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May Measurement Month 2018 : a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension

, ; Beaney, Thomas; Burrell, Louise M.; Castillo, Rafael R.; Charchar, Fadi J.; Cro, Suzie; Damasceno, Albertino; Kruger, Ruan; Nilsson, Peter M. LU and Prabhakaran, Dorairaj, et al. (2019) In European Heart Journal 40(25). p.2006-2017
Abstract

AIMS: Raised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries. METHODS AND RESULTS: Eighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a... (More)

AIMS: Raised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries. METHODS AND RESULTS: Eighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg, or taking antihypertensive medication. In total, 74.9% of screenees provided three BP readings. Multiple imputation using chained equations was used to impute missing readings. 1 504 963 individuals (mean age 45.3 years; 52.4% female) were screened. After multiple imputation, 502 079 (33.4%) individuals had hypertension, of whom 59.5% were aware of their diagnosis and 55.3% were taking antihypertensive medication. Of those on medication, 60.0% were controlled and of all hypertensives, 33.2% were controlled. We detected 224 285 individuals with untreated hypertension and 111 214 individuals with inadequately treated (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg) hypertension. CONCLUSION: May Measurement Month expanded significantly compared with 2017, including more participants in more countries. The campaign identified over 335 000 adults with untreated or inadequately treated hypertension. In the absence of systematic screening programmes, MMM was effective at raising awareness at least among these individuals at risk.

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publication status
published
subject
keywords
Blood pressure, Control, Global, Hypertension, Screening, Treatment
in
European Heart Journal
volume
40
issue
25
pages
12 pages
publisher
Oxford University Press
external identifiers
  • scopus:85069236245
ISSN
1522-9645
DOI
10.1093/eurheartj/ehz300
language
English
LU publication?
yes
id
a631fdd4-c7e5-42c1-801c-1a2cbd289895
date added to LUP
2019-07-26 13:14:55
date last changed
2019-09-17 04:58:53
@article{a631fdd4-c7e5-42c1-801c-1a2cbd289895,
  abstract     = {<p>AIMS: Raised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries. METHODS AND RESULTS: Eighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg, or taking antihypertensive medication. In total, 74.9% of screenees provided three BP readings. Multiple imputation using chained equations was used to impute missing readings. 1 504 963 individuals (mean age 45.3 years; 52.4% female) were screened. After multiple imputation, 502 079 (33.4%) individuals had hypertension, of whom 59.5% were aware of their diagnosis and 55.3% were taking antihypertensive medication. Of those on medication, 60.0% were controlled and of all hypertensives, 33.2% were controlled. We detected 224 285 individuals with untreated hypertension and 111 214 individuals with inadequately treated (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg) hypertension. CONCLUSION: May Measurement Month expanded significantly compared with 2017, including more participants in more countries. The campaign identified over 335 000 adults with untreated or inadequately treated hypertension. In the absence of systematic screening programmes, MMM was effective at raising awareness at least among these individuals at risk.</p>},
  author       = {,  and Beaney, Thomas and Burrell, Louise M. and Castillo, Rafael R. and Charchar, Fadi J. and Cro, Suzie and Damasceno, Albertino and Kruger, Ruan and Nilsson, Peter M. and Prabhakaran, Dorairaj and Ramirez, Agustin J. and Schlaich, Markus P. and Schutte, Aletta E. and Tomaszewski, Maciej and Touyz, Rhian and Wang, Ji Guang and Weber, Michael A. and Poulter, Neil R.},
  issn         = {1522-9645},
  keyword      = {Blood pressure,Control,Global,Hypertension,Screening,Treatment},
  language     = {eng},
  number       = {25},
  pages        = {2006--2017},
  publisher    = {Oxford University Press},
  series       = {European Heart Journal},
  title        = {May Measurement Month 2018 : a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension},
  url          = {http://dx.doi.org/10.1093/eurheartj/ehz300},
  volume       = {40},
  year         = {2019},
}