van Leer E M, Seidell J C, Kromhout D
Department of Chronic Disease and Environmental Epidemiology, National Institute of Public Health and Environmental Protection, Bilthoven, The Netherlands.
Am J Prev Med. 1994 Jul-Aug;10(4):194-9.
Levels and trends in blood pressure (BP), as well as prevalence and treatment of hypertension, were studied in The Netherlands between 1987 and 1991. BP was measured continuously using a standardized method in 36,273 men and women 20-59 years of age. The data were weighted for the age distribution of the general Dutch population in 1990 and adjusted for each technician who measured BP. In summer in both men and women, systolic blood pressure (SBP) was about 1.5-2.0 mm Hg lower than in the other seasons, and diastolic blood pressure (DBP) was 0.5-1.0 mm Hg lower. In 1987 SBP was 124 mm Hg in men and 117 mm Hg in women. DBP was 78 mm Hg in men and 75 mm Hg in women. The prevalence of hypertension was 8% in both men and women. Between 1987 and 1991, SBP decreased slightly while DBP increased slightly. The prevalence of hypertension did not change in this period. The percentage of treated hypertensive men decreased significantly from 44% in 1987 to 34% in 1991 and from 60% to 49%, in women. We conclude that the prevalence of hypertension did not change between 1987 and 1991, yet the treatment of hypertension decreased, possibly because of a change in the pattern of treatment by Dutch physicians.
1987年至1991年间，在荷兰研究了血压（BP）水平及趋势、高血压患病率和治疗情况。采用标准化方法对36273名20至59岁的男性和女性进行了连续血压测量。数据根据1990年荷兰总人口的年龄分布进行加权，并针对每位测量血压的技术人员进行了调整。在夏季，男性和女性的收缩压（SBP）均比其他季节低约1.5 - 2.0毫米汞柱，舒张压（DBP）低0.5 - 1.0毫米汞柱。1987年，男性SBP为124毫米汞柱，女性为117毫米汞柱；男性DBP为78毫米汞柱，女性为75毫米汞柱。男性和女性的高血压患病率均为8%。1987年至1991年间，SBP略有下降，而DBP略有上升。在此期间，高血压患病率未发生变化。接受治疗的高血压男性比例从1987年的44%显著降至1991年的34%，女性从60%降至49%。我们得出结论，1987年至1991年间高血压患病率未变，但高血压治疗率下降，可能是因为荷兰医生治疗模式发生了变化。
