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[High blood pressure and associated lifestyles in an urban population in Argentina]
Mariana N Carrillo1,2,3, Nancy Babio4,5, Jesica Miño2
1Instituto de Investigaciones en Ciencias de la Salud (INICSA), CONICET-FCM, Universidad Nacional de Córdoba, Córdoba, Argentina.
Insights
High blood pressure (BP) is prevalent in Córdoba, Argentina, affecting 84.8% of those with hypertension and 55.6% without. Age and BMI are associated with high BP, while sleep hours show an inverse relationship.
Area of Science:
- Cardiovascular Health
- Public Health Research
- Hypertension Epidemiology
Context:
- The American Heart Association (AHA/ACC) guidelines for blood pressure (BP) control (130/80 mmHg) have not been previously evaluated in Argentina.
- Hypertension (HT) diagnosis and management are critical public health concerns globally.
Purpose:
- To determine the prevalence of high BP (HBP) in Córdoba, Argentina, using AHA/ACC criteria.
- To assess the association between HBP and sociodemographic and lifestyle factors in the Argentine population.
Summary:
- A cross-sectional study of 911 adults in Córdoba, Argentina (2020-2022) found high BP prevalence of 84.8% in diagnosed hypertensive individuals and 55.6% in those without a diagnosis.
- HBP was positively associated with increased age and Body Mass Index (BMI), particularly in individuals without diagnosed HT.
- Adequate sleep duration demonstrated an inverse association with HBP.
Impact:
- Highlights a significant public health issue regarding BP control in Argentina.
- Underscores the need for targeted interventions and public health strategies to manage HBP.
- Provides crucial data for developing localized hypertension management guidelines.
Introduction:
The American Heart Association (AHA/ACC) sets as a goal for blood pressure (BP) control not to exceed values of 130/80 mmHg, both in individuals with and without a diagnosis of hypertension (HT), standards not evaluated so far in the Argentine population. The objective was to determine the prevalence of high BP (HBP) in individuals with and without a diagnosis of HT taking into account the AHA/ACC criteria and to evaluate its association with sociodemographic and lifestyle factors.
Materials And Methods:
Cross-sectional populationbased study in 911 persons >18 years of age in Córdoba, Argentina (period 2020-2022). Sociodemographic and lifestyle data, history of HT, diabetes and medication use, anthropometric measurements, BP and dietary intake were collected. HBP was defined for systolic and/or diastolic BP ≥130 / ≥80mmHg, respectively at the time of measurement. The presence of HT was assessed by self-report and/or consumption of antihypertensive medication. The association of HBP with lifestyle was assessed using multiple logistic regression models.
Results:
84.8% and 55.6% of the patients with and without hypertension had HBP, respectively. HBP was positively associated with age and BMI, the latter only in persons without HT (OR:1.10; 95%CI:1.06-1.14), while hours of sleep showed an inverse association (OR:0.63; 95%CI:0.45-0.88).
Discussion:
There is a high prevalence of HBP in the city of Córdoba, Argentina. It is of utmost importance and urgency to implement sanitary measures to control BP in order to avoid adverse health consequences.
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