Key result
Opportunistic screening in Italy identifies arterial hypertension in ~31% of individuals, with low overall control.
Why the study?
Hypertension awareness and blood pressure control remain unsatisfactory, motivating efforts to raise public awareness and collect blood pressure data on a nationwide scale in Italy.
Cross-Sectional (n=10,182)
Yes
A nationwide opportunistic screening campaign revealed a high prevalence of hypertension (31.1%) in the Italian population alongside strikingly low rates of overall blood pressure control (7.4%).
Answers are grounded in this paper and cite their sources.
May warrant expanded screening in Italy; leaves open whether awareness campaigns improve control rates.
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 and 2018, respectively >10 000 and >5000 individuals took part in the May Measurement Month (MMM) campaign in Italy, of whom 30.6% and 26.3% were found to have high BP, respectively. To raise public awareness on the importance of hypertension and to collect 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 years was carried out in May 2019. BP measurement, the definition of hypertension, and statistical analysis followed the standard MMM protocol. Screening was conducted in multiple sites by health personnel. Among the 10 182 people screened (females: 52.3%, mean age 58 ± 16years) mean BP was 127/78 mmHg, and 3171 (31.1%) participants had arterial hypertension, of whom 62.1% were aware of being hypertensive. Diabetes, body mass index >25 kg/m2 were associated with higher BP and previous myocardial infarction with lower BP. For the third consecutive year we collected a nation-wide snapshot of BP control in a large sample of individuals. The high participation, with some yearly fluctuations likely due to the limitations of the sampling technique, confirms the power of this kind of health campaign in reaching a significant number of people to raise awareness on health topics.
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Torlasco et al. (2021) conducted a cross-sectional in Hypertension (n=10,182). Opportunistic blood pressure screening was evaluated on Arterial hypertension prevalence. Among 10,182 screened individuals in Italy, 31.1% had arterial hypertension, of whom 62.1% were aware of their condition and only 7.4% overall had controlled blood pressure.
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