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2022年5月测量月:哥伦比亚血压筛查结果分析

May Measurement Month 2022: an analysis of blood pressure screening results from Colombia.

作者信息

Lopez-Lopez Jose P, Otero Johanna, Urbina Zulma, Sanchez-Vallejo Gregorio, Narvaez Claudia, Camacho Paul A, Urina-Triana Miguel, Quintero Adalberto, Aroca Gustavo, Campo Alfonso, Arcos Edgar, Perez-Mayorga Maritza, Mosquera Walter, Garcia Luis, Beaney Thomas, Kerr Gabriele, Poulter Neil R, Lopez-Jaramillo Patricio

机构信息

Masira Research Institute, Universidad de Santander (UDES), Cl. 70 #N° 55-210, 680006 Bucaramanga, Colombia.

Facultad de Medicina, UDES, Cucuta, Colombia.

出版信息

Eur Heart J Suppl. 2025 Feb 11;27(Suppl 7):vii23-vii26. doi: 10.1093/eurheartjsupp/suaf049. eCollection 2025 Aug.

Abstract

The May Measurement Month (MMM) campaign was carried out in Colombia 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 healthcare and public facilities in 11 departments. Three seated BP readings were taken for 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, 38 924 were screened, with a mean age of 46.3 years and 52.9% of whom were female. Of all participants, 10 738 (27.6%) had hypertension, of whom 7058 (65.7%) were aware, and 6925 (64.5%) were on antihypertensive medication. Of those on antihypertensive medication, 4600 (66.4%) had controlled BP, and of all participants with hypertension, 42.8% had controlled BP. However, those under 50 years had lower hypertension control (<30%). Women had a higher BP control than men (49.5% vs. 36.3%). High education was associated with lower systolic BP (-2.37 mmHg). The MMM campaign in Colombia identified significant numbers of participants with either untreated or inadequately treated hypertension. MMM22 results point to the need to continue improving awareness and seek a broader implementation of strategies with proven efficacy in controlling hypertension.

摘要

2022年,哥伦比亚开展了“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11个部门的医疗保健和公共设施中被机会性招募。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。高血压定义为收缩压≥140 mmHg和/或舒张压≥90 mmHg,或正在服用降压药物。血压得到控制定义为正在服用降压药物且血压<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38924人,平均年龄为46.3岁,其中52.9%为女性。在所有参与者中,10738人(27.6%)患有高血压,其中7058人(65.7%)知晓自己患有高血压,6925人(64.5%)正在服用降压药物。在服用降压药物的人中,4600人(66.4%)血压得到控制,在所有高血压患者中,42.8%血压得到控制。然而,50岁以下人群的高血压控制率较低(<30%)。女性的血压控制率高于男性(49.5%对36.3%)。高学历与较低的收缩压相关(-2.37 mmHg)。哥伦比亚的“五月测量月”活动发现大量参与者患有未经治疗或治疗不充分的高血压。MMM22的结果表明,需要继续提高认识,并寻求更广泛地实施已证明在控制高血压方面有效的策略。

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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 Colombia.2019年5月测量月:哥伦比亚血压筛查结果分析
Eur Heart J Suppl. 2021 May 20;23(Suppl B):B46-B48. doi: 10.1093/eurheartj/suab039. 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.

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