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2022年5月测量月:英国和爱尔兰共和国血压筛查结果分析

May Measurement Month 2022: an analysis of blood pressure screening results from the UK and Republic of Ireland.

作者信息

Pugh Christopher J A, Williams Abbie R, Beaney Thomas, Kerr Gabriele, Dolan Eamon, Hynes Lisa, Rabbitt Madeline, Cunnane Paul, Lip Stefanie, McCallum Linsay, Parekh Archie, Modalavalasa Harsh, Poulter Neil R, McDonnell Barry J

机构信息

Centre for Cardiovascular Research, Innovation and Development, Cardiff Metropolitan University, Cardiff CF5 2YB, UK.

Imperial Clinical Trials Unit, Imperial College London, Stadium House, 68 Wood Lane, London W12 7RH, UK.

出版信息

Eur Heart J Suppl. 2025 Mar 5;27(Suppl 7):vii96-vii99. doi: 10.1093/eurheartjsupp/suaf060. eCollection 2025 Aug.

Abstract

The May Measurement Month (MMM) campaign was carried out in the UK and Republic of Ireland (RoI) in 2022 with the aim of raising awareness of raised blood pressure (BP). Here, we report on the findings of the campaign. Adults aged ≥18 years were recruited opportunistically at hospitals, general practice surgeries, community pharmacies, universities, gyms, and various other public places. Three seated BP readings were taken on each participant, along with completion of a questionnaire on demographics, lifestyle factors, and comorbidities. Hypertension was defined as a systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg or being on antihypertensive medication. Controlled BP was defined as being on antihypertensive medication with a BP < 140/90 mmHg. Multiple imputation was used to estimate any missing BP readings. In total, 3034 were screened, with a mean age of 55.2 (19.0) and 60.2% of whom were female. Of all participants, 1506 (49.6%) had hypertension, of whom 876 (58.2%) were aware, and 798 (53.0%) were on antihypertensive medication. Of those on antihypertensive medication, 382 (47.9%) had controlled BP, and of all participants with hypertension, 25.4% had controlled BP. The proportion of hypertension was similar between males and females, but females had better awareness, greater use of antihypertensive medication, and better medication-controlled BP than males. The MMM campaign in the UK and RoI identified significant numbers of participants with either untreated or inadequately treated hypertension. This evidence underscores the critical need for more effective strategies to improve BP detection and control in order to reduce the significant public health challenge and overall disease burden of hypertension.

摘要

2022年,英国和爱尔兰共和国开展了“五月测量月”(MMM)活动,旨在提高对血压升高(BP)的认识。在此,我们报告该活动的结果。年龄≥18岁的成年人在医院、全科诊所、社区药房、大学、健身房和其他各类公共场所被随机招募。为每位参与者测量三次坐位血压读数,并完成一份关于人口统计学、生活方式因素和合并症的问卷。高血压的定义为收缩压≥140 mmHg和/或舒张压≥90 mmHg,或正在服用抗高血压药物。血压得到控制的定义为正在服用抗高血压药物且血压<140/90 mmHg。采用多重填补法估计任何缺失的血压读数。总共筛查了3034人,平均年龄为55.2(19.0)岁,其中60.2%为女性。在所有参与者中,1506人(49.6%)患有高血压,其中876人(58.2%)知晓自己患病,798人(53.0%)正在服用抗高血压药物。在服用抗高血压药物的人群中,382人(47.9%)血压得到控制,在所有高血压患者中,25.4%的患者血压得到控制。男性和女性的高血压患病率相似,但女性的知晓率更高,服用抗高血压药物的比例更大,且药物控制血压的情况比男性更好。英国和爱尔兰共和国的“五月测量月”活动发现了大量未治疗或治疗不充分的高血压参与者。这一证据强调了迫切需要更有效的策略来改善血压检测和控制,以减少高血压对公共卫生的重大挑战和总体疾病负担。

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本文引用的文献

6
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.

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