Prevalence, awareness, treatment and control of hypertension in Portugal: the PAP study

Macedo, Mário Espiga de; Lima, Maria João; Silva, António O; Alcântara, Patrícia Pereira Tavares de; Ramalhinho, V; Carmona, José

doi:10.1097/01.hjh.0000179908.51187.de

Cited by 140 publications

(144 citation statements)

References 16 publications

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“…17 In particular, the lack of improvement in SBP may prevent the patients to receive the benefits of otherwise improved hypertension care. Compared with the prevalences of hypertension in our study, those reported since 2000 in other studies by age and sex have been lower in most, [18][19][20][21][22][23][24][25][26][27] but not in all populations. 27,28 As in our paper, the rate of awareness of hypertension in these reports was usually more than 60%.…”

Section: Discussioncontrasting

confidence: 91%

“…Exceptions to this rule include a low awareness and control rates among men and women in China 21 and men in Portugal. 25 Data on trends of hypertension care for international comparison published after JNC V 11 in the older adults are scarce. An increasing trend in the prevalence of hypertension was observed in mainland China, in an urban population in Chile 23 in both men and women, and in Taiwan in men.…”

Section: Discussionmentioning

confidence: 99%

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Despite evidence-based guidelines, systolic blood pressure remains inadequately controlled in older hypertensive adults

Antikaínen

Kastarinen

Jousilahti³

et al. 2009

J Hum Hypertens

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We aimed to assess the trends in the prevalence, awareness, treatment and control of hypertension in Finnish men and women aged 60-74 years. Three independent cross-sectional population surveys were conducted in 1997, 2002 and 2007 remained stable. The mean diastolic blood pressure (BP) decreased in both genders. Awareness of hypertension increased from 60 to 71% in men (Po0.001 for trend) and from 66 to 76% (P ¼ 0.012) in women. The prevalence of antihypertensive drug treatment among hypertensive people increased from 35 to 56% in both genders (Po0.001). The proportion of treated hypertensive patients with adequately controlled BP increased from 16 to 32% in men (Po0.001) and from 16 to 30% in women (P ¼ 0.003). Hypertension care in older adults has improved in Finland during 1997 to 2007. The situation is not optimal: the main problem in this age group is high SBP.

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Section: Discussioncontrasting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Despite evidence-based guidelines, systolic blood pressure remains inadequately controlled in older hypertensive adults

Antikaínen

Kastarinen

Jousilahti³

et al. 2009

J Hum Hypertens

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“…In other countries, researchers found higher prevalence compared to the present one: in China, in 1998, it was 24% among men aged 35-59 years, 20 and in Portugal, in 2003, prevalence in adults aged 20-90 years was 42%, being 26% among those aged 20-35 years. 16 Prevalence of arterial hypertension in military subjects who practice physical activity inside the military quarters is half of that observed in military subjects who do not practice it. This may be explained by the regularity and intensity with which physical activities are practiced in the military quarters, besides being a directed and supervised activity, characteristics that are necessary in order to produce some effect on blood pressure.…”

Section: Discussionmentioning

confidence: 98%

Prevalência de hipertensão arterial em militares jovens e fatores associados

Wenzel

Souza

Souza³

2009

Rev. Saúde Pública

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OBJECTIVE:To estimate the prevalence of arterial hypertension among young military personnel and associated factors. METHODS:Cross-sectional study carried out with a sample of 380 male military personnel aged 19 to 35 years of a Brazilian Air Force unit in the city of São Paulo, Southeastern Brazil, in 2000 and 2001. The cut-off points for hypertension were: ≥ 140mmHg for systolic pressure and ≥ 90mmHg for diastolic pressure. The studied variables included risk and protective factors for hypertension, such as behavioral and nutritional characteristics. For association analysis, generalized linear model multiple regression was used, with binomial family and logarithmic link, and prevalence ratios were obtained with 90% confidence interval and hierarchical selection of variables. RESULTS:Prevalence of hypertension was 22% (90% CI: 21;29). In the final multiple regression model, it was found that the prevalence of hypertension was 68% higher among ex-smokers when compared to non-smokers (90% CI: 1.13; 2.50). Among subjects with overweight (body mass index -BMI of 25 to 29kg/m2) and obesity (BMI> 29kg/m2) the prevalences were, respectively, 75% (90% CI: 1.23;2.50) and 178% (90% CI: 1.82;4.25) higher than among subjects with normal weight. Among those that practiced physical activity regularly, compared to those who did not practice it, the prevalence was 52% lower (90% CI: 0.30;0.90). CONCLUSIONS:Being an ex-smoker and overweight or obese were risk situations for hypertension, while the regular practice of physical activity was a protective factor in young military personnel.

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“…Hypertension is a risk factor for all cardiovascular disease, but mainly for stroke. Its prevalence in Portugal in 2003 was 50% in men and 39% in women [29], similar or lower than many European countries [30]. Levels of control of hypertension are low (7% for men and 11% for women [29]) and it is possible that these issues have greater relevance for Africans, particularly poor Africans, than those born in Portugal.…”

Section: Effect Of Class and Marital Status On Mortality Of Cape Verdmentioning

confidence: 90%

All cause and cardiovascular mortality in African migrants living in Portugal: evidence of large social inequalities

Harding

Teyhan

Rosato

et al. 2008

European Journal of Cardiovascular Prevention & Rehabilitat

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Aim To examine cardiovascular mortality of African migrants in Portugal in relation to socio-economic status. Method Data from death registrations, 1998-2002, and the 2001 Census were used to derive standardized death rates by country of birth and occupational class/marital status. Results Compared with native Portuguese, African migrants had higher mortality for all causes, circulatory disease, coronary heart disease and stroke. There was considerable heterogeneity among Africans with Cape Verdeans having higher mortality than Angolans or Mozambiquans. Class differences in mortality were generally greater for African than for Portuguese men. Although the coronary heart disease mortality rate among Africans in a manual class was twice that of those in a nonmanual class, there was no class difference for Portuguese men. Marital status was associated with 2-3-fold differences in mortality rates in both Africans and Portuguese. A larger proportion of Africans were not married which accounted for some of the excess mortality. Conclusion Adverse cardiovascular mortality experience of African migrants is associated with socio-environmental factors. Investigating how best to achieve risk reduction in Africans should be a public health priority in

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Prevalence, awareness, treatment and control of hypertension in Portugal: the PAP study

Cited by 140 publications

References 16 publications

Despite evidence-based guidelines, systolic blood pressure remains inadequately controlled in older hypertensive adults

Despite evidence-based guidelines, systolic blood pressure remains inadequately controlled in older hypertensive adults

Prevalência de hipertensão arterial em militares jovens e fatores associados

All cause and cardiovascular mortality in African migrants living in Portugal: evidence of large social inequalities

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