Prevalence, awareness, treatment and control of hypertension in healthy unrelated male–female pairs of European regions: the dietary habit profile in European communities with different risk of myocardial infarction – the impact of migration as a model of gene–environment interaction project

Costanzo, Simona; Castelnuovo, Augusto Di; Zito, Francesco; Krogh, Vittorio; Siani, Alfonso; Arnout, Jozef; Cappuccio, Francesco P.; Miller, Michelle A.; Dongen, Martien van; Lorgeril, Michel de; Gaetano, Giovanni de; Donati, Maria Benedetta; Iacoviello, Licia

doi:10.1097/hjh.0b013e328311ce04

Cited by 51 publications

(34 citation statements)

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“…[13][14][15] Moreover, the proportion of individuals with hypertension aware, treated and controlled was unacceptably low in urban Chinese. The results also showed that most hypertensive patients, whether unaware or aware of their hypertension diagnosis, did not think that high BP would endanger their lives.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with prevalence, awareness, treatment and control of hypertension in urban adults from 33 communities in China: the CHPSNE Study

et al. 2011

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Using a randomized multistage cluster sampling, we studied the factors associated with the prevalence, awareness, treatment and control of hypertension (defined as systolic and diastolic blood pressure (BP) measurements X140 and 90 mm Hg, respectively, or current drug treatment for hypertension) in a representative sample of the urban Chinese population. The participants were 18-74 years of age and had lived for at least 5 years in an area comprising 33 communities in three cities (Shenyang, Anshan and Jinzhou) in China. A total of 28 830 people were selected; the overall response rate was 87.4% (25 196/28 830). The overall prevalence of hypertension was 28.7% (7237/25 196). Of those with hypertension, 42.9% (3107/7237) were aware of their condition, 28.2% (2042/7237) were receiving treatment and 3.7% (264/7237) were considered controlled. More than half (57.8%) of the hypertensives did not think that high BP would endanger their lives. Multivariate analysis revealed that age, gender, education, occupation, income, body mass index, waist circumference and a family history of hypertension correlated significantly with the prevalence of hypertension. Among all the hypertensives, higher awareness (determined by odds ratios; 95% confidence intervals) was noted for persons who were white-collar workers (1.29; 1.08, 1.53, respectively), overweight (1.48; 1.30, 1.69), obese (3.37; 2.76, 4.11) or had a family history of hypertension (3.07; 2.76, 3.42). Among the individuals aware of their hypertension, treatment was more common in those with a higher level of education and less common among individuals consuming X2 alcoholic drinks per day (0.65; 0.52, 0.83). Controlled hypertension was much less common among older persons, and participants who were former smokers (0.49; 0.26, 0.91). The results indicate that more attention is needed to improve the awareness of the potentially fatal nature of hypertension in urban China. Hypertension Research (2011Research ( ) 34, 1087Research ( -1092 doi:10.1038/hr.2011; published online 21 July 2011Keywords: awareness; control; hypertension prevalence; risk factors; treatment INTRODUCTIONIn the past decade, China has experienced rapid economic development, resulting in both lifestyle and dietary changes. Cardiovascular disease (CVD) has since become the leading cause of death in China, 1 and hypertension has been identified as the major risk factor for CVD and other vascular diseases. 2,3 It has been shown that promoting the awareness of established risk factors and early management is an essential starting point in the prevention of increased burden of morbidity and mortality due to hypertension-related CVDs. 4 However, in China, especially in urban China, information on factors associated with awareness, treatment and control of hypertension is scarce, despite the increasing prevalence of hypertension. In a systematic Medline search, we identified five surveys conducted in the most recent 10-year period concerning the prevalence, awareness,

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Section: Discussionmentioning

confidence: 99%

Factors associated with prevalence, awareness, treatment and control of hypertension in urban adults from 33 communities in China: the CHPSNE Study

et al. 2011

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“…There was no significant difference associated with age group or gender. These rates are between 15.2 and 47.7% in Europe, [20][21][22][23] 19.6% in Brazil, 24 3.9 and 30.6% in China [25][26][27] and 50.1% in the United States, as determined by the National Health and Nutrition Examination Survey 2007-2008. 28 The signs and symptoms presented on admission to the hospital vary according to the clinical presentation of HC, depending on which target organs are affected most severely.…”

Section: Discussionmentioning

confidence: 99%

Hypertensive crisis: clinical–epidemiological profile

et al. 2010

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Hypertensive crisis (HC) stands out as one type of acute elevation in blood pressure (BP) and can manifest as hypertensive emergency (HE-with target-organ damage (TOD)) or hypertensive urgency (HU-without TOD), usually accompanied by levels of diastolic BP X120 mm Hg. The aim of this study was to characterize the clinical-epidemiological profile of HC over the course of 1 year in a university reference hospital and perform a review of the literature. The study was a cross-sectional study, conducted over a period of 1 year (2006) in 362 patients who presented for treatment at the emergency hospital with HC, as described above. Among all patients examined, 231 individuals met the criteria for HE and 131 met the criteria for HU. Patients with HE were older (Po0.001) and more sedentary (P¼0.026) than those with HU. Furthermore, fewer HE patients than HU patients had previously undergone antihypertensive treatment (P¼0.006). The groups did not differ regarding BP levels, gender, smoking or body mass index. Dyspnea (41.1%), thoracic pain (37.2%) and neurological deficit (27.2%) were common signs/symptoms in those with HE. Meanwhile, in the group with HU, we most frequently found headache (42.0%), thoracic pain (41.2%) and dyspnea (34.3%). Among the forms of HE, we most frequently observed acute lung edema (30.7%), myocardial infarction/unstable angina (25.1%), and ischemic (22.9%) and hemorrhagic (14.8%) stroke. HC is a clinical entity associated with high morbidity in the emergency room. Individuals with HE are older and sedentary and have lower rates of antihypertensive treatment. Adequate control of BP should be pursued as a way to avoid this severe complication of hypertension.

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“…Studies on BP mean level or hypertension are less prone to such bias because: (i) BP elevations and hypertension are generally asymptomatic, and (ii) over 50% of individuals with high BP are unaware of their condition (216). Nevertheless, the healthy worker effect can occur in cross-sectional studies on hypertension and generally lead to an underestimation of the true effect (210).…”

Section: (Tables A-c)mentioning

confidence: 99%

Adverse effects of psychosocial work factors on blood pressure: systematic review of studies on demand–control–support and effort–reward imbalance models

Gilbert-Ouimet¹,

Trudel²,

Brisson³

et al. 2013

Scand J Work Environ Health

182

136

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This is the first systematic review and critical synthesis on the adverse effects of psychosocial work factors of the demand-control-support and effort-reward imbalance models on blood pressure. A more consistent effect has been observed among men than women and among studies of higher methodological quality. Evidence-based guidelines for cardiovascular diseases prevention may benefit from these findings.Affiliation: Population health research unit, St-Sacrement hospital,

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Prevalence, awareness, treatment and control of hypertension in healthy unrelated male–female pairs of European regions: the dietary habit profile in European communities with different risk of myocardial infarction – the impact of migration as a model of gene–environment interaction project

Cited by 51 publications

References 30 publications

Factors associated with prevalence, awareness, treatment and control of hypertension in urban adults from 33 communities in China: the CHPSNE Study

Factors associated with prevalence, awareness, treatment and control of hypertension in urban adults from 33 communities in China: the CHPSNE Study

Hypertensive crisis: clinical–epidemiological profile

Adverse effects of psychosocial work factors on blood pressure: systematic review of studies on demand–control–support and effort–reward imbalance models

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