Trends in the prevalence, awareness, treatment and control of hypertension: the WHO MONICA Project

Détails

ID Serval
serval:BIB_1A75D100108E
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Trends in the prevalence, awareness, treatment and control of hypertension: the WHO MONICA Project
Périodique
European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups On Epidemiology and Prevention and Cardiac Rehabilitation and Exercise Physiology
Auteur(s)
Antikainen R.L., Moltchanov V.A., Chukwuma C., Kuulasmaa K.A., Marques-Vidal P.M., Sans S., Wilhelmsen L., Tuomilehto J.O., WHO MONICA Project
ISSN
1741-8267 (Print)
ISSN-L
1741-8267
Statut éditorial
Publié
Date de publication
2006
Volume
13
Numéro
1
Pages
13-29
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
OBJECTIVE: To describe the secular changes in the prevalence, awareness, treatment and control of hypertension.
DESIGN: Two independent cross-sectional population surveys using standardized methods conducted between the early 1980s and mid-1990s.
SETTING: Twenty-four geographically defined populations of the WHO MONICA Project.
PARTICIPANTS: Randomly selected men and women aged 35-64 years. The total number of participants was 69 907.
MAIN OUTCOME MEASURES: Two definitions of hypertension were used: 160/95 mmHg or above and 140/90 mmHg or above for systolic or diastolic blood pressure. Subjects on antihypertensive drug treatment were considered to be hypertensive regardless of their blood pressure. Treated subjects whose measured blood pressure level was less than 160/95 or 140/90 mmHg according to the two definitions, respectively, were considered to be adequately treated.
RESULTS: The age-adjusted prevalence of hypertension decreased in most and increased in only a few populations. For both definitions of hypertension, the proportion of hypertensive subjects who were aware of their condition increased in three-quarters of the male populations and in two-thirds of the female populations. Furthermore, the proportion of hypertensive individuals on antihypertensive drug treatment increased in three-quarters of the populations. In the final survey, hypertension tended to be better treated and controlled in women than in men. Nevertheless, a large proportion of patients receiving antihypertensive drug therapy still had inadequately controlled blood pressure levels.
CONCLUSION: Although awareness and treatment of hypertension according to the data obtained during the late 1980s to the mid-1990s increased in several populations, the effectiveness of antihypertensive treatment showed the continuing need for improvements.
Mots-clé
Antihypertensive Agents/therapeutic use, Hypertension/drug therapy, Hypertension/epidemiology, Hypertension/prevention & control
Pubmed
Web of science
Création de la notice
01/12/2016 15:01
Dernière modification de la notice
20/08/2019 12:51
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