May Measurement Month 2018: an analysis of blood pressure screening results from Malaysia

Chia, Yook Chin; Ching, Siew Mooi; Chew, Bee Nah; Ooi, Pei Boon; Mohamed, Mohd Nahar Azmi; Othman, Azli Shahril; Kang, Pei San; Husin, Hanis Saadah; Gani, Abdul Hafiz Mohamad; Hamid, Dalyana; Beaney, Thomas; Ster, Anca Chis; Xia, Xin

doi:10.1093/eurheartj/suaa035

Cited by 4 publications

(5 citation statements)

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“…In MMM 2019, the proportion of participants with hypertension was 18.7% which is much lower than that of the proportion of 32.4% in 2017 and 28.9% in 2018. 4 , 5 This low proportion when compared to the national prevalence of 30.0% in 2019 could be a result of the participants who took part in this study being younger (mean age in this study was 35.9 years vs. 39.8 years in 2018 and 45.4 in 2017). What this tells us is that an opportunistic BP screening campaign may have advantages such as allowing more younger people to come forward to be screened for hypertension.…”

Section: Discussionmentioning

confidence: 70%

“…The awareness in the previous year was also high at 76.3%. 5 Our lower awareness this year could have been contributed to the larger proportion of younger participants who are known to have lower awareness. 9 Nevertheless, the awareness reported this year is still better than the national awareness of 37.5% reported several years ago.…”

Section: Discussionmentioning

confidence: 99%

“…As compared to the screening campaign in 2017, in 2018, there was a fall in the proportion of hypertension from 32.4% to 28.9%. 4 , 5 Another major finding in the 2018 study was that the proportion of hypertensives aware of having hypertension was 76.3% which was much higher than the National Health and Morbidity Survey (NHMS) 2015 rate of 43.2%. 2 , 5 …”

Section: Introductionmentioning

confidence: 98%

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

Chia

Chook

Chew

et al. 2021

European Heart Journal Supplements

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Despite hypertension remaining the leading cause of death worldwide, awareness of hypertension and its control rate is still suboptimal in Malaysia. This study aims to determine the proportion of both diagnosed and undiagnosed hypertension, awareness and its control rate during the yearly May Measurement Month (MMM) campaign that has been coordinated by the International Society of Hypertension. Participants aged ≥18 years were recruited at various screening sites namely universities, health facilities, shopping malls, and other sites. Participant’s socio-demographic, environmental, and lifestyle data were captured using a questionnaire. Three blood pressure (BP) readings as well as anthropometric measurements were obtained from all participants. The mean of the second and third BP readings was used in analyses. Hypertension was defined as a systolic BP ≥140 mmHg and/or diastolic BP ≥90 mmHg or taking antihypertensive medication. A total of 3062 participants were recruited. The proportion with hypertension in our study was 18.7% (n = 572). The proportion who were aware of their BP status was 63.2%. More than half (57.2%) of the hypertensives were on antihypertensive medication and 70.3% of those treated were controlled. In conclusion, in this BP screening campaign, one in five were hypertensive with almost two thirds aware of their hypertensive status. BP control among those who are taking medications was high at 70% but under 60% of hypertensives were on treatment. Hypertension screening programmes are important to promote awareness and control of hypertension as well as to reduce the devastating complications associated with this disorder.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

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

Chia

Chook

Chew

et al. 2021

European Heart Journal Supplements

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“…Ethics approval was obtained from the National Medical Research Register (NMRR-18-876-40691) and University of Malaya Medical Centre-Medical Research Ethics Committee (MREC ID NO:2018320–6146). This paper is part of a cross-sectional study conducted at the community level during worldwide BP screening campaign [ 13 , 14 ]. The methodology has been described in a previous publication on the main [ 15 ] and Malaysia study [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

Measurement accuracy and reliability of self-reported versus measured weight and height among adults in Malaysia: Findings from a nationwide blood pressure screening programme

et al. 2023

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Most studies reporting prevalence of obesity use actual weight and height measurements. Self-reported weight and height have been used in epidemiological studies as they have been shown to be reliable, convenient, and inexpensive alternatives to actual measurements. However, the accuracy of self-reported weight and height might vary in different regions because of the difference in health awareness and social influences. This study aims to determine the accuracy and reliability of self-reported weight and height compared to actual measured weight and height among adults in Malaysia. This was a cross-sectional study conducted at the community level during blood pressure screening campaigns. Participants self-reported their weight and height in a questionnaire survey. Their weight and height were validated using measurements by researchers on the same setting. Body mass index (BMI) was defined as underweight (<18.5kg/m2), normal (18.5–22.9 kg/m2), overweight (23–27.4 kg/m2) and obesity (≥27.5 kg/m2). Bland-Altman analysis, intraclass correlation coefficients and weighted Kappa statistics were used to assess the degree of agreement between self-reported and measured weight and height. A total of 2781 participants were recruited in this study. The difference between the mean self-reported and measured weight and height were 0.4 kg and 0.4 cm respectively. Weighted Kappa statistics analysis showed that there was a substantial agreement between the BMI classifications derived from self-reported and actual measurement (ҡ = 0.920, p<0.001). There was no marked difference in the sensitivity and specificity of self-reported BMI among Malaysian adults by gender. We observed substantial agreement between self-reported and measured body weight and height within a sample of Malaysian adults. While self-reported body weight showed weaker agreement with actual measurements particularly for obese and overweight individuals, BMI values derived from self-reported weight and height were accurate for 88.53% of the participants. We thus conclude that self-reported height and weight measures may be useful for tracking and estimating population trends amongst Malaysian adults.

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“…Overweight, obesity, physical inactivity, excess sodium intake, low birth weight, waist circumference, and increased heart rate were identifi ed as factors associated with EBP. Hypertension continues to kill millions of people every year, and its rates in adolescent and children is increasing drastically [9,10].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and associated factors of elevated blood pressure in adolescents in schools in Lubumbashi, Democratic Republic of Congo

Kakoma¹,

Muyumba²,

Mukeng³

et al. 2021

Arch Clin Hypertens

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Introduction: Hypertension is a major public health problem worldwide due to its high prevalence and its association with cardiovascular diseases with an increased risk of morbidity and mortality cardiovascular. Elevated Blood Pressure (EBP) in adolescence progresses to hypertension in adulthood. Objective: To determine the prevalence of EBP and identify associated factors in adolescents in the school community in Lubumbashi. Methods: This is a cross-sectional analytical study, using a random sample of adolescents aged 15 to 19 years old, enrolled in secondary schools in Lubumbashi in the Democratic Republic of Congo. Each student was subject to three measures of Blood Pressure (BP). The prevalence of EBP was determined according to the new standards internationally. The different associations between EBP with sex, birth weight, status weight, waist circumference and heart rate were evaluated. Results: 1,766 adolescents participated in the study. The overall prevalence of EBP was 30.6%. Associated factors with EBP were overweight (p<0.0001), obesity [boys (p=0.049), gender female (p<0.0001)], waist circumference (p<0.0001) and heart rate (p=0.034). In log-binomial regression, only the waist circumference (p<0.0001) and heart rate (p=0.014) were the factors associated with the occurrence of EBP. Conclusion: Lubumbashi school's adolescents have an abnormally EBP. This notion challenges public health policy makers to put in place prevention and fi ght against hypertension since childhood.

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May Measurement Month 2018: an analysis of blood pressure screening results from Malaysia

Cited by 4 publications

References 4 publications

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

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

Measurement accuracy and reliability of self-reported versus measured weight and height among adults in Malaysia: Findings from a nationwide blood pressure screening programme

Prevalence and associated factors of elevated blood pressure in adolescents in schools in Lubumbashi, Democratic Republic of Congo

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