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Ismael Campos-Nonato1, Lucía Hernández-Barrera2, Cecilia Oviedo-Solís3

  • 1Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.. icampos@insp.mx.

Salud Publica De Mexico
|January 31, 2022
PubMed
Summary

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This summary is machine-generated.

High blood pressure (hypertension) affects nearly half of Mexican adults, with a significant portion undiagnosed. Blood pressure control remains a challenge, highlighting the need for improved hypertension diagnosis and management programs.

Area of Science:

  • Cardiovascular Health
  • Public Health
  • Epidemiology

Background:

  • Hypertension (HTA) is a major public health concern globally and in Mexico.
  • Effective diagnosis and management are crucial to prevent cardiovascular complications.
  • Previous studies indicate challenges in hypertension control within the Mexican population.

Purpose of the Study:

  • To determine the prevalence of hypertension in Mexican adults.
  • To assess the proportion of individuals with controlled blood pressure (TA).
  • To analyze trends in hypertension prevalence and control between 2018 and 2020.

Main Methods:

  • Utilized data from 9,844 adults surveyed in the 2020 National Health and Nutrition Survey (Ensanut 2020).
  • Measured blood pressure (TA) according to established criteria from the Seventh Joint National Committee (JNC-7) and the American Heart Association (AHA).

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  • Defined hypertension and controlled blood pressure based on JNC-7 and AHA guidelines.

    • Main Results:

    • Hypertension prevalence was 49.4% (AHA criteria), with 70% unaware of their diagnosis.
    • Using JNC-7 criteria, 30.2% had hypertension, and 51.0% were undiagnosed.
    • Among diagnosed hypertensive adults, 54.9% achieved controlled blood pressure.
    • No significant changes in prevalence were observed from 2018 to 2020.

    Conclusions:

    • At least one-third of Mexican adults have hypertension, with a substantial proportion undiagnosed.
    • The high rates of undiagnosed and uncontrolled hypertension necessitate an evaluation of current diagnostic and management programs.
    • Suboptimal diagnosis and control pose significant risks for severe complications and mortality.