イギリスにおける高血圧管理: 1994年から2011年にかけての連続的な横断研究
Emanuela Falaschetti1, Jennifer Mindell2, Craig Knott2
1Imperial Clinical Trials Unit, School of Public Health, Imperial College London, London, UK.
Lancet (London, England)
|June 3, 2014
まとめ
イギリスの血圧管理は1994年から2011年の間に著しく改善され,コントロール率はほぼ2倍になった. しかし,一般の人口における高血圧のコントロールは依然として懸念事項であり,高血圧の管理に対する継続的な努力の必要性を強調しています.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- 心血管医学 心血管医学
背景:
- 高血圧は,世界の主要な健康リスクである.
- 効果的な血圧管理は,病気の負担を軽減するために不可欠です.
研究 の 目的:
- 1994年から2011年にかけてのイングランドにおける血圧管理の変化を評価する.
- 高血圧の認知度,治療,制御率の動向を評価する.
主な方法:
- イギリスの5つの健康調査データセット (1994年−2011年) を用いた連続的横断研究.
- 制度化されていない成人 (16歳以上) の全国的に代表的なサンプル.
- 高血圧は,SBP ≥140 mmHg,DBP ≥90 mmHg,または現在の治療によって定義されます.
主要な成果:
- 男性と女性の両方の平均血圧レベルが改善しました.
- 治療を受けた高血圧患者の血圧は150.0/80.2 mmHgから135.4/73.5 mmHgに低下した.
- 治療を受けた患者の高血圧コントロール率は,1994年から2011年の間に33%から63%にほぼ倍増しました.
- 改善にもかかわらず,2011年に高血圧をコントロールできたのは,高血圧を患っている成人のわずか37%でした.
結論:
- 高血圧管理の継続的な改善により,2022年までに高血圧の80%のコントロールが可能になる.
- 年間約5万件の大型心血管疾患を予防する可能性がある.
- 持続的な進歩は,公衆衛生上の成果にとって不可欠です.
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