Maria Dorobantu1,2, Oana-Florentina Tautu1,2,3, Doina Dimulescu1,4, Crina Sinescu1,5, Paul Gusbeth-Tatomir6, Catalina Arsenescu-Georgescu7,8, Florin Mitu7,9, Daniel Lighezan10, Calin Pop11, Katalin Babes12, Alina Giuca13, Ileana Branza14, Mihaela Udrescu15, Valeria Herdea16, Roxana Darabont1,17. 1. University of Medicine and Pharmacy "Carol Davila". 2. Cardiology Department, Clinical Emergency Hospital Bucharest. 3. CLAR RESEARCH, Bucharest. 4. Cardiology Department, "Elias" University Emergency Hospital Bucharest. 5. Cardiology Department, "Bagdazar Arseni" University Emergency Hospital Bucharest, Bucharest. 6. Fresenius Nephrocare Dialysis Center, Pitesti. 7. "Gr.T. Popa" University of Medicine and Pharmacy. 8. Institute of Cardiovascular Diseases "Prof. Dr. George I.M. Georgescu", Cardiology Department, Iaşi. 9. Cardiology Department, Clinical Hospital for Recovery Iaşi. 10. First Internal Medicine Department, "Victor Babeş" University of Medicine and Pharmacy, Municipal Emergency Hospital, Timisoara. 11. Cardiology Department, "Iuliu Hatieganu" University of Medicine and Pharmacy - Emergency County Hospital, Baia Mare. 12. Coronary Intensive Care Department, Oradea University - Medicine and Pharmacy Faculty - Emergency Clinical County Hospital, Oradea. 13. Cardiology Department, Emergency Clinical County Hospital Craiova, Craiova. 14. C.M.I. "Dr. Brînză Ileana", Braila. 15. C.M.I. "Dr. Mihaela Udrescu". 16. C.M.I. "Dr. Herdea Valeria". 17. University Emergency Hospital Bucharest, Cardiology Department, Bucharest, Romania.
Abstract
OBJECTIVES: To estimate the trend in arterial hypertension's prevalence, awareness, treatment, and control in Romania, starting from the latest national survey Study for the Evaluation of Prevalence of Hypertension and Cardiovascular Risk in Romania III that has a crucial importance for the development of prevention strategies at national level. METHODS: A representative sample of 1970 Romanian adults (mean age 48.38 years, age range 18-80 years, 52.5% women, 72.58% response rate), was enrolled. During the two study visits, three blood pressure (BP) measurements were performed at 1-min interval. Hypertension was defined as study SBP at least 140 mmHg and/or study DBP at least 90 mmHg at both study visits or previously diagnosed hypertension, regardless of BP values. BP control was defined as SBP less than 140 mmHg and DBP less than 90 mmHg in hypertensive patients. RESULTS: General hypertension prevalence is 45.1% (19.1% newly diagnosed hypertension, 80.9% awareness of hypertension), increasing with age, regardless of sex and area of residence. Although the majority (72.2%) of hypertensive patients were treated (51.9% with two or more drugs), only 30.8% of them had controlled BP values. Following the evolution from the last 11 years, it is expected that in 2020 the prevalence of hypertension to be up to 44%, the awareness up to 96.2%, treatment of hypertension up to 83.7%, and BP control up to 36.6%. CONCLUSION: Hypertension's prevalence in Romania is on the rise despite the increase in awareness, treatment, and control. Possible explanations of this trend might be the increasing incidence of unhealthy lifestyle and diet, including high salt intake, and a general increase in the prevalence of obesity, diabetes mellitus, and dyslipidemia.
OBJECTIVES: To estimate the trend in arterial hypertension's prevalence, awareness, treatment, and control in Romania, starting from the latest national survey Study for the Evaluation of Prevalence of Hypertension and Cardiovascular Risk in Romania III that has a crucial importance for the development of prevention strategies at national level. METHODS: A representative sample of 1970 Romanian adults (mean age 48.38 years, age range 18-80 years, 52.5% women, 72.58% response rate), was enrolled. During the two study visits, three blood pressure (BP) measurements were performed at 1-min interval. Hypertension was defined as study SBP at least 140 mmHg and/or study DBP at least 90 mmHg at both study visits or previously diagnosed hypertension, regardless of BP values. BP control was defined as SBP less than 140 mmHg and DBP less than 90 mmHg in hypertensivepatients. RESULTS: General hypertension prevalence is 45.1% (19.1% newly diagnosed hypertension, 80.9% awareness of hypertension), increasing with age, regardless of sex and area of residence. Although the majority (72.2%) of hypertensivepatients were treated (51.9% with two or more drugs), only 30.8% of them had controlled BP values. Following the evolution from the last 11 years, it is expected that in 2020 the prevalence of hypertension to be up to 44%, the awareness up to 96.2%, treatment of hypertension up to 83.7%, and BP control up to 36.6%. CONCLUSION:Hypertension's prevalence in Romania is on the rise despite the increase in awareness, treatment, and control. Possible explanations of this trend might be the increasing incidence of unhealthy lifestyle and diet, including high salt intake, and a general increase in the prevalence of obesity, diabetes mellitus, and dyslipidemia.
Authors: Sorin Ioacara; Andreea C Popescu; Joseph Tenenbaum; Doina R Dimulescu; Mihaela R Popescu; Anca Sirbu; Simona Fica Journal: Int J Environ Res Public Health Date: 2019-12-31 Impact factor: 3.390