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May Measurement Month 2018: an analysis of blood pressure screening results from China
1Department of Hypertension, Ruijin Hospital North, Shanghai Jiaotong University School of Medicine, Xiwang Road 999, Shanghai 201801, China.
Insights
May Measurement Month 2018 in China found hypertension in 29.8% of adults. While awareness and treatment improved, lifestyle factors like smoking and obesity remain key challenges for blood pressure control.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Hypertension remains a significant global health challenge.
- Improving hypertension awareness, treatment, and control is crucial for public health.
- The May Measurement Month (MMM) campaign aims to increase blood pressure monitoring globally.
Purpose of the Study:
- To assess the prevalence of hypertension in China during May Measurement Month 2018.
- To evaluate the awareness, treatment, and control rates of hypertension in the Chinese adult population.
- To identify lifestyle factors associated with elevated blood pressure.
Main Methods:
- A large-scale cross-sectional study involving 288,342 adults aged 18 years and above in China.
- Automated blood pressure monitors and a smartphone app were used for data collection.
- Questionnaire data on lifestyle factors were collected concurrently.
Main Results:
- The overall prevalence of hypertension was 29.8%.
- Awareness, treatment, and control rates were 62.3%, 57.3%, and 35.9%, respectively.
- Systolic and diastolic blood pressure were significantly associated with cigarette smoking, alcohol intake, and overweight/obesity.
Conclusions:
- Hypertension management in China shows improvement compared to previous years.
- Lifestyle modifications are essential for effective hypertension management.
- Continued public health campaigns like MMM are vital for hypertension control.
Abstract:
To further improve awareness, treatment, and control of hypertension, the May Measurement Month (MMM) campaign continued in 2018 in China. Study subjects were adults aged 18 years or more, ideally those who had not their blood pressure (BP) measured for at least a year. Blood pressure was measured three times consecutively with a 1-min interval in the sitting position, using automated BP monitors in 288 342 participants and transmitted to a central database by a smartphone app. Questionnaire data were collected with the same app. After imputation, the overall proportion of hypertension was 29.8%. Of those with hypertension, the rates of awareness, treatment, and control were 62.3%, 57.3%, and 35.9%, respectively. In analysis based on linear regression models, both systolic and diastolic BP were higher with cigarette smoking, alcohol intake, and overweight and obesity. Our study results suggest that hypertension management is improving in comparison with the data in MMM 2017 and the nationwide survey in 2012-15, and several known lifestyle factors are key to hypertension management.
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