De Bacquer D, Bayet S, Bondue A, Brohée F, Brouwers S, Carlier A, Chabot M, Delmotte P, Falque B, Heuten H, Huart J, Krzesinski J M, Persu A, Robberechts T, Vanassche T, Van Der Beken E, Van de Borne Ph, Van der Niepen P, Van Nieuwenhuyse B, Vanparys J, De Backer T
Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Division of Cardiology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Blood Press. 2025 Dec;34(1):2501956. doi: 10.1080/08037051.2025.2501956. Epub 2025 May 8.
The May Measurement Month (MMM) initiative is an annual global screening campaign started in 2017 by the International Society of Hypertension highlighting the importance of regular measurements of blood pressure (BP). Here we report on the results of the MMM campaign done in Belgium during the month of May in 2017, 2018, 2019, 2022 and 2023.
Participants ≥18 years were recruited through opportunistic sampling in 12 sites (mostly hospital entrances) across Belgium. Apart from standardised BP recordings by trained staff, data were collected on demographics, lifestyle factors and comorbidities. Hypertension was defined as raised BP (systolic BP ≥140 mmHg and/or diastolic BP ≥90 mmHg) and/or taking antihypertensive medication.
Data were collected from 5,926 participants aged 51.5 years on average. Mean (SD) systolic and diastolic BP were 125.9 (17.6) mmHg and 79.4 (10.9) mmHg with 25.8% exceeding the 140/90 mmHg threshold. Age-standardised prevalences of hypertension were 45.4% in men and 36.9% in women. Among the 2,468 individuals with hypertension, 78.5% had been previously diagnosed and 1,578 of those with known hypertension, received antihypertensive treatment. Only about half of those being treated (56.3%) did achieve the target of systolic/diastolic BP <140/90 mmHg. Inadequate therapeutic control was independently associated with increasing age and higher body mass index. Untreated hypertension was significantly associated with male sex, age, body mass index and alcohol use.
Despite the limited representativeness of the sample, these data suggest that the 'rule of halves' for hypertension no longer holds true in Belgium and that therapeutic control of hypertension is still suboptimal.
“五月测量月”（MMM）倡议是一项年度全球筛查活动，由国际高血压学会于2017年发起，强调定期测量血压（BP）的重要性。在此，我们报告2017年、2018年、2019年、2022年和2023年5月在比利时开展的MMM活动结果。
通过机会性抽样在比利时的12个地点（主要是医院入口）招募年龄≥18岁的参与者。除了由经过培训的工作人员进行标准化血压记录外，还收集了人口统计学、生活方式因素和合并症的数据。高血压定义为血压升高（收缩压≥140 mmHg和/或舒张压≥90 mmHg）和/或正在服用抗高血压药物。
共收集了5926名参与者的数据，平均年龄为51.5岁。收缩压和舒张压的平均值（标准差）分别为125.9（17.6）mmHg和79.4（10.9）mmHg，25.8%的人超过了140/90 mmHg的阈值。年龄标准化的高血压患病率男性为45.4%，女性为36.9%。在2468名高血压患者中，78.5%此前已被诊断，其中1578名已知高血压患者接受了抗高血压治疗。接受治疗的患者中只有约一半（56.3%）达到了收缩压/舒张压<140/90 mmHg的目标。治疗控制不足与年龄增长和体重指数升高独立相关。未治疗的高血压与男性、年龄、体重指数和饮酒显著相关。
尽管样本的代表性有限，但这些数据表明，高血压的“半数规律”在比利时已不再适用，高血压的治疗控制仍不理想。
