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2019年5月测量月:沙特阿拉伯血压筛查结果分析

May Measurement Month 2019: an analysis of blood pressure screening results from Saudi Arabia.

作者信息

Aljuraiban Ghadeer S, Al Slail Fatima Younis, Aldhwailea Shatha Khalid, Badawi Ann Adnan, Beaney Thomas, Clarke Jonathan, Poulter Neil R

机构信息

Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh11451, Kingdom of Saudi Arabia.

Cardiovascular Prevention and Control Program, Ministry of Health, Riyadh 11176, Kingdom of Saudi Arabia.

出版信息

Eur Heart J Suppl. 2021 May 20;23(Suppl B):B128-B130. doi: 10.1093/eurheartj/suab029. eCollection 2021 May.

Abstract

High blood pressure (BP) is a major risk factor for cardiovascular diseases and was identified as the most significant single preventable cause of mortality. The prevalence of hypertension in Saudi Arabia is high. To raise awareness and identify undiagnosed hypertension, the Saudi Ministry of Health participated in the May Measurement Month (MMM) 2019 global screening initiative of the International Society of Hypertension. Ninety-two primary care centres across the Kingdom recruited respondents aged ≥18 years through opportunistic sampling, from 1 May to 30 August of 2019. Data collection included sociodemographic, lifestyle habits, environmental, and anthropometric indicators. Blood pressure was measured twice using automated BP devices. A total of 25 023 adults were screened with a mean age of 42.4 (16.7) years and a mean body mass index of 27.5 (6.0) kg/m. In total, 43.6% of participants were females and 56.4% were males. Of all the participants with hypertension, 60.8% were aware, 60.8% were on antihypertensive medication, and 39.3% had controlled BP (systolic BP <140 mmHg and diastolic BP <90 mmHg). Moreover, out of 4440 participants on antihypertensive medication, only 64.6% had controlled BP. The high numbers of individuals with hypertension and with undiagnosed hypertension highlight the importance of BP screening campaigns to increase awareness, detection, and target treatment on a national level. Findings from this study can form a baseline by which to measure progress in future iterations of MMM.

摘要

高血压是心血管疾病的主要危险因素,被认为是最重要的单一可预防死亡原因。沙特阿拉伯的高血压患病率很高。为了提高认识并识别未被诊断出的高血压,沙特卫生部参与了国际高血压学会2019年5月测量月(MMM)全球筛查倡议。2019年5月1日至8月30日期间,沙特全国92个初级保健中心通过机会性抽样招募了年龄≥18岁的受访者。数据收集包括社会人口统计学、生活习惯、环境和人体测量指标。使用自动血压测量设备测量血压两次。总共对25023名成年人进行了筛查,他们的平均年龄为42.4(16.7)岁,平均体重指数为27.5(6.0)kg/m²。参与者中,女性占43.6%,男性占56.4%。在所有患有高血压的参与者中,60.8%知道自己患有高血压,60.8%正在服用抗高血压药物,39.3%的血压得到控制(收缩压<140 mmHg且舒张压<90 mmHg)。此外,在4440名服用抗高血压药物的参与者中,只有64.6%的血压得到控制。高血压患者和未被诊断出的高血压患者数量众多,凸显了血压筛查活动在提高全国范围内的认识、检测和靶向治疗方面的重要性。本研究结果可作为衡量未来MMM迭代进展的基线。

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