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2019年5月测量月:菲律宾血压筛查结果分析

May Measurement Month 2019: an analysis of blood pressure screening results in the Philippines.

作者信息

Diaz Alejandro Bimbo F, David-Ona Deborah Ignacia, Mercado-Asis Leilani B, Atilano Alberto A, Vilela Gilbert C, Bonzon Dolores D, Chua Carlos L, Balmores Benjamin A, Castillo Rafael R, Beaney Thomas, Clarke Jonathan M, Poulter Neil R

机构信息

Department of Neurosciences and Behavioral Medicine, University of Santo Tomas Hospital, Espana Street, Manila 1108, Philippines.

Division of Hypertension, Department of Medicine, University of the Philippines College of Medicine, Pedro Gil Street, Manila 1000, Philippines.

出版信息

Eur Heart J Suppl. 2021 May 20;23(Suppl B):B120-B123. doi: 10.1093/eurheartj/suab061. eCollection 2021 May.

DOI:10.1093/eurheartj/suab061
PMID:34733126
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8559329/
Abstract

The Philippine Society of Hypertension (PSH) took part again in the annual May Measurement Month 2019 (MMM19) blood pressure (BP) measurement campaign to raise awareness of hypertension especially in those who are not aware of their condition. The MMM19 standard protocol designed by the International Society of Hypertension was used during screening. These included the collection of basic data on demography, lifestyle, and environmental factors. Standardized sitting BP measurements were taken two to three times, using an automated BP apparatus and were inputted either in the MMM19 app or data were recorded in paper form and manually transferred to Excel spreadsheets by encoders supervised by the PSH. A total of 89 941 participated through opportunistic convenience sampling. After multiple imputation, a total of 47 925 (53.3%) participants had hypertension (≥140/90 mmHg or on antihypertensive medication). Of this number, 31 151 (65%) were aware that they had high BP and 30 120 (62.8%) were on antihypertensive medications. Of the 30 120 participants on antihypertensive medications, only 18 373 (61.1%) had controlled BP (<140/90 mmHg). Being overweight or obese were significant predictors of high BP. Other predictors of high systolic BP and diastolic BP were alcohol intake, smoking, and a previous history of hypertension in pregnancy, while pregnant participants had significantly lower BP. The MMM19 campaign succeeded in raising awareness of high BP in our country, and the opportunistic sampling enhanced a sense of people empowerment by their knowing how easy it is to detect high BP and thereby enabling the prevention of long-term health complications. The higher BP control in the MMM19 hypertensive individuals possibly attests to the success of the previous MMM17 and MMM18 campaigns.

摘要

菲律宾高血压协会(PSH)再次参与了2019年5月测量月(MMM19)的年度血压测量活动,以提高对高血压的认识,特别是提高那些未意识到自身病情者的认识。筛查期间采用了由国际高血压学会设计的MMM19标准方案。这些方案包括收集有关人口统计学、生活方式和环境因素的基本数据。使用自动血压测量仪,标准坐姿血压测量进行两到三次,并输入到MMM19应用程序中,或者以纸质形式记录数据,然后由PSH监督的编码人员手动转移到Excel电子表格中。共有89941人通过机会性便利抽样参与。经过多次插补,共有47925名(53.3%)参与者患有高血压(收缩压≥140/90 mmHg或正在服用降压药)。在这个数字中,31151名(65%)意识到自己患有高血压,30120名(62.8%)正在服用降压药。在30120名服用降压药的参与者中,只有18373名(61.1%)的血压得到控制(收缩压<140/90 mmHg)。超重或肥胖是高血压的重要预测因素。收缩压和舒张压升高的其他预测因素包括饮酒、吸烟以及既往妊娠高血压病史,而怀孕的参与者血压明显较低。MMM19活动成功提高了我国对高血压的认识,机会性抽样增强了人们的自主意识,因为他们知道检测高血压是多么容易,从而能够预防长期健康并发症。MMM19高血压患者中较高的血压控制率可能证明了之前MMM17和MMM18活动的成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca0f/8559329/9d8f5b333cae/suab061f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca0f/8559329/9d8f5b333cae/suab061f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca0f/8559329/9d8f5b333cae/suab061f1.jpg

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本文引用的文献

1
May Measurement Month 2018: an analysis of blood pressure screening in the Philippines.2018年5月测量月:菲律宾血压筛查分析
Eur Heart J Suppl. 2020 Aug;22(Suppl H):H104-H107. doi: 10.1093/eurheartj/suaa040. Epub 2020 Aug 28.
2
May Measurement Month 2019: The Global Blood Pressure Screening Campaign of the International Society of Hypertension.2019 年 5 月测量月:国际高血压学会全球血压筛查活动。
Hypertension. 2020 Aug;76(2):333-341. doi: 10.1161/HYPERTENSIONAHA.120.14874. Epub 2020 May 18.