Monitoring an open population of the middle-organized Siberian city: fifteen-years trends of arterial hypertension in men

Abstract

Arterial hypertension remains one of the most common diseases in the developed countries of the world, while there is a tendency to increase the frequency of arterial hypertension as the level of urbanization increases. According to epidemiological studies in the Siberian region at the end of the last century, an unfavorable epidemiological situation regarding the prevalence of hypertension among people of economically desirable age was revealed both in men of organized populations employed in the oil and gas complex of the Far North region and in open urban populations of varying degrees of urbanization. The aim of the study was to determine the dynamics of the levels and prevalence of arterial hypertension in men of working age over a 15-year period of monitoring the open population of the mid-urban city of Western Siberia. Material and methods. Two simultaneous epidemiological studies were conducted among men aged 25–64 over four decades of life in the Central Administrative District of Tyumen in 1996 and 2010. The screening participant was informed about the history of high blood pressure and taking antihypertensive drugs for two weeks before the examination was taken into account. AH was recorded at systolic blood pressure levels of 140 mm Hg. Art. and / or diastolic blood pressure ≥ 90 mm RT. Art. Results. According to the 15-year monitoring of men in the open population of the mid-urbanized city of Western Siberia, a positive trend was identified for a decrease in the prevalence of hypertension due to the age category of 25–34 years. A decrease in the prevalence of hypertension in young men over a 15-year period of the population monitoring was established in connection with the positive dynamics of a decrease in systolic blood pressure levels in the age category of 25–34 years. Conclusion. The results of this work can serve as a basis and starting point for the development of a comprehensive preventive program in the open population of Tyumen, the effectiveness of which largely depends on an objective assessment of the motion vector of the epidemiological situation with respect to the main risk factors for cardiovascular diseases in various age categories.