Chen Xin, Hu Zhe, Lei Cheng-Bao, Zheng Qi-Dong, Wang Xiao-Long, Beaney Thomas, Janssen-Telders Carolina, Poulter Neil R, Li Yan, Wang Ji-Guang
Department of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Xiwang Road 999, Shanghai 201801, China.
Department of Geriatrics, Sinopharm Tongmei General Hospital, 1 Seventh Wei Road, Xinpingwang Miner Area, Datong 037003, Shanxi Province, China.
Eur Heart J Suppl. 2024 Jul 24;26(Suppl 3):iii23-iii26. doi: 10.1093/eurheartjsupp/suae039. eCollection 2024 Jun.
We reported findings from participants screened during the May Measurement Month 2021 in China, which aimed to raise awareness of raised blood pressure (BP), and to investigate the risk factors of BP. The study participants were adults (≥18 years), ideally in whom BP had not been measured in the previous year. Blood pressure was measured three times consecutively with 1 min intervals in the sitting position, using a validated upper-arm cuff automated BP monitor (Omron HEM-7081IT), and transmitted to a central cloud database via a smartphone app. The measurement was performed in 218 844 participants in 183 sites across 31 China provinces. The mean (standard deviation) age was 47.0 (15.7) years, and 51.8% ( = 113 466) were women. The mean systolic/diastolic BP was 120.2/77.5 mmHg. Among 57 178 (26.1%) participants with hypertension, the awareness, treatment, and control rates of hypertension were 30.4% ( = 17 354), 28.7% ( = 16 369), and 17.1% ( = 9743), respectively. After adjustment for age, sex, and use of antihypertensive medication, both systolic and diastolic BP were significantly ( ≤ 0.01) higher in current smokers ( = 22 344, +0.4/+0.7 mmHg) and with moderate ( = 4780, +1.4/+4.2 mmHg) or daily alcohol intake ( = 2427, +1.3/+2.5 mmHg). Blood pressure was lower in those reporting regular exercise ( = 32 328, -2.2/-1.4 mmHg). In addition, individuals with previous COVID-19 vaccination had lower systolic and diastolic BP ( = 88 945, -1.8/-1.5 mmHg, ≤ 0.001). In conclusion, our study showed that long-term large-scale screening for hypertension is feasible, and there is a strong association between BP and major lifestyle factors.
我们报告了2021年5月中国测量月期间筛查参与者的研究结果，该活动旨在提高对血压升高的认识，并调查血压的危险因素。研究参与者为成年人（≥18岁），理想情况下是前一年未测量过血压的人。使用经过验证的上臂袖带自动血压监测仪（欧姆龙HEM-7081IT），在坐位连续测量三次血压，每次间隔1分钟，并通过智能手机应用程序传输到中央云数据库。在中国31个省份的183个地点对218844名参与者进行了测量。平均（标准差）年龄为47.0（15.7）岁，女性占51.8%（=113466）。平均收缩压/舒张压为120.2/77.5mmHg。在57178名（26.1%）高血压参与者中，高血压的知晓率、治疗率和控制率分别为30.4%（=17354）、28.7%（=16369）和17.1%（=9743）。在调整年龄、性别和抗高血压药物使用情况后，当前吸烟者（=22344，收缩压/舒张压升高0.4/0.7mmHg）以及中度饮酒者（=4780，收缩压/舒张压升高1.4/4.2mmHg）或每日饮酒者（=2427，收缩压/舒张压升高1.3/2.5mmHg）的收缩压和舒张压均显著升高（P≤0.01）。报告经常锻炼的人的血压较低（=32328，收缩压/舒张压降低2.2/1.4mmHg）。此外，既往接种过新冠病毒疫苗的个体收缩压和舒张压较低（=88945，收缩压/舒张压降低1.8/1.5mmHg，P≤0.001）。总之，我们的研究表明，长期大规模高血压筛查是可行的，血压与主要生活方式因素之间存在密切关联。
