Trends in blood pressure levels, prevalence, awareness, treatment, and control of hypertension in the Czech population from 1985 to 2000/01

Cífková, Renata; S̆kodová, Z; Lánská, Věra; Adámková, Věra; Novozámská, Eva; Petrzílková, Z; Jozífová, Marie; Plášková, M.; Hejl, Z; Palouš, D.; Galovcová, Markéta

doi:10.1097/01.hjh.0000133737.77866.3e

Cited by 51 publications

(14 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar favorable trends have been reported in other, yet scarce, longitudinal reports on hypertension awareness [5], [12], [31]–[33]. In the last period (2004–2009), about 25% of the participants were unaware of having hypertension.…”

Section: Discussionsupporting

confidence: 87%

1999–2009 Trends in Prevalence, Unawareness, Treatment and Control of Hypertension in Geneva, Switzerland

et al. 2012

View full text Add to dashboard Cite

BackgroundThere are no time trends in prevalence, unawareness, treatment, and control of hypertension in Switzerland. The objective of this study was to analyze these trends and to determine the associated factors.Methods/FindingsPopulation-based study conducted in the Canton of Geneva, Switzerland, between 1999 and 2009. Blood pressure was measured thrice using a standard protocol. Hypertension was defined as mean systolic or diastolic blood pressure ≥140/90 mmHg or self-reported hypertension or anti-hypertensive medication. Unawareness, untreated and uncontrolled hypertension was determined by questionnaires/blood pressure measurements. Yearly age-standardized prevalences and adjusted associations for the 1999–2003 and 2004–2009 survey periods were reported. The 10-year survey included 9,215 participants aged 35 to 74 years. Hypertension remained stable (34.4%). Hypertension unawareness decreased from 35.9% to 17.7% (P<0.001). The decrease in hypertension unawareness was not paralleled by a concomitant absolute increase in hypertension treatment, which remained low (38.2%). A larger proportion of all hypertensive participants were aware but not treated in 2004–2009 (43.7%) compared to 1999–2003 (33.1%). Uncontrolled hypertension improved from 62.2% to 40.6% between 1999 and 2009 (P = 0.02). In 1999–2003 period, factors associated with hypertension unawareness were current smoking (OR = 1.27, 95%CI, 1.02–1.59), male gender (OR = 1.56, 1.27–1.92), hypercholesterolemia (OR = 1.31, 1.20–1.44), and older age (OR 65–74yrs vs 35–49yrs = 1.56, 1.21–2.02). In 1999–2003 and 2004–2009, obesity and diabetes were negatively associated with hypertension unawareness, high education was associated with untreated hypertension (OR = 1.45, 1.12–1.88 and 1.42, 1.02–1.99, respectively), and male gender with uncontrolled hypertension (OR = 1.49, 1.03–2.17 and 1.65, 1.08–2.50, respectively). Sedentarity was associated with higher risk of hypertension and uncontrolled hypertension in 1999–2003.ConclusionsHypertension prevalence remained stable since 1999 in the canton of Geneva. Although hypertension unawareness substantially decreased, more than half of hypertensive subjects still remained untreated or uncontrolled in 2004–2009. This study identified determinants that should guide interventions aimed at improving hypertension treatment and control.

show abstract

Section: Discussionsupporting

confidence: 87%

1999–2009 Trends in Prevalence, Unawareness, Treatment and Control of Hypertension in Geneva, Switzerland

et al. 2012

View full text Add to dashboard Cite

show abstract

“…It has been suggested that arterial hypertension is common in PHPT, and our date confirm, this hypothesis. The 69.8% prevalence of hypertension between patients with PHPT is higher as compared with 47% prevalance of hypertension in general population in Czech Republic [11] and also from our sex, age, BMI control group (48%). The mean age of all our patients with PHPT at the time of diagnosis is 58.8 years which is almost the same like in general population (60 years) where prevalence of hypertension is 47% [14].…”

Section: Discussionmentioning

confidence: 74%

“…All patients of the control group have been normocalcemic and with normal iPTH. For comparison also were used published data on the population prevalence awareness and control of hypertension in the Czech population from 1985 to 2001 [11]. …”

Section: Methodsmentioning

confidence: 99%

Improvement of Hypertension after Parathyroidectomy of Patients Suffering from Primary Hyperparathyroidism

Broulík

Broulíková²,

Adámek³

et al. 2011

International Journal of Endocrinology

View full text Add to dashboard Cite

Background. Primary hyperparathyroidism (PHPT) is one of the most common endocrine conditions and is accompanied by hypertension and increased cardiovascular mortality. The purpose of this study was to evaluate the effect of parathyroidectomy on systolic and diastolic blood pressure (BP) in hypertensive patients with PHPT and whether hypertension occurs more frequently in PHPT than in control group. Methods. A total of 1020 patients with proved PHPT who underwent surgery were compared with with 1020 age, sex, BMI, and smoking status matched controls. We evaluated changes in serum calcium, parathyroid hormone (PTH), uric acid, and BP before and 6 months after surgery. Results. Parathyroidectomy corrected PHPT and resulted in a substantial fall in both mean systolic (150 ± 3.8 to 138 ± 3.6 mmHg) and mean diastolic pressures (97 ± 3 to 88 ± 2.8 mmHg) of the hypertensive subjects; P < .01. In these patients, PTH, calcium, and uric acid normalized. 726 patients from 1020 with PHPT (69.8%) were found to be hypertensive whilst only 489 (47.8%) from 1020 of our control group. Conclusion. Parathyroidectomy in hypertensive patients reduces systolic and diastolic BP. PHPT is accompanied by a variety of metabolic complications, which are a risk factor for hypertension, and parathyroidectomy can improve these metabolic complications.

show abstract

“…In contrast, in Turkey, hypertension was more prevalent in women despite no urban-rural difference in hypertension prevalence for every age group [39]. In a Czech rural population, Cifkova et al [40] reported on significantly higher prevalence in men than in women due to greater prevalence of obesity among men. Pimenta et al [41] reported higher prevalence of hypertension among men than women in a rural area in Brazil despite women being more obese.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Treatment and Control of Hypertension in a Croatian Endemic Nephropathy Area

Dika

Juras

Kos

et al. 2012

Kidney Blood Press Res

View full text Add to dashboard Cite

Background: Hypertension is not considered to be a characteristic of endemic nephropathy (EN). Recent observations suggested that it might be more prevalent than it was reported before. Aim: The aim of our study was to analyze prevalence, treatment and control of hypertension in a Croatian endemic area. Methods: In the present cross-sectional study, 1,602 farmers were enrolled, 1,246 from EN and 356 from control villages. Epidemiological and medical histories were taken and clinical and laboratory examinations performed for kidney function. Blood pressure was measured following the ESH/ESC guidelines. Results: The prevalence of hypertension in EN villages was higher than in control (50.8 vs. 46.5%, p = 0.005). There was no difference in overall treatment, control of all and treated hypertensives between the villages. In all villages, women were treated more than men (EN 41.6 vs. 28.4%, p < 0.001; control 46.4 vs. 27.3%, p < 0.001), but better control of treated was achieved in men (EN 24.7 vs. 17.4%, p = 0.002; control 29.6 vs. 15.5%, p = 0.002). Women had lower income and level of education than men (p < 0.01). Conclusion: Hypertension is highly prevalent in endemic villages. In all villages, men had better blood pressure control despite being treated less. This finding could be explained by poorer education and income in women.

show abstract

Trends in blood pressure levels, prevalence, awareness, treatment, and control of hypertension in the Czech population from 1985 to 2000/01

Cited by 51 publications

References 31 publications

1999–2009 Trends in Prevalence, Unawareness, Treatment and Control of Hypertension in Geneva, Switzerland

1999–2009 Trends in Prevalence, Unawareness, Treatment and Control of Hypertension in Geneva, Switzerland

Improvement of Hypertension after Parathyroidectomy of Patients Suffering from Primary Hyperparathyroidism

Prevalence, Treatment and Control of Hypertension in a Croatian Endemic Nephropathy Area

Contact Info

Product

Resources

About