Why the study?
Elevated blood pressure causes over 10 million deaths yearly, motivating May Measurement Month to raise awareness of hypertension and the need for blood pressure screening.
What is the prevalence of hypertension and rate of uncontrolled blood pressure among volunteers in Poland?
What is the prevalence of hypertension and rate of uncontrolled blood pressure among volunteers in Poland?
Opportunistic screening in Poland revealed that over one-third of participants were hypertensive and nearly half of treated patients had uncontrolled blood pressure.
High uncontrolled BP rates among treated Polish volunteers highlight screening gaps; leaves open whether targeted interventions improve outcomes.
Elevated blood pressure (BP) is a worldwide burden, leading to over 10 million deaths yearly. May Measurement Month (MMM) is a global initiative organized by the International Society of Hypertension aimed at raising awareness of hypertension and the need for BP screening. An opportunistic cross-sectional survey of volunteers aged ≥18 was carried out in May 2017. BP measurement, the definition of hypertension and statistical analysis followed the globally approved MMM17 Study Protocol. In Poland 5834 (98.9%, Caucasian) individuals were screened. After multiple imputation, 2601 (35.3%) had hypertension. Of individuals not receiving anti-hypertensive medication, 976 (20.6%) were hypertensive. Of individuals receiving anti-hypertensive medication, 532 (49.1%) had uncontrolled BP. In the crude screened group, 81.4% declared to not receive any anti-hypertensive treatment, while the remaining 18.6% were on such medications. In overweight and obese patients both systolic and diastolic BP were significantly higher than in normal weight and underweight subjects. In addition, BP measured on Sundays was significantly lower than on Mondays. MMM17 was one of the largest recent BP screening campaigns in Poland. We found that over 1/3 of participants were hypertensive. Almost half of the treated subjects had uncontrolled BP. These results suggest that opportunistic screening can identify substantial numbers with raised BP.
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Małyszko et al. (2019) studied this question.
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