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2021年5月测量月:孟加拉国血压筛查结果分析

May Measurement Month 2021: an analysis of blood pressure screening results from Bangladesh.

作者信息

Malik Fazila-Tun-Nesa, Al Mamun Mohammad Abdullah, Choudhury Sohel Reza, Ishraquzzaman Mir, Kalimuddin Mohammad, Huq Tawfiq Shariar, Rahman Mohammad Shamimur, Jubayer Shamim, Bhuiyan Mahfuzur Rahman, Sobhan Sheikh Mohammad Mahbubus, Faruque Mithila, Beaney Thomas, Ahmadi-Abhari Sara, Malik Abdul, Poulter Neil R

机构信息

Department of Cardiology, National Heart Foundation Hospital & Research Institute, Dhaka, Bangladesh.

Department of Epidemiology & Research, National Heart Foundation Hospital & Research Institute, Plot no. 7/2, Section-2, Mirpur, Dhaka 1216, Bangladesh.

出版信息

Eur Heart J Suppl. 2024 Jul 24;26(Suppl 3):iii17-iii19. doi: 10.1093/eurheartjsupp/suae041. eCollection 2024 Jun.

Abstract

Previous studies have shown that among Bangladeshi adults, one-fifth have hypertension. The National Heart Foundation of Bangladesh participated in May Measurement Month (MMM) campaigns in 2017, 2018, 2019, as well as in 2021 as a part of a global initiative aimed at raising awareness of high blood pressure (BP) and to act as a temporary solution to the lack of nationwide screening programmes. This opportunistic screening of voluntary participants aged ≥18 years was carried out from May to July 2021. Data were collected from more than 150 screening sites in all 64 districts in Bangladesh. Blood pressure measurement, the definition of hypertension, and statistical analysis followed the MMM protocol. Data on 28 355 individuals were finally analysed. Among the participants, 17 941 (63.3%) were female. After multiple imputation, 11 194 (39.5%) had hypertension. Among the 11 194 participants with hypertension, 78.8% were aware of having hypertension and 65.6% were on antihypertensive medication. Among 11 194 participants with hypertension, 7340 participants (65.6%) were on antihypertensive medication and 43.8% had controlled BP (<140/90 mmHg). Of those on antihypertensive medication, 66.8% had controlled BP. A voluntary BP screening programme can identify significant numbers of people with raised BP and thus contributes importantly to the prevention of cardiovascular diseases.

摘要

先前的研究表明,在孟加拉国成年人中,五分之一的人患有高血压。孟加拉国国家心脏基金会在2017年、2018年、2019年以及2021年参与了五月测量月(MMM)活动,这是一项全球倡议的一部分,旨在提高对高血压(BP)的认识,并作为全国性筛查项目缺失的临时解决方案。这项针对年龄≥18岁自愿参与者的机会性筛查于2021年5月至7月进行。数据收集自孟加拉国所有64个区的150多个筛查点。血压测量、高血压的定义以及统计分析均遵循MMM方案。最终对28355人的数据进行了分析。参与者中,17941人(63.3%)为女性。经过多重填补后,11194人(39.5%)患有高血压。在11194名患有高血压的参与者中,78.8%知晓自己患有高血压,65.6%正在服用降压药。在11194名患有高血压的参与者中,7340名参与者(65.6%)正在服用降压药,43.8%的人的血压得到了控制(<140/90 mmHg)。在服用降压药的人中,66.8%的人的血压得到了控制。一项自愿性血压筛查项目能够识别出大量血压升高的人群,因此对预防心血管疾病具有重要意义。

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本文引用的文献

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May Measurement Month 2019: an analysis of blood pressure screening results from Bangladesh.2019年5月测量月:孟加拉国血压筛查结果分析
Eur Heart J Suppl. 2021 May 20;23(Suppl B):B21-B23. doi: 10.1093/eurheartj/suab017. eCollection 2021 May.
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2020 International Society of Hypertension Global Hypertension Practice Guidelines.2020年国际高血压学会全球高血压实践指南
Hypertension. 2020 Jun;75(6):1334-1357. doi: 10.1161/HYPERTENSIONAHA.120.15026. Epub 2020 May 6.
7
The global epidemiology of hypertension.高血压的全球流行病学。
Nat Rev Nephrol. 2020 Apr;16(4):223-237. doi: 10.1038/s41581-019-0244-2. Epub 2020 Feb 5.

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