Singh Sanjula D, Senff Jasper R, van Duijn Cornelia M, Rosand Jonathan
Department of Neurology, Henry and Allison McCance Center for Brain Health, Massachusetts General Hospital, Boston, MA (S.D.S., J.R.S., J.R.).
Broad Institute of MIT and Harvard, Cambridge, MA (S.D.S., J.R.S., J.R.).
Stroke. 2024 May;55(5):1464-1466. doi: 10.1161/STROKEAHA.123.046179. Epub 2024 Mar 15.
The Brain Health crisis stands as one of humankind's most pressing threats, with age-related noncommunicable brain diseases, particularly stroke, and dementia, affecting hundreds of millions annually and jeopardizing the economic well-being of populations worldwide. Epidemiological studies indicate that ≈40% of dementia and 60% of stroke cases are attributable to modifiable risk factors. In this Comments and Opinions article, we underscore the pivotal role of blood pressure (BP) control in reducing suffering, enhancing economic well-being, and promoting healthy longevity for populations worldwide. Emphasizing that BP control is crucial for both brain and heart health, it advocates for heightened awareness, positioning hypertension as a primary focus for preventing dementia and stroke with potential global impact. Despite its significance, BP control encounters global challenges, with proportions of the population maintaining adequately controlled hypertension ranging from 23% to 90%. The World Health Organization estimated that 46% of the 1.28 billion people with hypertension are unaware of their elevated BP. Given the notable disparities in BP management, addressing BP management also contributes to combating significant health inequalities. The next time you are faced with a patient anxious about the prospect of experiencing a fate similar to a parent with dementia or a sister with a stroke, we suggest a straightforward answer for health care providers: start ensuring BP control. BP is a matter of brain health, and it is a matter of our economic future.
脑健康危机是人类面临的最紧迫威胁之一,与年龄相关的非传染性脑部疾病,尤其是中风和痴呆症,每年影响着数亿人,并危及全球民众的经济福祉。流行病学研究表明,约40%的痴呆症病例和60%的中风病例可归因于可改变的风险因素。在这篇评论文章中,我们强调了控制血压在减轻痛苦、提高经济福祉以及促进全球民众健康长寿方面的关键作用。文章强调控制血压对大脑和心脏健康都至关重要,倡导提高认识,将高血压定位为预防痴呆症和中风的主要重点,这可能会产生全球影响。尽管其意义重大,但血压控制面临全球挑战,维持高血压得到充分控制的人口比例在23%至90%之间。世界卫生组织估计,在12.8亿高血压患者中,有46%的人不知道自己血压升高。鉴于血压管理存在显著差异,解决血压管理问题也有助于消除重大的健康不平等现象。下次当你面对一位担心自己会遭遇与患痴呆症的父母或中风的姐妹类似命运的患者时,我们建议医疗服务提供者给出一个简单直接的答案:开始确保血压得到控制。血压关乎脑健康,也关乎我们的经济未来。