Results of May Measurement Month 2018 campaign in Venezuela
Rafael Hernández-Hernández1, Amanda Duín1, José Andrés Octavio-Seijas2
1Hypertension and Cardiovascular Risk Factors Clinic, School of Medicine, Universidad Centro Occidental Lisandro Alvarado, Barquisimeto, Venezuela.
Insights
The May Measurement Month (MMM) study found nearly half of Venezuelan participants had hypertension. Regular screening is vital for identifying and managing high blood pressure and related conditions like obesity and diabetes.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Cardiovascular diseases, including coronary heart disease and stroke, are leading causes of death in Venezuela.
- Hypertension is identified as the primary modifiable risk factor for these diseases.
- The May Measurement Month (MMM) initiative aims to increase global awareness of elevated blood pressure.
Purpose of the Study:
- To assess the prevalence of hypertension and associated risk factors in Venezuela through the MMM 2018 campaign.
- To evaluate awareness and control of hypertension among screened participants.
- To inform public health strategies for managing hypertension and related conditions.
Main Methods:
- The MMM 2018 campaign screened 28,649 participants across 61 sites, primarily in pharmacies.
- Physical measurements included height, weight, and triplicate blood pressure (BP) readings in a sitting position.
- Data were analyzed after multiple imputations to determine hypertension prevalence, awareness, and control, alongside Body Mass Index (BMI) and diabetes status.
Main Results:
- A hypertension prevalence of 48.4% was identified among participants.
- Of those with hypertension, 87.7% were aware of their diagnosis.
- Controlled hypertension was observed in 54.8% of individuals, with significant proportions having untreated or uncontrolled hypertension.
- Overweight (32.6%) and obesity (14.2%) were prevalent, with 9.5% reporting diabetes.
Conclusions:
- Repeated screening initiatives like MMM are effective in identifying hypertension in Venezuela.
- These campaigns can facilitate the implementation of targeted treatment programs for hypertension and other risk factors such as obesity and diabetes.
- Continuous monitoring and intervention are crucial for reducing the burden of cardiovascular diseases.
Abstract:
Cardiovascular diseases, mainly coronary heart disease and stroke, are the main cause of death in Venezuela; hypertension is the primary risk factor. The May Measurement Month (MMM) study is a global initiative aimed at raising awareness of elevated blood pressure (BP). The previous MMM 2017 campaign showed 48.9% of participants had hypertension, higher than previous Venezuelan epidemiological studies. The MMM 2018 campaign included 28 649 participants screened [mean age: 54.2 (SD 15.13) years; female 62.8%] carried out mainly in pharmacies in 61 sites. Physical measurements included height, weight, and BP, taken in sitting position three times. After multiple imputations, 48.4% had hypertension, of which 87.7% were aware of their diagnosis. Of the individuals not receiving antihypertensive medication, 14.0% had hypertension and 33.7% of those receiving treatment had uncontrolled hypertension. Overall, the percentage of hypertensives with controlled hypertension was 54.8%. Body mass index was calculated for the total population, and it was on average 25.2 (SD: 4.65) kg/m2. Of all, 14.2% was classified as obese and 32.6% as overweight; meanwhile 4.8% as underweight. Diabetes was reported by 9.5%. These results suggest that repeated screening like the MMM campaign can routinely identify hypertension and consequently implement programmes of treatment in Venezuela, also other common risk factors, like obesity or diabetes.
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