分为三组:第1组年龄<40岁(n = 1177,57%),第2组年龄40 - 50岁(n = 627,30%),第3组年龄>50岁(n = 254,13%)。401名受试者的血压水平≥130/80 mmHg(19.5%)。261名个体(12.7%)血压值处于高正常范围,140名受试者静息收缩压≥140 mmHg和/或舒张压≥90 mmHg(6.8%),其中41名(29.3%)为2级高血压。在总体人群中,259名个体(12.5%)患有高血压,患病率随年龄增加。只有少数(51%)知晓自己患有高血压并已接受抗高血压药物治疗(45.9%)。在接受降压治疗的受试者中,只有57%实现了血压的充分控制。企业健康计划可能是识别心血管(CV)危险因素控制不佳的看似健康受试者的重要工具,如高血压。这些职场预防计划可能有助于在人群层面改善和推广初级CV预防。