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

Abstract

May Measurement Month 2019 (MMM19) in Mexico was an opportunistic survey, aimed to improve blood pressure (BP) awareness at the individual and population levels. This survey followed the methodology of MMM19, previously published. The total number of participants screened was 39 700, 56.7% female, 36.6% were of mixed ethnicity, mean age [standard deviation (SD)] was 46.9 (17.4) years, and mean body mass index was 27.2 (SD: 4.4) kg/m2. Seven per cent of the participants reported having diabetes, 2.4% reported having a myocardial infarction in the past, 1.1% stroke, 2.0% were pregnant at the time of the survey, 3.7% of women had suffered from hypertension in a previous pregnancy, 11.4% declared that they were smokers, and 47.0% drank alcohol at least once a week. After multiple imputations, of all 39 700 participants, 10 140 (25.5%) had hypertension; of all participants with hypertension, 43.8% were aware of their diagnosis, 41.7% were on antihypertensive medication, and 27.8% had controlled BP (systolic BP <140 mmHg and diastolic BP <90 mmHg). Of those on antihypertensive medication, 27.8% had controlled BP. In Mexico, MMM is the largest hypertension survey ever done, it provides complementary data to the existing information on arterial hypertension in the country and helps to increase the visibility of hypertension: a priority health problem.

Prevalence and characterization of undiagnosed arterial hypertension in the eastern zone of Mexico

“…The MMM‐2019 consisted of a cross‐sectional study between the period of May 1 and 31, 2019, with accordance to the international protocol established by the MMM and the European Society of Cardiology (ESC) 10 . The preliminary report of the MMM‐2019 campaign in Mexico has been published elsewhere 9 . Briefly, the protocol consisted of inviting the general population ≥18 years of age to attend the medical units that participated in the MMM‐2019 modules, located in different Primary Care Units in the Eastern Zone of the State of Mexico and the State of Michoacán.…”

“…10 The preliminary report of the MMM-2019 campaign in Mexico has been published elsewhere. 9 Briefly, the protocol consisted of…”

“…These reports could help improve healthcare policies and targeted interventions to prevent the natural course of the disease, particularly in younger adults. A recent approach to study UAH was carried out during 2019, where a sample of Mexican adult subjects living in the Eastern Zone of Mexico participated in the May Measurement Month International Campaign (MMM‐2019) 9 . The MMM‐2019 provides an excellent opportunity to better characterize arterial hypertension in Mexico.…”

“…A recent approach to study UAH was carried out during 2019, where a sample of Mexican adult subjects living in the Eastern Zone of Mexico participated in the May Measurement Month International Campaign (MMM-2019). 9 The MMM-2019 provides an excellent opportunity to better characterize arterial hypertension in Mexico. Hence, the objective of this study is to estimate the proportion of undiagnosed arterial hypertension (UAH) and the overall prevalence and clinical management of arterial hypertension within the Eastern Zone of Mexico.…”

Patients Living With Arterial Hypertension in Mexico: First Insights of The Mexican Registry of Arterial Hypertension (RIHTA Study)

“… 9 Despite efforts from the Mexican Group of Experts on Arterial Hypertension (Acronym in Spanish—GREHTA: Grupo de Expertos en Hipertensión Arterial) and other research groups, existing studies on hypertension’s prevalence and characteristics in Mexico remain limited and often confined to specific populations. 6 , 10 , 11 The lack of information to deeply characterize adults with arterial hypertension poses a big challenge as these patients tend to have diverse clinical profiles and often coexist with a high burden of cardiometabolic risk factors. 12 …”