Hypertension among older adults in low- and middle-income countries: prevalence, awareness and control.
Hypertension among older adults in low- and middle-income countries: prevalence, awareness and control.
复制标题
DOI：
10.1093/ije/dyt215
复制
发表时间：
2014-02
影响因子：
7.7
通讯作者：
Chatterji S
中科院分区：
文献类型：
--
作者：
Lloyd-Sherlock P;Beard J;Minicuci N;Ebrahim S;Chatterji S
本研究使用世界卫生组织全球老龄化和成人健康研究（SAGE）的数据，对中国、加纳、印度、墨西哥、俄罗斯联邦和南非50岁及以上人群的高血压患病率、认识、治疗和控制模式进行了研究。方法随机抽取35125名50岁以上老年人进行SAGE调查。高血压定义为≥140 mmHg（收缩压）或≥90 mmHg（舒张压）或目前正在服用抗高血压药物。高血压控制定义为治疗期间血压低于140/90 mmHg。一个人被定义为知道他/她是否患有高血压并自我报告病情。所有国家的患病率与发达国家大致相当（52.9%;范围从印度的32.3%到南非的77.9%）。高血压与超重/肥胖有关，在女性、财富最低的五分之一人群和酗酒者中更为常见。所有国家的认识都很低，尽管各国差异很大（48.3%;从加纳的23.3%到俄罗斯联邦的72.1%不等）。对照组（10.2%;范围：加纳4.1%至印度14.1%）和治疗有效性组（26.3%;范围：俄罗斯联邦17.4%至印度55.2%）也是如此。意识与年龄增长、女性、超重或肥胖有关。老年人、妇女和最富有的五分之一人口更有可能有效控制高血压。肥胖与较差的控制有关。结论低收入和中等收入国家的高血压发病率是惊人的。尽管被抽样的人中有一半知道自己的病情，但治疗和控制的水平仍然不足。由于心血管疾病是迄今为止在这些环境中寿命损失的最大原因，这些发现强调需要新的方法来控制这一主要风险因素。
Background This study uses data from the World Health Organization’s Study on Global Ageing and Adult Health (SAGE) to examine patterns of hypertension prevalence, awareness, treatment and control for people aged 50 years and over in China, Ghana, India, Mexico, the Russian Federation and South Africa. Methods The SAGE sample comprises of 35 125 people aged 50 years and older, selected randomly. Hypertension was defined as ≥140 mmHg (systolic blood pressure) or ≥90 mmHg (diastolic blood pressure) or by currently taking antihypertensives. Control of hypertension was defined as blood pressure below 140/90 mmHg on treatment. A person was defined as aware if he/she was hypertensive and self-reported the condition. Results Prevalence rates in all countries are broadly comparable to those of developed countries (52.9%; range 32.3% in India to 77.9% in South Africa). Hypertension was associated with overweight/obesity and was more common in women, those in the lowest wealth quintile and in heavy alcohol consumers. Awareness was found to be low for all countries, albeit with substantial national variations (48.3%; range 23.3% in Ghana to 72.1% in the Russian Federation). This was also the case for control (10.2%; range 4.1% in Ghana to 14.1% India) and treatment efficacy (26.3%; range 17.4% in the Russian Federation to 55.2% in India). Awareness was associated with increasing age, being female and being overweight or obese. Effective control of hypertension was more likely in older people, women and in the richest quintile. Obesity was associated with poorer control. Conclusions The high rates of hypertension in low- and middle-income countries are striking. Levels of treatment and control are inadequate despite half those sampled being aware of their condition. Since cardiovascular disease is by far the largest cause of years of life lost in these settings, these findings emphasize the need for new approaches towards control of this major risk factor.
登录
查看更多内容
影响因子：
2.8
作者：
Albanese E;Liu Z;Acosta D;Guerra M;Huang Y;Jacob KS;Jimenez-Velazquez IZ;Llibre Rodriguez JJ;Salas A;Sosa AL;Uwakwe R;Williams JD;Borges G;Jotheeswaran AT;Klibanski MG;McCrone P;Ferri CP;Prince MJ
通讯作者：
Prince MJ
影响因子：
120.7
作者：
Egan, Brent M.;Zhao, Yumin;Axon, R. Neal
通讯作者：
Axon, R. Neal
影响因子：
168.9
作者：
Lim, Stephen S.;Gaziano, Thomas A.;Rodgers, Anthony
通讯作者：
Rodgers, Anthony
影响因子：
168.9
作者：
Lewington, S;Clarke, R;Collins, R
通讯作者：
Collins, R
影响因子：
168.9
作者：
Ikeda, Nayu;Saito, Eiko;Shibuya, Kenji
通讯作者：
Shibuya, Kenji