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May Measurement Month 2019: an analysis of blood pressure screening results from China
Xin Chen1, Chang-Yuan Liu1, Li-Ying Xu2
1Department of Hypertension, The Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Ruijin 2nd Road 197, Shanghai 200025, China.
Insights
May Measurement Month 2019 in China measured blood pressure (BP) in over 238,000 adults. The study found hypertension awareness, treatment, and control rates were 51.5%, 48.4%, and 29.1% respectively.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Hypertension remains a significant global health challenge.
- May Measurement Month (MMM) is an annual global awareness campaign.
- Accurate blood pressure (BP) data is crucial for public health strategies.
Purpose of the Study:
- To report blood pressure (BP) data from the May Measurement Month (MMM) 2019 campaign in China.
- To assess hypertension prevalence, awareness, treatment, and control rates.
- To identify factors associated with BP variations in the Chinese population.
Main Methods:
- A large-scale cross-sectional study involving 238,387 participants aged ≥18 years across 31 provinces in China.
- Standardized BP measurements using validated electronic monitors, with three consecutive readings.
- A questionnaire collected data on demographics, lifestyle, medical history, and medication use.
Main Results:
- The mean systolic/diastolic BP was 121.8/73.8 mmHg.
- Among hypertensive patients (27.8%), awareness, treatment, and control rates were 51.5%, 48.4%, and 29.1%, respectively.
- Linear regression identified significant associations between BP and factors including sex, age, stroke, myocardial infarction, diabetes, medication use, smoking, and BMI.
Conclusions:
- The MMM 2019 campaign successfully collected BP data from a large Chinese population.
- Hypertension control remains a challenge, highlighting the need for improved public health interventions.
- Understanding BP determinants is essential for targeted hypertension management strategies in China.
Abstract:
To report the blood pressure (BP) data obtained in the May Measurement Month (MMM) 2019 in China. Study participants were recruited if ≥18 years of age and had ideally not had their BP measured for ≥1 year. BP was measured three times consecutively with a 1-min interval in the sitting position, using a validated electronic BP monitor. Trained volunteer investigators administered a questionnaire to collect information on lifestyle, medical history, and use of medications. The measurement was performed in 238 387 participants in 250 sites across 31 China provinces. The majority of screening took place in hospitals or clinics (78.7%), with 17.1% in outdoor public areas and 4.2% in other settings. The study participants included 127 853 women (53.6%) and had a mean (±SD) age of 48.9 ± 16.2 years. The mean (of readings two and three) systolic/diastolic BP was 121.8/73.8 mmHg. In all hypertensive patients (n = 66 181, 27.8%), the awareness, treatment, and control rates of hypertension were 51.5%, 48.4%, and 29.1%, respectively. Linear regression models showed differences in systolic and diastolic BP according to sex and age and several other major characteristics, such as previous stroke, myocardial infarction, and diabetes mellitus, antihypertensive medication use and known hypertension, previous hypertension in pregnancy and current pregnancy, alcohol intake and current smoking, and body mass index. The MMM 2019 campaign has been successful in measuring BP in a large member of participants in China.
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