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

Author:

Chen Xin1,Li Yan2,Hu Zhe1,Liu Min3,Yu Jing4,Wang Hong-Yu5,Xu Li-Ying6,Zhou Bi-Rong7,Yu Wei8,Li Li9,Tang Guo-Bao10,Beaney Thomas1112,Ster Anca Chis11,Poulter Neil R11,Wang Ji-Guang12ORCID

Affiliation:

1. Department of Hypertension, Ruijin Hospital North, Shanghai Jiaotong University School of Medicine, Xiwang Road 999, Shanghai 201801, China

2. The Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Ruijin 2nd Road 197, Shanghai 200025, China

3. Department of Hypertension, Henan Provincial People’s Hospital, Weiwu Road 7, Zhengzhou 450003, Henan Province, China

4. Department of Cardiology, Lanzhou University Second Hospital, Cuiyingmen 82, Lanzhou 730030, Gansu Province, China

5. Department of Cardiology, Second Hospital of Shanxi Medical University, Wuyi Road 382, Taiyuan 030001, Shanxi Province, China

6. Department of Cardiology, Fourth People’s Hospital of Datong, Gongnong Road 16, Datong 037008, Shanxi Province, China

7. Department of Cardiology, The First Affiliated Hospital of Anhui Medical University, Jixi Road 218, Hefei 230022, Anhui Province, China

8. Department of Cardiology, Zhejiang Hospital, Lingyin Road 12, Hangzhou 310013, Zhejiang Province, China

9. Department of Cardiology, The Second Affiliated Hospital of Zhengzhou University, Jingba Road 2, Zhengzhou 450014, Henan Province, China

10. Department of Cardiology, The First Affiliated Hospital of Xiamen University, Zhenhai Road 55, Xiamen 361003, Fujian Province, China

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

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

Abstract

Abstract To further improve awareness, treatment, and control of hypertension, the May Measurement Month (MMM) campaign continued in 2018 in China. Study subjects were adults aged 18 years or more, ideally those who had not their blood pressure (BP) measured for at least a year. Blood pressure was measured three times consecutively with a 1-min interval in the sitting position, using automated BP monitors in 288 342 participants and transmitted to a central database by a smartphone app. Questionnaire data were collected with the same app. After imputation, the overall proportion of hypertension was 29.8%. Of those with hypertension, the rates of awareness, treatment, and control were 62.3%, 57.3%, and 35.9%, respectively. In analysis based on linear regression models, both systolic and diastolic BP were higher with cigarette smoking, alcohol intake, and overweight and obesity. Our study results suggest that hypertension management is improving in comparison with the data in MMM 2017 and the nationwide survey in 2012–15, and several known lifestyle factors are key to hypertension management.

Funder

National Natural Science Foundation of China

China and the Shanghai Commissions of Science and Technology

Health and Family Planning

Shanghai Zhizhong Technology

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine

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