May Measurement Month 2018: an analysis of blood pressure screening results from Italy

Author:

Torlasco Camilla12,Faini Andrea1,Ferri Claudio3,Grassi Guido42,Salvetti Massimo56,Destro Maurizio7,Cicero Arrigo F G8,Galletti Ferruccio910,Ghiadoni Lorenzo11,Carugo Stefano1213,Sarzani Riccardo1415,Minuz Pietro16,Morganti Alberto17,Mulatero Paolo18,Mulè Giuseppe19,Savoia Carmine20,Volpe Massimo2122,Borghi Claudio23,Beaney Thomas2425,Ster Anca Chis24,Poulter Neil R24,Xia Xin24,Parati Gianfranco12ORCID

Affiliation:

1. Department of Cardiovascular, Neural and Metabolic Sciences, Istituto Auxologico Italiano, IRCCS, San Luca Hospital, Piazzale Brescia 20, Milan 20149, Italy

2. Department of Medicine and Surgery, University of Milan-Bicocca, Piazza dell’Ateneo Nuovo 1, 20126 Milan, Italy

3. Department of Life, Health and Environmental Sciences, University of L’Aquila, piazza Santa Margherita 2, 67100, L’Aquila, Italy

4. Policlinico di Monza, Via Amati, 111 - 20900, Monza, Italy

5. Department of Clinical & Experimental Sciences and Postgraduate School of Emergency & Urgency Medicine, University of Brescia, Via Amati, 111 - 20900, Brescia, Italy

6. 2a Medicina-ASST Spedali Civili Brescia, Piazzale Spedali Civili, 1 25123, Brescia, Italy

7. Medical Science, ASST Bergamo Ovest, Piazzale Ospedale 1, 24047, Treviglio, Italy

8. Medical and Surgical Sciences Department, University of Bologna, Via Zamboni, 33, 40126, Bologna, Italy

9. Department of Clinical Medicine and Surgery, ESH Excellence Center of Hypertension, Naples, Via Pansini, 5 - 80131, Italy

10. “Federico II” University of Naples Medical School, Corso Umberto I 40, Naples, 80138, Italy

11. Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Lungarno Antonio Pacinotti, 43, 56121, Italy

12. Division of Cardiology, San Paolo University Hospital, Via Antonio di Rudinì, 8, 20142, Milan, Italy

13. Department of Health Sciences, University of Milan, ia Festa del Perdono, 7, 20122, Milan, Italy

14. Internal Medicine and Geriatrics, ‘Hypertension Excellence Centre’ of the European Society of Hypertension, IRCCS INRCA, Via Festa del Perdono, 7, 20122, Ancona, Italy

15. Department of Clinical and Molecular Sciences, University ‘Politecnica delle Marche’, ia Tronto, 10/a, 60126, Ancona, Italy

16. Department of Medicine, Unit of General Medicine for the Study and Treatment of Hypertensive Disease, Policlinico GB Rossi, University of Verona, Piazzale L.A. Scuro, 10, 37134, Verona, Italy

17. Centro Fisiologia Clinica e Ipertensione, Ospedale Policlinico, Università Milano, Via Francesco Sforza, 35, 20122, Milan, Italy

18. Division of Internal Medicine and Hypertension, Department of Medical Sciences, University of Torino, Via Giuseppe Verdi, 8, 10124, Torino, Italy

19. Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, Unit of Nephrology and Hypertension, European Society of Hypertension Excellence Centre, University of Palermo, Piazza Marina, 61, 90133, Palermo, Italy

20. Clinical and Molecular Medicine Department, Cardiology Unit Sant’Andrea Hospital, Sapienza University of Rome, Via di Grottarossa, 1035/1039, 00189, Via di Grottarossa, 1035/1039, 00189, Rome, Italy

21. Department of Clinical and Molecular Medicine, School of Medicine and Psychology, Sapienza University of Rome, 00189 Rome, Italy

22. IRCCS Neuromed, 86077 Pozzilli (Isernia), Italy

23. Department of Medical and Surgical Sciences, Faculty of Medicine, University of Bologna, Via Zamboni, 33, 40126, Bologna, Italy

24. Imperial Clinical Trials Unit, Imperial College London, Stadium House, 68 Wood Lane, London W12 7RH, UK

25. Department of Primary Care and Public Health, Imperial College London, St Dunstan’s Road, London W6 8RP, UK

Abstract

Abstract Cardiovascular (CV) diseases are burdened by high mortality and morbidity, being responsible for half of the deaths in Europe. Although hypertension is recognized as the most important CV risk factor, hypertension awareness and blood pressure (BP) control are still unsatisfactory. In 2017, 30.6% of a >10 000 individual sample who took part in the May Measurement Month (MMM) campaign in Italy was found to have high BP. To raise awareness on the hypertension issue and to report BP data on a nation-wide scale in Italy. In the frame of the MMM campaign, an opportunistic cross-sectional survey of volunteers aged ≥18 was carried out in May 2018. Blood pressure measurement, the definition of hypertension and statistical analysis followed the standard MMM protocol. Screenings were conducted in multiple sites by health care personnel. Among the 5554 people screened (females: 48.3%, mean age 58 ± 17 years) mean BP was 127/77 mmHg, and after imputations, 1462 (26.3%) participants were found to have high BP levels. Body mass index >25 was associated with higher systolic BP and diastolic BP (DBP), while diabetes was associated with high DBP only. Our data provide a nation-wide snapshot of BP control in a sample of individuals participating in a national health care campaign, and confirm the power of this kind of healthcare-related activities in reaching a significant number of people to raise awareness on health topics. The apparent positive trend in BP control compared to available data from other similar campaigns carried out during the past years needs to be confirmed with more methodologically robust studies.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine

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