Prevalence, Awareness, Treatment, and Control of Hypertension in China: Results From a National Survey
BACKGROUND Hypertension is one of the major risk factor for cardiovascular disease worldwide. The objective of this study was to investigate the prevalence, awareness, treatment, and control of hypertension in China. METHODS A multistage, stratified sampling method was used to obtain a representativ...
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| Vydáno v: | American journal of hypertension Ročník 27; číslo 11; s. 1355 - 1361 |
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| Hlavní autoři: | , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
United States
Oxford University Press
01.11.2014
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| Témata: | |
| ISSN: | 0895-7061, 1941-7225, 1941-7225 |
| On-line přístup: | Získat plný text |
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| Abstract | BACKGROUND
Hypertension is one of the major risk factor for cardiovascular disease worldwide. The objective of this study was to investigate the prevalence, awareness, treatment, and control of hypertension in China.
METHODS
A multistage, stratified sampling method was used to obtain a representative sample of persons aged 18 years or older in the general population of China. Blood pressure (BP) was measured by sphygmomanometer 3 times at 5-minute intervals. Hypertension was defined as a systolic BP ≥ 140mm Hg, or diastolic BP ≥ 90mm Hg, or self-reported use of antihypertensive medications in the last 2 weeks irrespective of the BP.
RESULTS
Altogether 50,171 subjects finished the survey across the entire country. The adjusted prevalence of hypertension was 29.6% (95% confidence interval (CI) = 28.9%-30.4%) and was higher among men than among women (31.2%, 95% CI = 30.1%-32.4%; vs. 28.0%, 95% CI = 27.0%-29.0%). The awareness, treatment among all hypertensive participants, control among all hypertensive participants, and control among treated hypertensive participants were 42.6%, 34.1%, 9.3%, and 27.4%, respectively. Multiple lifestyle factors were independently associated with presence of hypertension, including physical inactivity, habitual drinking, chronic use of nonsteroidal anti-inflammatory drugs, high body mass index, and central obesity.
CONCLUSIONS
Hypertension is an important public health burden in China, and control of hypertension is still suboptimal. Several modifiable lifestyle activities were associated with hypertension and thus should be considered potential targets for intervention, with special attention to socioeconomically disadvantaged subpopulations in China. |
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| AbstractList | BACKGROUND
Hypertension is one of the major risk factor for cardiovascular disease worldwide. The objective of this study was to investigate the prevalence, awareness, treatment, and control of hypertension in China.
METHODS
A multistage, stratified sampling method was used to obtain a representative sample of persons aged 18 years or older in the general population of China. Blood pressure (BP) was measured by sphygmomanometer 3 times at 5-minute intervals. Hypertension was defined as a systolic BP ≥ 140mm Hg, or diastolic BP ≥ 90mm Hg, or self-reported use of antihypertensive medications in the last 2 weeks irrespective of the BP.
RESULTS
Altogether 50,171 subjects finished the survey across the entire country. The adjusted prevalence of hypertension was 29.6% (95% confidence interval (CI) = 28.9%-30.4%) and was higher among men than among women (31.2%, 95% CI = 30.1%-32.4%; vs. 28.0%, 95% CI = 27.0%-29.0%). The awareness, treatment among all hypertensive participants, control among all hypertensive participants, and control among treated hypertensive participants were 42.6%, 34.1%, 9.3%, and 27.4%, respectively. Multiple lifestyle factors were independently associated with presence of hypertension, including physical inactivity, habitual drinking, chronic use of nonsteroidal anti-inflammatory drugs, high body mass index, and central obesity.
CONCLUSIONS
Hypertension is an important public health burden in China, and control of hypertension is still suboptimal. Several modifiable lifestyle activities were associated with hypertension and thus should be considered potential targets for intervention, with special attention to socioeconomically disadvantaged subpopulations in China. BACKGROUND Hypertension is one of the major risk factor for cardiovascular disease worldwide. The objective of this study was to investigate the prevalence, awareness, treatment, and control of hypertension in China. METHODS A multistage, stratified sampling method was used to obtain a representative sample of persons aged 18 years or older in the general population of China. Blood pressure (BP) was measured by sphygmomanometer 3 times at 5-minute intervals. Hypertension was defined as a systolic BP ≥ 140mm Hg, or diastolic BP ≥ 90mm Hg, or self-reported use of antihypertensive medications in the last 2 weeks irrespective of the BP. RESULTS Altogether 50,171 subjects finished the survey across the entire country. The adjusted prevalence of hypertension was 29.6% (95% confidence interval (CI) = 28.9%–30.4%) and was higher among men than among women (31.2%, 95% CI = 30.1%–32.4%; vs. 28.0%, 95% CI = 27.0%–29.0%). The awareness, treatment among all hypertensive participants, control among all hypertensive participants, and control among treated hypertensive participants were 42.6%, 34.1%, 9.3%, and 27.4%, respectively. Multiple lifestyle factors were independently associated with presence of hypertension, including physical inactivity, habitual drinking, chronic use of nonsteroidal anti-inflammatory drugs, high body mass index, and central obesity. CONCLUSIONS Hypertension is an important public health burden in China, and control of hypertension is still suboptimal. Several modifiable lifestyle activities were associated with hypertension and thus should be considered potential targets for intervention, with special attention to socioeconomically disadvantaged subpopulations in China. Hypertension is one of the major risk factor for cardiovascular disease worldwide. The objective of this study was to investigate the prevalence, awareness, treatment, and control of hypertension in China.BACKGROUNDHypertension is one of the major risk factor for cardiovascular disease worldwide. The objective of this study was to investigate the prevalence, awareness, treatment, and control of hypertension in China.A multistage, stratified sampling method was used to obtain a representative sample of persons aged 18 years or older in the general population of China. Blood pressure (BP) was measured by sphygmomanometer 3 times at 5-minute intervals. Hypertension was defined as a systolic BP ≥ 140mm Hg, or diastolic BP ≥ 90mm Hg, or self-reported use of antihypertensive medications in the last 2 weeks irrespective of the BP.METHODSA multistage, stratified sampling method was used to obtain a representative sample of persons aged 18 years or older in the general population of China. Blood pressure (BP) was measured by sphygmomanometer 3 times at 5-minute intervals. Hypertension was defined as a systolic BP ≥ 140mm Hg, or diastolic BP ≥ 90mm Hg, or self-reported use of antihypertensive medications in the last 2 weeks irrespective of the BP.Altogether 50,171 subjects finished the survey across the entire country. The adjusted prevalence of hypertension was 29.6% (95% confidence interval (CI) = 28.9%-30.4%) and was higher among men than among women (31.2%, 95% CI = 30.1%-32.4%; vs. 28.0%, 95% CI = 27.0%-29.0%). The awareness, treatment among all hypertensive participants, control among all hypertensive participants, and control among treated hypertensive participants were 42.6%, 34.1%, 9.3%, and 27.4%, respectively. Multiple lifestyle factors were independently associated with presence of hypertension, including physical inactivity, habitual drinking, chronic use of nonsteroidal anti-inflammatory drugs, high body mass index, and central obesity.RESULTSAltogether 50,171 subjects finished the survey across the entire country. The adjusted prevalence of hypertension was 29.6% (95% confidence interval (CI) = 28.9%-30.4%) and was higher among men than among women (31.2%, 95% CI = 30.1%-32.4%; vs. 28.0%, 95% CI = 27.0%-29.0%). The awareness, treatment among all hypertensive participants, control among all hypertensive participants, and control among treated hypertensive participants were 42.6%, 34.1%, 9.3%, and 27.4%, respectively. Multiple lifestyle factors were independently associated with presence of hypertension, including physical inactivity, habitual drinking, chronic use of nonsteroidal anti-inflammatory drugs, high body mass index, and central obesity.Hypertension is an important public health burden in China, and control of hypertension is still suboptimal. Several modifiable lifestyle activities were associated with hypertension and thus should be considered potential targets for intervention, with special attention to socioeconomically disadvantaged subpopulations in China.CONCLUSIONSHypertension is an important public health burden in China, and control of hypertension is still suboptimal. Several modifiable lifestyle activities were associated with hypertension and thus should be considered potential targets for intervention, with special attention to socioeconomically disadvantaged subpopulations in China. Hypertension is one of the major risk factor for cardiovascular disease worldwide. The objective of this study was to investigate the prevalence, awareness, treatment, and control of hypertension in China. A multistage, stratified sampling method was used to obtain a representative sample of persons aged 18 years or older in the general population of China. Blood pressure (BP) was measured by sphygmomanometer 3 times at 5-minute intervals. Hypertension was defined as a systolic BP ≥ 140mm Hg, or diastolic BP ≥ 90mm Hg, or self-reported use of antihypertensive medications in the last 2 weeks irrespective of the BP. Altogether 50,171 subjects finished the survey across the entire country. The adjusted prevalence of hypertension was 29.6% (95% confidence interval (CI) = 28.9%-30.4%) and was higher among men than among women (31.2%, 95% CI = 30.1%-32.4%; vs. 28.0%, 95% CI = 27.0%-29.0%). The awareness, treatment among all hypertensive participants, control among all hypertensive participants, and control among treated hypertensive participants were 42.6%, 34.1%, 9.3%, and 27.4%, respectively. Multiple lifestyle factors were independently associated with presence of hypertension, including physical inactivity, habitual drinking, chronic use of nonsteroidal anti-inflammatory drugs, high body mass index, and central obesity. Hypertension is an important public health burden in China, and control of hypertension is still suboptimal. Several modifiable lifestyle activities were associated with hypertension and thus should be considered potential targets for intervention, with special attention to socioeconomically disadvantaged subpopulations in China. |
| Author | Wang, Jinwei Zhang, Luxia Wang, Haiyan Wang, Fang Liu, Lisheng |
| Author_xml | – sequence: 1 givenname: Jinwei surname: Wang fullname: Wang, Jinwei organization: 1 Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China – sequence: 2 givenname: Luxia surname: Zhang fullname: Zhang, Luxia email: zhanglx@bjmu.edu.cn organization: 1 Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China – sequence: 3 givenname: Fang surname: Wang fullname: Wang, Fang organization: 1 Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China – sequence: 4 givenname: Lisheng surname: Liu fullname: Liu, Lisheng organization: 3 Beijing Hypertension League Institute, Beijing, China – sequence: 5 givenname: Haiyan surname: Wang fullname: Wang, Haiyan organization: 1 Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24698853$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1161/CIRCULATIONAHA.108.788166 10.1161/01.HYP.0000040263.94619.D5 10.1001/jama.2009.726 10.1016/S0140-6736(12)60278-5 10.1097/HJH.0b013e328334b39e 10.1038/ajh.2012.11 10.1001/archinte.168.7.713 10.1093/ajh/hpt111 10.1093/alcalc/agh018 10.1161/01.HYP.0000252676.46043.18 10.1016/S0140-6736(08)61366-5 10.1097/HJH.0b013e32833a38f2 10.1097/HCO.0b013e3283021c70 10.1097/HJH.0b013e328347f79e 10.1016/j.ijcard.2012.04.140 10.1097/00004872-200311000-00002 10.1093/alcalc/ags037 10.1016/S0140-6736(05)17741-1 10.1016/S0140-6736(09)61199-5 10.1016/S0140-6736(12)60033-6 10.1038/jhh.2012.56 10.1097/HJH.0b013e3283568158 |
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| Contributor | Zhang, Jian E Liu, Fu You Wang, Wen ke Liu, Bi Cheng Yu, Xue Qing Wang, Li Zhou, Xiao Ling Chen, Meng Hua Wang, Wei Ming Ma, Li Jie Liu, Hong Hu, Zhao Chen, Nan Chen, Wei Hong, Da Qing Chen, Jiang Hua Liu, Jian He, Qiang Pan, Ling Liao, Yun Hua |
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| Copyright | American Journal of Hypertension, Ltd 2014. All rights reserved. For Permissions, please email: journals.permissions@oup.com 2014 American Journal of Hypertension, Ltd 2014. All rights reserved. For Permissions, please email: journals.permissions@oup.com. American Journal of Hypertension, Ltd 2014. All rights reserved. For Permissions, please email: journals.permissions@oup.com |
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Hypertension is one of the major risk factor for cardiovascular disease worldwide. The objective of this study was to investigate the prevalence,... Hypertension is one of the major risk factor for cardiovascular disease worldwide. The objective of this study was to investigate the prevalence, awareness,... BACKGROUND Hypertension is one of the major risk factor for cardiovascular disease worldwide. The objective of this study was to investigate the prevalence,... |
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| SubjectTerms | Adolescent Adult Alcohol Antihypertensive Agents - therapeutic use Antihypertensives Asian Continental Ancestry Group - psychology Awareness Blood pressure Blood Pressure - drug effects Cardiovascular disease China - epidemiology Diabetes Epidemiology Family medical history Female Health Behavior - ethnology Health Care Surveys Health Knowledge, Attitudes, Practice - ethnology Health surveys Humans Hypertension Hypertension - diagnosis Hypertension - drug therapy Hypertension - ethnology Hypertension - physiopathology Hypertension - psychology Kidney diseases Life Style - ethnology Lifestyles Male Middle Aged Original Prevalence Public health Risk Factors Risk Reduction Behavior Rural areas Sex Distribution Sex Factors Treatment Outcome Young Adult |
| Title | Prevalence, Awareness, Treatment, and Control of Hypertension in China: Results From a National Survey |
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