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May Measurement Month 2017: Brazilian results-Americas
Eduardo Barbosa1, Bruna Eibel2, Andréa A Brandão3
1Hypertension League, Combate Hipertensão Porto Alegre, Rua Costa 30 conj, Porto Alegre 90110-270, Brazil.
Insights
High blood pressure (hypertension) affects nearly half of Brazilians surveyed in the May Measurement Month Campaign 2017. Many cases remain undiagnosed, and a significant portion of treated patients have uncontrolled hypertension.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Hypertension is a prevalent global health issue.
- In Brazil, it is the primary risk factor for coronary heart disease, the leading cause of death.
- Understanding hypertension's characteristics in Brazil is crucial for public health interventions.
Purpose of the Study:
- To characterize hypertension prevalence and control in a diverse Brazilian population.
- To analyze factors associated with elevated blood pressure levels.
- To assess the impact of the May Measurement Month Campaign (MMM17) on identifying hypertension.
Main Methods:
- A nationwide survey involving 7260 individuals across all Brazilian states.
- Collection of questionnaire data on demographics, lifestyle, and medical history.
- Three blood pressure measurements per participant, with analysis based on the last two readings.
Main Results:
- 47.0% of participants were hypertensive (BP >140/90 mmHg).
- 19.5% of non-medicated individuals and 40.0% of those on medication had uncontrolled hypertension.
- Systolic blood pressure increased with age; alcohol use, diabetes, and obesity were linked to higher BP.
Conclusions:
- The May Measurement Month Campaign 2017 revealed a high prevalence of undiagnosed hypertension in Brazil.
- A significant proportion of hypertensive individuals, both treated and untreated, have uncontrolled blood pressure.
- Targeted interventions addressing lifestyle factors and improving hypertension management are essential in Brazil.
Abstract:
Hypertension is a pathology of high prevalence in the world. In Brazil, it is the main risk factor for the major cause of death in the country, coronary heart disease. The May Measurement Month Campaign in 2017 (MMM17) included a population with representation from all Brazilian states and reflects some of the characteristics of hypertension in Brazil. Questionnaire data were collected and three measures of blood pressure (BP) were performed. The sample consisted of 7260 individuals, 40% were white, 56.4% were women. The average age was 52 years. Diabetes was present in 11.9%, previous myocardial infarction in 4.0% and stroke in 2.7%. About 8.4% were smokers and 26.2% were users of alcoholic drinks. The average BMI was 26.9 kg/m2. Considering the means of the last two measures of BP 47.0% were hypertensive (>140/90 mmHg). Of the individuals who did not use medication, 19.5% were hypertensive and of those who used anti-hypertensive medication 40.0% were uncontrolled. Systolic BP increased with age. The use of alcohol was related to higher BP levels, as well as diabetes and obesity. The MMM17 campaign demonstrated a large number of unknown hypertensives and a high rate of uncontrolled hypertension in Brazil.
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