The impact of changes in population blood pressure on hypertension prevalence and control in China
The impact of changes in population blood pressure on hypertension prevalence and control in China
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DOI：
10.1111/jch.13820
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发表时间：
2020-01-31
影响因子：
2.8
通讯作者：
Su, Hai
中科院分区：
文献类型：
--
作者：
Fan, Wei-guo;Xie, Feng;Su, Hai
在中国，大约有2.5亿成年人患有高血压，但知晓率、治疗率和控制率都很低。在人口水平上改变生活方式有可能加强或恶化高血压的预防和控制。我们使用区域性高血压调查的数据来研究人群血压降低或升高2/1 mm Hg对高血压患病率的影响，以及高血压诊断、治疗和控制的不知晓率。主要分析基于三次访视的受访者的平均血压和高血压的诊断阈值140/90 mm Hg。二次分析检查了第一次调查访视的平均血压，以及高血压的诊断阈值130/80 mm Hg。基线高血压患病率为33.4%，对高血压诊断、治疗和控制的不知晓率分别为74.2%、25.8%和9.7%。血压降低或升高10/5 mm Hg分别导致高血压患病率（22.1% vs 53.4%）和对诊断（60.9% vs 83.8%）、治疗（39.1% vs 16.2%）和控制（21.2% vs 3.6%）的不知晓率发生变化。在次要分析中观察到相似的趋势。人群生活方式的改变可能对中国高血压的患病率和控制产生非常大的影响。研究结果支持实施改善人口生活方式的计划，同时实施卫生服务政策，以加强高血压的临床管理。
In China, there are approximately 250 million adults who have hypertension with low rates of awareness, treatment and control. Changes in lifestyles at a population level have the potential to enhance or deteriorate the prevention and control of hypertension. We used data from a regional hypertension survey to examine the impact of 2/1 mm Hg decreases or increases in population blood pressure on hypertension prevalence, and rates of unawareness of the hypertension diagnosis, treatment, and control. The primary analysis was based on the average blood pressure of respondents from three visits and a diagnostic threshold of 140/90 mm Hg for hypertension. Secondary analyses examined average blood pressure from the first survey visit and also a diagnostic threshold of 130/80 mm Hg for hypertension. The baseline hypertension prevalence was 33.4%, and rates of unawareness of the hypertension diagnosis, treatment, and control were 74.2%, 25.8%, and 9.7%, respectively. Decreases or increases in blood pressure by 10/5 mm Hg resulted in changes in hypertension prevalence (22.1% vs 53.4%) and rates of unawareness of the diagnosis (60.9% vs 83.8%), treatment (39.1% vs 16.2%), and control (21.2% vs 3.6%), respectively. Similar trends were seen in the secondary analyses. Population changes in lifestyle could have a very large impact on the prevalence and control of hypertension in China. The results support implementation of programs to improve population lifestyles while implementing health services policies to enhance the clinical management of hypertension.