Hypertension and Cardiovascular Risk Profile in a Middle-Income Setting: The HELISUR Study
Hypertension and Cardiovascular Risk Profile in a Middle-Income Setting: The HELISUR Study
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DOI：
10.1093/ajh/hpx105
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发表时间：
2017-11-01
影响因子：
3.2
通讯作者：
Brewster, Lizzy M.
中科院分区：
文献类型：
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作者：
Diemer, Frederieke S.;Baldew, Se-Sergio M.;Brewster, Lizzy M.
背景高血压是导致全球过早死亡的主要危险因素，但它的负担已转移到低收入和中等收入国家。因此，我们研究了苏里南人口中的高血压和心血管风险。苏里南是一个中等收入国家，主要是非洲和亚洲血统的城市人口。方法随机抽取1800名年龄在18-70岁的非住院男性和女性在家中接受访谈，并在当地医院检查心血管风险因素、无症状器官损害和心血管疾病。结果1157名受试者(37%男性)主要是自定义的亚洲(43%)或非洲(39%)血统，平均年龄43岁(SD 14)。大多数人(71%)有高血压或高血压前期，分别为40%和31%。此外，72%的人肥胖或超重，而63%的人患有糖尿病或糖尿病前期。只有1%的成年人口具有最佳的心血管风险概况。高血压知晓率、治疗率和控制率分别为68%、56%和20%。与此相一致的是，22%的成年人群有无症状的器官损害，包括动脉僵硬、左室肥厚、微量蛋白尿或无症状的慢性肾脏疾病。结论在这个中等收入加勒比国家的普通人群中进行的这项首次广泛的心血管评估中，高血压的高患病率占主导地位，治疗和控制水平不足。研究结果强调，需要国家和国际机构共同努力，优先实施负担得起和可持续的公共卫生计划，以应对不断上升的高血压和心血管危险因素负担。
BACKGROUNDHypertension is the leading risk factor responsible for premature death worldwide, but its burden has shifted to low-and middle-income countries. Therefore, we studied hypertension and cardiovascular risk in the population of Suriname, a middle-income country with a predominantly urban population of African and Asian ancestry.METHODSA random sample of 1,800 noninstitutionalized men and women aged 18-70 years was selected to be interviewed at home and examined at the local hospital for cardiovascular risk factors, asymptomatic organ damage, and cardiovascular disease.RESULTSThe 1,157 participants examined (37% men) were mainly of self-defined Asian (43%) or African (39%) ancestry, mean age 43 years (SD 14). The majority of the population (71%) had hypertension or prehypertension, respectively, 40% and 31%. Furthermore, 72% was obese or overweight, while 63% had diabetes or prediabetes. Only 1% of the adult population had an optimal cardiovascular risk profile. Hypertension awareness, treatment, and control were respectively 68%, 56%, and 20%. In line with this, 22% of the adult population had asymptomatic organ damage, including increased arterial stiffness, left ventricular hypertrophy, microalbuminuria, or asymptomatic chronic kidney disease.CONCLUSIONSIn this first extensive cardiovascular assessment in the general population of this middle-income Caribbean country, high prevalence of hypertension with inadequate levels of treatment and control was predominant. The findings emphasize the need for collaborative effort from national and international bodies to prioritize the implementation of affordable and sustainable public health programs that combat the escalating hypertension and cardiovascular risk factor burden.