May Measurement Month 2019: an analysis of blood pressure screening results from Pakistan-South Asia

Abstract High blood pressure (BP) is well recognized as a huge health problem worldwide and is often described as a silent killer. To develop awareness and screening of this health issue globally, the International Society of Hypertension created ‘May Measurement Month (MMM)’ a campaign to provide BP screening and advice to interested participants. This screening and awareness campaign in Pakistan is a continuation of the efforts of the first MMM programme in Pakistan in 2017. This study was conducted in May and June 2019. This public based cross-sectional study included and screened 6919 individuals of either gender and aged ≥18 years, after informed consent. Information about prior diagnosis and treatment of hypertension with history about comorbidities and life-style were taken by a standard pre-designed form. Participants also asked about previous participation in MMM 2017/18. Arterial BP was measured using the OMRON digital BP apparatus and three successive readings were taken. Hypertension was defined as a systolic BP ≥140 mmHg or a diastolic BP ≥90 mmHg or taking antihypertensives. Participants had a mean age of 45.8 years and 47.1% had never had their BP checked. Of all those screened, 3601 (52.1%) participants had hypertension, of whom 56.2% were aware of their diagnosis, 49.5% were on antihypertensive medication and 19.8% had controlled BP (<140/90 mmHg). Of the 1783 participants on antihypertensive medication, 40.0% had controlled BP. In Pakistan, there are still low levels of awareness, counselling and screening about high BP. Further large-scale studies are required in this region to evaluate these problems and link them with potential solutions.

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Low Levels of Usual Physical Activity Are Associated with Higher 24 h Blood Pressure in Type 2 Diabetes Mellitus in a Cross-Sectional Study

Journal of Diabetes Research ◽

10.1155/2017/6232674 ◽

2017 ◽

Vol 2017 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Alessandra Teixeira Neto Zucatti ◽

Tatiana Pedroso de Paula ◽

Luciana Verçoza Viana ◽

Rafael DallAgnol ◽

Felipe Vogt Cureau ◽

...

Keyword(s):

Physical Activity ◽

Diabetes Mellitus ◽

Blood Pressure ◽

Type 2 Diabetes ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Type 2 Dm ◽

Low Levels

The aim of this study is to evaluate the association between usual physical activity and 24 h blood pressure (BP) profile in people with type 2 diabetes mellitus (DM). This is a cross-sectional study of 151 participants with type 2 DM. Usual physical activity was assessed by step counting and self-reported questionnaire. BP was measured in office and by 24 h ambulatory BP monitoring (ABPM; 24 h, daytime and nighttime). Mean participant age was 61.1 ± 8.4 years, 64% was women, and mean duration of diabetes was 14.3 ± 8.5 years. Ninety-two percent of participants had hypertension, and office BP was 138 ± 18/78 ± 10 mmHg. Inverse correlations were observed between step count and 24 h BP (systolic, r=−0.186; p=0.022), daytime BP (systolic, r=−0.198; p=0.015), and nighttime BP (pulse pressure, r=−0.190; p=0.019). People were categorized into tertiles of daily step count, and the 1st tertile had higher 24 h systolic BP, daytime systolic BP, daytime mean BP, and daytime systolic BP load than those in the other tertiles, even after adjusting for age and HbA1c. Participants with type 2 DM and low levels of physical activity exhibit higher 24 h and daytime systolic ambulatory BP values as compared with those who performed more steps per day, even after adjustments for confounding factors.

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Changes in Blood Pressure Levels and Antihypertensive Medication Use before and after Renal Transplantation among Patients in Nairobi, Kenya: A Comparative Cross-Sectional Study

International Journal of Hypertension ◽

10.1155/2016/8450596 ◽

2016 ◽

Vol 2016 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Mary N. Kubo ◽

Joshua K. Kayima ◽

Anthony J. Were ◽

Mohammed S. Ezzi ◽

Seth O. McLigeyo ◽

...

Keyword(s):

Blood Pressure ◽

Renal Transplantation ◽

Antihypertensive Medication ◽

Medication Use ◽

Cross Sectional Study ◽

Renal Transplant Recipients ◽

Sectional Study ◽

Antihypertensive Medications ◽

Cross Sectional ◽

Before And After

Objectives.To determine the changes in blood pressure levels and antihypertensive medication use in the postrenal transplantation period compared to pretransplantation one.Methods. A comparative cross-sectional study was carried out on renal transplant recipients at the Kenyatta National Hospital, a national referral hospital in Kenya. Sociodemographic details, blood pressure levels, and antihypertensive medication use before and after renal transplantation were noted. Changes in mean blood pressure levels and mean number of antihypertensive medications after renal transplantation were determined using pairedt-test.Results. 85 subjects were evaluated. Mean age was 42.4 (SD ± 12.2) years, with a male : female ratio of 1.9 : 1. Compared to the pretransplant period, significantly lower mean systolic and diastolic blood pressure levels after transplantation were noted (mean SBP 144.5 mmHg versus 131.8 mmHg; mean DBP 103.6 mmHg versus 83.5 mmHg in the pre- and posttransplant periods, respectively,p<0.001). Mean number of antihypertensive medications also reduced significantly after transplantation, with an average of 3.3 (±1.6) versus 2.1 (±0.9) in the pre- and posttransplant periods, respectively (p<0.001).Conclusion. There is a significant reduction in blood pressure levels and number of antihypertensive medications used after renal transplantation. The positive impact of renal transplantation on blood pressure control should be confirmed using prospective cohort studies of patients with end stage renal disease who then undergo renal transplantation.

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GAMBARAN TEKANAN DARAH PADA PEMAIN MUSIK DI SEKOLAH MUSIK TOMS YAMAHA MUSIC SCHOOL MANADO

Jurnal e-Biomedik ◽

10.35790/ebm.1.3.2013.3264 ◽

2013 ◽

Vol 1 (3) ◽

Author(s):

Hermin Garusim ◽

Joice N. A Engka ◽

Siantan Supit

Keyword(s):

Blood Pressure ◽

Informed Consent ◽

Mild Hypertension ◽

Musical Instrument ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Music School ◽

Before And After ◽

Music Player

Abstract: Blood pressureand pulse rateis very important in the health sectorin general, and particularly in the field of medicine, since the blood pressure and pulse rateis a factor that can be used as an indicator to assessa person's cardiovascular system. Blood pressure is the force used by the blood against the walls of blood vessels (arteries). Blood pressure is a vital sign in the human body. Numerous studies have shown an relationship between changes of blood pressure with pounding music that are to heard or playing a musical instrument. Physiologically increases and decreasesin blood pressurecan becaused bya particulargenre. As well as the increase and decrease in blood pressure both before and after playing music in fluenced by physical activity while playing certain musical instruments. For example, a drum player, his blood pressure willincrease two-fold in time afterplayingthe music, and theviolin decreased time after playing music. The purpose of this study, was to determine what kind of instrument music that can increase and decrease blood pressure. The type of research is observational with cross sectional study. The variable in this study is a music player and high blood pressure. The subjects was students in the school musical TOM's Yamaha Music School as many as 40 people who have met the criteria for inclusion are aged 10-35 years consisted of men and women, physically and mentally healthy, not suffering from hypertension and signed the informed consent. Measurement of blood pressure used tensimeter aneroid ABN spectrum and Littmann stethoscope. Before playing the music, the averages blood pressure with result that optimal is 106/74mmHg, the averages blood pressure with result that normal is 121/80mmHg, the averages blood pressure with result that high normal is 130/90mmHg, and the averages blood pressure with result that mild hypertension is 140/92mmHg. Based on this research, it was found there are difference in a blood pressure before and after playing music. The normal blood pressure before playing music and will increase or decrease in time after playing the music.Key words: Blood pressure, MusicAbstrak: Tekanan darah dan denyut nadi merupakan hal yang sangat penting dalam bidang kesehatan pada umumnya dan khususnya di bidang Kedokteran, karena tekanan darah maupun denyut nadi merupakan faktor yang dapat dipakai sebagai indikator untuk menilai sistem kardiovaskuler seseorang. Tekanan darah adalah tenaga yang di gunakan oleh darah terhadap diding pembuluh darah (arteri). Tekanan darah merupakan salah satu tanda vital di dalam tubuh manusia. Sejumlah penelitian menunjukkan adanya keterkaitan antara perubahan tekanan darah dengan dentuman musik baik yang hanya didengarkan maupun pada saat memainkan alat musik. Secara fisiologis peningkatan dan penurunan tekanan darah dapat diakibatkan oleh aliran musik tertentu. Serta Peningkatan dan penurunan tekanan darah pada saat sebelum dan sesudah bermain musik dipengaruhi oleh aktifitas fisik saat memainkan alat musik tertentu. Misalnya pemain musik drum, tekanan darahnya akan meningkat dua kali lipat pada saat sesudah bermain musik, dan violin (biola) menurun saat sesudah bermain musik.Tujuan dari penelitian ini adalah untuk mengetahui jenis alat musik apa yang dapat meningkatkan dan menurunkan tekanan darah. Adapun jenis penelitian ini adalah observasional dengan rancangan cross sectional study. Adapun variable pada penelitian ini adalah pemain musik dan tekanan darah. Subjek penelitian ini adalah siswa – siswi di sekolah musik TOM’s Yamaha Music school yaitu sebanyak 40 orang yang telah memenuhi criteria inklusi yaitu berumur 10-35 tahun terdiri atas pria dan wanita, sehat jasmani dan rohani, tidak menderita hipertensi dan menandatangani informed consent. Pengukuran tekanan darah menggunakan tensimeter aneroid ABN spectrum dan stetoskop Littman. Sebelum bermain musik hasil didapatkan tekanan darah optimal dengan rata – rata tekanan darah 106/74mmHg, tekanan darah normal dengan rata – rata 121/80mmHg, tekanan darah normal tinggi 130/90mmHg, dan tekanan darah dengan hipertensi ringan rata – rata 140/92mmHg. Berdasarkan penelitian yang telah dilakukan, didapatkan adanya perbedaan tekanan darah yang dilakukan saat sebelum dan sesudah bermain musik. Tekanan darah normal pada saat sebelum bermain musik dan akan meningkat atau menurun pada saat sesudah bermain musik.Kata Kunci : tekanan darah, musik

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Prevalence of hyperuricaemia in an Eastern Chinese population: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2019-035614 ◽

2020 ◽

Vol 10 (5) ◽

pp. e035614 ◽

Cited By ~ 1

Author(s):

Bing Han ◽

Ningjian Wang ◽

Yi Chen ◽

Qin Li ◽

Chunfang Zhu ◽

...

Keyword(s):

Blood Pressure ◽

Chinese Population ◽

Large Scale ◽

Eastern China ◽

High Body Mass Index ◽

Cross Sectional Study ◽

Public Health Issue ◽

Sectional Study ◽

Cross Sectional ◽

Men And Women

ObjectivesIn the past decade, China has been characterised by large-scale urbanisation as well as rapid economic growth. The aim of this study was to further investigate the prevalence of hyperuricaemia (HUA) in an Eastern Chinese population.DesignCross-sectional study.SettingSurvey of Prevalence in East China of Metabolic Diseases and Risk Factors China study.ParticipantsIn this study, 12 770 residents from 22 sites in Eastern China were recruited. Finally, 9225 subjects were included.Main outcome measuresThe serum levels of uric acid (UA), fasting plasma glucose (FPG), glycated haemoglobin and other metabolic parameters were tested. Waist circumference, weight, height and blood pressure were also measured. Questionnaires regarding smoking, drinking, education were collected from the subjects. HUA was defined as serum UA >420 µmol/L for men and >360 µmol/L for women.ResultsThe prevalence of HUA in this Eastern Chinese population was 11.3% (9.9, 12.7) overall, 20.7% (17.7, 23.7) in men and 5.6% (4.3, 6.7) in women. The prevalence of HUA in urban subjects was higher than that in rural subjects (12.9 vs 10.8%, p<0.01). The prevalence of HUA was negatively and positively associated with age in men and women, respectively. Residents with high body mass index levels had a higher prevalence of HUA. In the logistic regression analysis, male sex, urban residency, total cholesterol, triglyceride, overweight, obesity, systolic blood pressure and low economic status were independently correlated with HUA.ConclusionsThe estimated prevalence of HUA in this Eastern Chinese population was 11.3% (9.9, 12.7) overall and 20.7% (17.7, 23.7) and 5.6% (4.3, 6.7) in men and women, respectively. HUA has gradually become an important public health issue in China.Trial registration numberChiCTR-ECS-14005052.

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GAMBARAN KELUHAN DI RONGGA MULUT PADA PENGGUNA OBAT ANTIHIPERTENSI DI POLIKLINIK PENYAKIT DALAM RUMAH SAKIT TINGKAT III ROBERT WOLTER MONGISIDI MANADO

e-GIGI ◽

10.35790/eg.3.2.2015.8761 ◽

2015 ◽

Vol 3 (2) ◽

Author(s):

Priscilia G. J. Tambuwun ◽

Pieter L. Suling ◽

Christy N. Mintjelungan

Keyword(s):

Blood Pressure ◽

Side Effects ◽

Oral Cavity ◽

Antihypertensive Agent ◽

Antihypertensive Agents ◽

Cross Sectional Study ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Treatment Of Hypertension

Abstract: Hypertension is a condition with an increased blood pressure above normal. Treatment of hypertension is proved to be very effective and widely available but some side effects inter alia in the oral cavity cannot be avoided. This study aimed to obtain the oral complaints of hypertensive outpatients at the Internal Department of Robert Wolter Mongisidi Hospital Manado. This was a descriptive cross sectional study. The results showed that of the 30 respondents there were more females (60%) than males (40%). The most frequent age group was 56-60 years (20% males and 26,6% females), and the most frequent antihypertensive agent was amlodipine (80%). The oral complaints were as follows: xerostomia (80%), swollen gums (16,67%), and stomatitis aphtous recurrent (3,33%).Keywords: hypertension, antihypertensive agents, oral complaints.Abstrak: Hipertensi adalah suatu keadaan dimana terjadi peningkatan tekanan darah di atas normal. Pengobatan hipertensi terbukti sangat efektif dan tersedia luas, namun beberapa efek samping akibat penggunaan obat hipertensi antara lain pada rongga mulut tidak dapat dihindari. Penelitian ini bertujuan untuk mengetahui gambaran keluhan di rongga mulut pengguna obat antihipertensi rawat jalan di Poliklinik Penyakit Dalam Rumah Sakit Tingkat III Robert Wolter Mongisidi Manado. Penelitian ini bersifat deskriptif dengan dessain potong lintang. Responden penelitian berjumlah 30 orang. Hasil penelitian memperlihatkan jenis kelamin perempuan (60%) lebih banyak dari laki-laki (40%); usia responden terbanyak 56-60 tahun (46,67%); dan obat antihipertensi yang tersering digunakan ialah amlodipine (80%). Keluhan rongga mulut yang dialami responden ialah xerostomia (80%), gingiva bengkak (16,7%), dan sariawan (3,3%).Kata kunci: hipertensi, obat antihipertensi, keluhan rongga mulut

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Association between G-protein β3 subunit gene and isolated systolic blood pressure elevation of greater than 130 mmHg: A large-scale cross-sectional study in the Japanese population

World Journal of Hypertension ◽

10.5494/wjh.v7.i2.24 ◽

2017 ◽

Vol 7 (2) ◽

pp. 24

Author(s):

Masahiko Eto ◽

Taro Takeshima ◽

Masanori Harada ◽

Shinji Fujiwara ◽

Maki Kumada ◽

...

Keyword(s):

Blood Pressure ◽

Systolic Blood Pressure ◽

G Protein ◽

Japanese Population ◽

Large Scale ◽

Cross Sectional Study ◽

Sectional Study ◽

Subunit Gene ◽

Cross Sectional ◽

Blood Pressure Elevation

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May Measurement Month 2019: an analysis of blood pressure screening results from Jamaica

European Heart Journal Supplements ◽

10.1093/eurheartj/suab036 ◽

2021 ◽

Vol 23 (Supplement_B) ◽

pp. B82-B85

Author(s):

Magdalene Nwokocha ◽

Thomas Beaney ◽

Cheryl Holder ◽

Karen Thaxter Nesbeth ◽

Natalie Whylie ◽

...

Keyword(s):

Blood Pressure ◽

Antihypertensive Medication ◽

Population Based ◽

Cross Sectional Study ◽

High Rate ◽

Community Based ◽

Awareness Campaign ◽

Cross Sectional ◽

Previous Pregnancy ◽

Pregnancy Hypertension

Abstract There is evidence of an elevated risk of hypertension in populations that are primarily of African origin. Hypertension is predominantly asymptomatic, necessitating increased awareness. May Measurement Month was a descriptive, population-based, cross-sectional study of blood pressure (BP) screening and awareness campaign conducted in 2019 in a sample of 2550 participants (≥18 years) in Jamaica. In total, 1791 (70.2%) of the participants were female, 756 (29.6%) were male, with an average age of 49.3 years, and a body mass index (kg/m2) of 28.5 (6.2). Of all participants, 2289 (89.8%) were black and 154 (6.0%) were of mixed races. Twenty-two (0.9%) had never had their BP measured, whereas 354 (13.9%) had their measurements more than a year ago, and 2129 (83.5%) had measured within the year. Of all 2550 participants, 1055 (41.4%) had hypertension, 69.9% of our subjects with hypertension were aware, whereas only 62.5% were on antihypertensive medication and 27.8% had controlled BP (systolic <140 mmHg and diastolic BP <90 mmHg). Of 660 participants on antihypertensive medication, 44.4% had controlled BP. Two hundred and seventy-six (15.4%) of women reported hypertension in a previous pregnancy. Hypertension with previous pregnancy was positively correlated with current elevation. These results suggest a high rate of raised BP among community dwellers whose hypertension had not been previously diagnosed by a health professional and warrant proactive approaches that promote community-based awareness, and regular measurements.

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