葡萄牙的高血压患病率:基于人口的研究的系统审查和元分析
Jorge A Ribeiro Pereira1, Renato G Bandeira-de-Mello2, Vanessa Piccoli3
1University of Aveiro, Portugal.
概括
高血压在葡萄牙仍然是一个重要的公共卫生问题,影响31%的成年人. 最近的趋势显示,在公共卫生干预后,流行率下降,特别是在年轻人和老年人群中.
科学领域:
- 心血管健康 心血管健康
- 公共卫生政策 公共卫生政策
- 流行病学 流行病学
背景情况:
- 高血压是全球心血管疾病的主要危险因素.
- 葡萄牙面临高血压的高患病率,特别是在老年人中.
- 最近的公共政策变化,例如减少面包中的盐,可能会影响高血压趋势.
研究的目的:
- 系统地审查和对葡萄牙高血压的流行情况进行元分析.
- 分析20多年来不同年龄组和性别的高血压患病率趋势.
- 评估公共卫生政策对高血压患病率的影响.
主要方法:
- 系统地搜索PubMed和Cochrane数据库中的文献,并补充国家卫生统计数据.
- 包括2000-2020年以人口为基础的横截面和队列研究.
- 随机效应元分析以估计总体和子组流行率.
主要成果:
- 葡萄牙的整体高血压患病率为31%,男性 (34%) 和女性 (33%) 的患病率相似.
- 测量血压显示的患病率 (38%) 比自我报告的数据 (24%) 高.
- 观察到高血压患病率的下降趋势,特别是在35岁以下和65岁以上的成年人中.
结论:
- 葡萄牙的高血压仍然非常普遍,尽管近期有所下降.
- 老年人仍然不成比例地受到高血压的影响.
- 与客观测量相比,自我报告的高血压数据低估了真正的患病率.
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