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[Prevalence of hypertension in the population of Castile-Leon (Spain)]
A Tomás Vega Alonso1, José E Lozano Alonso, Rufino Alamo Sanz
1Observatorio de Salud Pública, Dirección General de Salud Pública y Consumo, Consejería de Sanidad, Valladolid, España. vegaloto@jcyl.es
Insights
High blood pressure (hypertension) affects nearly 40% of adults in Castile-Leon, Spain. Many are unaware of their condition, highlighting a critical public health concern for cardiovascular disease prevention.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Context:
- Cardiovascular disease is a leading cause of death in Spain.
- Hypertension is a major risk factor for ischemic heart disease and other serious conditions.
- Prevalence data for hypertension in specific Spanish regions is crucial for targeted interventions.
Purpose:
- To determine the prevalence of hypertension in the adult population of Castile-Leon in 2004.
- To identify other indicators of hypertension, including awareness and disease staging.
- To provide data for public health strategies aimed at cardiovascular disease prevention.
Summary:
- A cross-sectional study of 4,012 individuals aged 15+ in Castile-Leon revealed a hypertension prevalence of 38.7%.
- Hypertension was more prevalent in men (40.4%) than women (37.4%).
- Only 22.2% of hypertensive individuals were aware of their condition, with significant proportions exhibiting prehypertension (44%) and stages 1 (17.5%) and 2 (4%) hypertension.
Impact:
- The study highlights a significant public health issue with a high prevalence of undiagnosed hypertension and prehypertension in Castile-Leon.
- Findings underscore the need for increased hypertension screening and awareness programs to mitigate cardiovascular disease risk.
- The data contributes to the understanding of hypertension epidemiology in Spain, informing national and regional health policies.
Objective:
Cardiovascular disease causes one out of 3 deaths in Spain. Hypertension is involved in ischemic heart disease and in other diseases provoking high morbidity and mortality. The aim of the present study was to describe the prevalence of hypertension and other indicators of this disorder in Castile-Leon in 2004.
Methods:
We performed a cross-sectional study in a random sample of 4,012 persons aged 15 years old or above, extracted through a two-stage, stratified design. Systolic and diastolic blood pressure was measured, a history was taken and clinical records were reviewed. A person was considered to be hypertensive when there was known hypertension (hyper-tension was recorded in the clinical records or the person was receiving treatment for hypertension) or when systolic blood pressure was 140 mmHg or more and diastolic blood pressure was 90 mmHg or more.
Results:
The prevalence of hypertension in the population was 38.7% (95%CI: 36.5-40.9). The prevalence was higher in men (40.4% [95%CI: 37.4-43.4]) than in women (37.4% [95%CI: 34.7-40]). Hypertension was already known in 22.2%, representing 57.4% of all hypertensive individuals. In the remainder of the sample, 44% had prehypertension, 17.5% had stage 1 hypertension and 4% had stage II hypertension, according to the Seventh Report of the Joint National Committee on the Prevention, Detection, Evaluation and Treatment of High Blood Pressure.
Conclusions:
The prevalence of hypertension in the population studied was consistent with that reported in other Spanish studies. A substantial proportion of hypertensive individuals were unaware of their status as such. Equally, a large proportion had prehypertension, which carries a high risk of cardiovascular disease.
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