Buila Nathan B, Tshiswaka Tresor M, Lubenga Yves N, Katamba Fortunat K, Bayauli Pascal M, Ngoyi Georges N, Bantu Jean-Marc B, Beaney Thomas, Kerr Gabriele, Poulter Neil R, M'Buyamba-Kabangu Jean-René
Department of Internal Medicine, Hypertension Unit/Cardiology, University of Kinshasa Hospital, Kinshasa, The Democratic Republic of the Congo.
Department of Internal Medicine, Service of Endocrinology and Nuclear Medicine, University of Kinshasa Hospital, Kinshasa, The Democratic Republic of the Congo.
Eur Heart J Suppl. 2024 Jul 24;26(Suppl 3):iii27-iii30. doi: 10.1093/eurheartjsupp/suae050. eCollection 2024 Jun.
Hypertension remains the most powerful contributor to the global morbidity and mortality. May Measurement Month (MMM), a worldwide screening campaign initiated by the International Society of Hypertension (ISH), is organized annually to increase awareness of high blood pressure (BP). We screened 20 913 adult (≥18 years) residents of suburb hamlets of Mbujimayi (mean age 35.1 ± 15.1 years; Black ethnicity: 98.8%; women: 29.6%; diabetes: 1.6%; alcohol drinkers: 16.8% and smokers: 6.7%, previous myocardial infarction: 1.4%; stroke: 0.8%; taking aspirin: 3.2%; taking statins: 1.9%). Three sitting BP readings were taken, and hypertension was defined as a systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg or being on antihypertensive medication. Half of the participants had never had their BP checked, whilst 4.2% of respondents had participated in the MMM19 campaign. 0.9% and 1.7% reported COVID-19 vaccination and positive test, respectively. After multiple imputation of missing BP readings, 14.0% of respondents had hypertension of which 35.8% were aware, 28.0% were on antihypertensive medication and 14.1% had controlled BP. Of those on antihypertensive medication, 40.4% were on monotherapy, 37.2% adhered to taking their medication regularly, and 50.4% had controlled BP (<140/90 mmHg). In regression analyses adjusted for age, sex, and antihypertensive treatment, smoking was associated with lower systolic BP, having more years of education was associated with higher systolic and diastolic BP, and physical activity was associated with lower systolic and diastolic BP. This campaign contributes somewhat to reducing the 'black hole' on the prevalence of hypertension in DRC pending systematic countrywide BP screening.
高血压仍然是导致全球发病和死亡的最主要因素。由国际高血压学会（ISH）发起的全球筛查活动“五月测量月”（MMM）每年举办一次，以提高对高血压（BP）的认识。我们对姆布吉马伊郊区村庄的20913名成年（≥18岁）居民进行了筛查（平均年龄35.1±15.1岁；黑人种族：98.8%；女性：29.6%；糖尿病：1.6%；饮酒者：16.8%，吸烟者：6.7%，既往心肌梗死：1.4%；中风：0.8%；服用阿司匹林：3.2%；服用他汀类药物：1.9%）。测量了三次坐位血压读数，高血压定义为收缩压≥140 mmHg或舒张压≥90 mmHg或正在服用抗高血压药物。一半的参与者从未测量过血压，而4.2%的受访者参加过MMM19活动。分别有0.9%和1.7%的人报告接种过新冠疫苗和新冠检测呈阳性。在对缺失的血压读数进行多次插补后，14.0%的受访者患有高血压，其中35.8%知晓自己患病，28.0%正在服用抗高血压药物，14.1%的血压得到控制。在服用抗高血压药物的人群中，40.4%采用单一疗法，37.2%坚持定期服药，50.4%的血压得到控制（<140/90 mmHg）。在对年龄、性别和抗高血压治疗进行校正的回归分析中，吸烟与较低的收缩压相关，受教育年限较长与较高的收缩压和舒张压相关，体育活动与较低的收缩压和舒张压相关。在刚果民主共和国全国范围内进行系统性血压筛查之前，这项活动在一定程度上有助于减少该国高血压患病率方面的“黑洞”。
