Hypertension prevalence, awareness, treatment, and control and sodium intake in Shandong Province, China: baseline results from Shandong-Ministry of Health Action on Salt Reduction and Hypertension (SMASH), 2011.

Hypertension prevalence, awareness, treatment, and control and sodium intake in Shandong Province, China: baseline results from Shandong-Ministry of Health Action on Salt Reduction and Hypertension (SMASH), 2011.
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DOI:
10.5888/pcd11.130423
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发表时间:
2014-05-22
影响因子:
5.5
通讯作者:
Wang Y
Wang Y
中科院分区:
医学3区
文献类型:
--
作者:
Bi Z;Liang X;Xu A;Wang L;Shi X;Zhao W;Ma J;Guo X;Zhang X;Zhang J;Ren J;Yan L;Lu Z;Wang H;Tang J;Cai X;Dong J;Zhang J;Chu J;Engelgau M;Yang Q;Hong Y;Wang Y

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在中国,基于人群的血压水平和高血压患病率正在上升。与此同时,钠的摄入量很高,这是高血压的一个主要危险因素。2011年,为制定山东省(9600万人口)减盐和高血压控制项目的干预重点,进行了一项横断面调查,以收集钠摄入量和高血压患病率、知晓率、治疗和控制的信息。复杂的,多阶段的抽样方法被用来选择一个省代表性的成人样本。测量血压,并在所有参与者中进行调查;调味品在家中称重,进行24小时饮食回忆,并收集尿液。高血压是通过单次测量血压和自我报告使用抗高血压药物来确定的。总体而言,估计23.4%(95%置信区间[CI],20.9%-26.0%)的山东省成年人患有高血压。在被归类为高血压的人群中,约三分之一(34.5%)报告患有高血压,约四分之一(27.5%)报告服用药物,七分之一(14.9%)的血压得到控制(<140/<90 mm Hg)。估计每日平均膳食钠摄入量为5,745 mg(95% CI,5,428 mg-6,063 mg)。大多数膳食钠(80.8%)来自烹饪过程中添加的盐和高盐调味品:钠摄入量为4,640 mg(95% CI,4,360 mg-4,920 mg)。平均每日尿钠排泄量为5,398 mg(95% CI,5,112 mg-5,683 mg)。 高血压和成人钠摄入量过高是山东省的主要公共卫生问题。
In China, population-based blood pressure levels and prevalence of hypertension are increasing. Meanwhile, sodium intake, a major risk factor for hypertension, is high. In 2011, to develop intervention priorities for a salt reduction and hypertension control project in Shandong Province (population 96 million), a cross-sectional survey was conducted to collect information on sodium intake and hypertension prevalence, awareness, treatment, and control. Complex, multistage sampling methods were used to select a provincial-representative adult sample. Blood pressure was measured and a survey conducted among all participants; condiments were weighed in the household, a 24-hour dietary recall was conducted, and urine was collected. Hypertension was determined by blood pressure measured on a single occasion and self-reported use of antihypertension medications. Overall, 23.4% (95% confidence interval [CI], 20.9%–26.0%) of adults in Shandong were estimated to have hypertension. Among those classified as having hypertension, approximately one-third (34.5%) reported having hypertension, approximately one-fourth (27.5%) reported taking medications, and one-seventh (14.9%) had their blood pressure controlled (<140/<90 mm Hg). Estimated total average daily dietary sodium intake was 5,745 mg (95% CI, 5,428 mg–6,063 mg). Most dietary sodium (80.8%) came from salt and high-salt condiments added during cooking: a sodium intake of 4,640 mg (95% CI, 4,360 mg–4,920 mg). The average daily urinary sodium excretion was 5,398 mg (95% CI, 5,112 mg–5,683 mg). Hypertension and excessive sodium intake in adults are major public health problems in Shandong Province, China.
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