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May Measurement Month 2017: an analysis of blood pressure screening in the Philippines—South-East Asia and Australasia

机译:2017年5月测量月:菲律宾-东南亚和大洋洲的血压筛查分析

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摘要

Cardiovascular diseases remain the Philippines’ leading cause of mortality, with hypertension as a prevalent contributory risk factor. We took part in May Measurement Month 2017 (MMM17), a global initiative to raise awareness of high blood pressure (BP) and to serve as a temporary solution to the lack of screening programs worldwide. Following the standard MMM protocol, data for 271 604 screened individuals were submitted from the Philippines. After multiple imputation, 91 994 (34.3%) were hypertensive; 28 662 out of 205 158 participants (14.0%) not receiving treatment had hypertension; and of the 60 370 receiving treatment, 25 144 (41.6%) had uncontrolled BP. Blood pressures were significantly higher in the overweight and obese, current smokers, in participants receiving antihypertensive medication, those with previous myocardial infarction or stroke. The BP measurements were relatively lower when taken on the left arm, and in pregnant women. A slightly higher systolic BP was noted in participants who reported no alcohol intake. Blood pressures recorded during the weekends were highest, and the lowest readings were obtained on Tuesdays. MMM17 was the largest BP screening campaign conducted in the Philippines. Opportunistic BP screening, harnessing volunteers, are a cost-effective public health measure to improve awareness and treatment rates of raised BP. These may help provide additional information that can guide medical practitioners and health officials in drafting preventive and therapeutic measures to improve control rates and long-term outcomes of hypertensive individuals in the population.
机译:心血管疾病仍然是菲律宾的主要死亡原因,其中高血压是主要的危险因素。我们参加了2017年5月测量月(MMM17),这是一项全球倡议,旨在提高人们对高血压(BP)的认识,并作为解决全球缺乏筛查计划的临时解决方案。遵循标准的MMM协议,从菲律宾提交了271至604个筛查个体的数据。多次插补后,高血压患者为91 994(34.3%);在205 158名参与者中,有28名662名(14.0%)未接受治疗,患有高血压;在接受治疗的60 370中,有25 144(41.6%)的血压不受控制。超重和肥胖的当前吸烟者,接受过降压药治疗的参与者,先前有心肌梗塞或中风的参与者的血压明显升高。左臂和孕妇的血压测量值相对较低。报告没有饮酒的参与者的收缩压略高。周末记录的血压最高,周二记录的血压最低。 MMM17是在菲律宾进行的最大的BP筛查活动。利用志愿者进行机会性BP筛查是一种具有成本效益的公共卫生措施,可提高对BP升高的认识和治疗率。这些可能有助于提供其他信息,这些信息可以指导医生和卫生官员起草预防和治疗措施,以提高人群中高血压个体的控制率和长期结果。

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