Prevalence, Awareness, Treatment, and Control of Hypertension in Romania: Results of the SEPHAR Study

Dorobanţu, Maria; Darabont, Roxana; Bădilă, Elisabeta; Ghiorghe, S.

doi:10.4061/2010/970694

Cited by 64 publications

(68 citation statements)

References 19 publications

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“…[24][25][26][27] The rate remains lower than that in the developed countries of Europe (for example, Italy (38%), United Kingdom (42%), Spain (47%), Romania (44.9%), Germany (55%)) and the United States (56%)). 28,29 Our findings further substantiate the results of sustained and integrated economical, social and health development in Tunisia. There is variability in the global prevalence of hypertension.…”

Section: Discussionsupporting

confidence: 82%

Hypertension among Tunisian adults: results of the TAHINA project

et al. 2011

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We performed a national survey to determine the prevalence, awareness, treatment and control of hypertension, one of the main cardiovascular risk factors, among the adult population in Tunisia. A total of 8007 adults aged 35-70 years were included in the study. Blood pressure (BP) measurements were taken by physicians with a mercury sphygmomanometer, and standard interviewing procedures were used to record medical history, socio-demographic and cardiovascular disease (CVD) risk factors. Hypertension was defined as a systolic BP X140 mm Hg and/or diastolic BP X90 mm Hg or current treatment with antihypertensive drugs. The prevalence of hypertension was 30.6%, higher in women (33.5%) than in men (27.3%). Multiple logistic regression analyses identified a higher age, urban area, higher body mass index, type 2 diabetes and family history of CVD as important correlates to the prevalence of hypertension. Only 38.8% of those with hypertension were aware of their diagnosis, of which 84.8% were receiving treatment. BP control was achieved in only 24.1% of treated hypertensive persons. Women were more aware than men (44.8 vs. 28.8%), but the rates of treatment and control of hypertension did not differ between the two genders. Higher age, being female, lower education level and urban area emerged as important correlates of hypertension awareness. The study highlights the hypertension problem in a middle-income developing country. There is an urgent need for a comprehensive integrated population-based intervention program to ameliorate the growing problem of hypertension in Tunisians.

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Section: Discussionsupporting

confidence: 82%

Hypertension among Tunisian adults: results of the TAHINA project

et al. 2011

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“…Therefore, the by-locality hypertension rates reported by Tharkar et al58 are consistent with the expectation of hypertension rates that are 1.5 to 3.0 times higher in persons with T2DM than in those without diabetes 102. Similarly, the hypertension rates among patients with T2DM were higher than rates reported for the general population in Iran,19,55 Japan,1,19 Mexico,78,104 and Romania 75,105…”

Section: Discussionmentioning

confidence: 87%

Prevalence of hypertension and obesity in patients with type 2 diabetes mellitus in observational studies: a systematic literature review

Colosia¹,

Palencia²,

Khan³

2013

DMSO

320

208

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BackgroundHypertension and obesity are known to contribute, directly or indirectly, to the development of long-term complications of type 2 diabetes mellitus (T2DM). Knowing the prevalence of these comorbidities is important for determining the size of the population that may benefit from strategies that reduce blood pressure and weight while controlling blood glucose.MethodsIn this systematic literature review, electronic searches of PubMed, Embase, and the Cochrane Library were conducted to identify observational studies of hypertension and/or obesity prevalence in patients with T2DM throughout the world. The searches were limited to studies reported in English from January 1, 2001 to February 16, 2012.ResultsFrom a total of 2,688 studies, 92 observational studies provided prevalence rates for hypertension and/or obesity specifically in adults with T2DM. Fifteen studies of specific subtypes of hypertension or subpopulations with T2DM were subsequently excluded, leaving 78 studies (in 77 articles) for inclusion in this article. Of these, 61studies reported hypertension prevalence, 44 reported obesity prevalence, and 12 reported the prevalence of hypertension with obesity. Most studies had a low risk of bias regarding diagnosis of T2DM (70/78), hypertension (59/69), or obesity (45/47). The continental regions with the most observational studies of hypertension or obesity prevalence were Europe (n = 30) and Asia (n = 26). Hypertension rates typically were high in all regions; most studies presented rates above 50%, and many presented rates above 75%. Obesity rates exceeded 30% in 38 of 44 studies and 50% in 14 of 44 studies, especially those assessing central obesity (based on waist circumference). Among obese adults, hypertension rates were at or above 70% in Asia and above 80% in Europe; rates were lower in North and South America but still above 30%.ConclusionAround the world, hypertension and obesity, separately or together, are common comorbidities in adults with T2DM.

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“…The studies from different world regions reported the prevalence of hypertension in general population as 45-63%, awareness rate as 40-88% treatment rate as 25-84%, and control rate as 20-65% [25,26]. In the PatenT study from Turkey, which reported the prevalence of hypertension as 31.8%, the awareness rate was 40.7% among 1,804 subjects Table 3.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Awareness, Treatment and Control of Hypertension in Adults with Chronic Kidney Disease in Turkey: Results from the CREDIT Study

Altun

Süleymanlar

Utaş

et al. 2012

Kidney Blood Press Res

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Background: In the Chronic REnal Disease In Turkey -CREDIT Study, a large populationbased study on 10,748 adults, the prevalence of chronic kidney disease (CKD) and relationship between CKD and other cardiovascular risk factors had been studied. Methods: This report presents the results of CREDIT study on the prevalence, awareness, treatment, and control of hypertension among CKD patients. Results: The prevalence and awareness of hypertension in CREDIT population was 32.7% and 48.6%, respectively. Of the patients with hypertension, 31.5.% were under treatment, and 16.4% had hypertension under control. Prevalence of CKD was 25.3% in patients with hypertension. Among CKD patients (15.7% of the CREDIT study population), 56.3% had hypertension. The prevalence of hypertension was 34.8% at stage 1, 79.8% at stage 3, and 92.3% at stage 5 CKD. Only 13.4% of patients with CKD have optimal blood pressure. Among CKD patients, 61.9% were aware of hypertension, and 44.2% were under treatment. Overall control rate of hypertension in subjects with CKD was 16.3% with the lowest rate at stage 1 (12.3%) and highest rate at stage 4 (40%). The control rate increased to 28.8% for CKD patients under treatment for hypertension. Conclusion: As a conclusion, hypertension is highly prevalent in subjects with CKD in Turkey with suboptimal awareness, treatment, and control rates. Appropriate health strategies should be implicated to improve prevention, early diagnosis, and treatment of hypertension, which is one of the leading causes of CKD.

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Prevalence, Awareness, Treatment, and Control of Hypertension in Romania: Results of the SEPHAR Study

Cited by 64 publications

References 19 publications

Hypertension among Tunisian adults: results of the TAHINA project

Hypertension among Tunisian adults: results of the TAHINA project

Prevalence of hypertension and obesity in patients with type 2 diabetes mellitus in observational studies: a systematic literature review

Prevalence, Awareness, Treatment and Control of Hypertension in Adults with Chronic Kidney Disease in Turkey: Results from the CREDIT Study

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