Prevalence and determinants of hypertension in Estonian adults

Kaldmäe, Margit; Viigimaa, Margus; Zemtsovskaja, Galina; Kaart, Tanel; Abina, Jelena; Annuk, Margus

doi:10.1177/1403494814532565

Cited by 12 publications

(16 citation statements)

References 26 publications

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“…Awareness, treatment, and control rates have also been found to vary widely. Awareness has been measured from as low as 24.6% in a Korean study, up to as high as 74% in Canada and 80% in Estonia . Overall, most studies report that at least more than half of the studied population have awareness .…”

Section: Introductionmentioning

confidence: 93%

“…Awareness has been measured from as low as 24.6% in a Korean study, up to as high as 74% in Canada and 80% in Estonia . Overall, most studies report that at least more than half of the studied population have awareness . Pharmacologic treatment rates among those hypertensive have been observed ranging from 34.1% in China up to 60.5% in Italy and 78.6% in Korea .…”

Section: Introductionmentioning

confidence: 96%

“…Prevalence of HTN has been reported to be as low as 13.4% in Bogota up to as high as 42.5% in several cities of Chile, Argentina, and Uruguay . In comparison, many other regions of the world have a prevalence that falls within this range, such as Canada (20%), China (29.6%), Korea (33.7%), Lebanon (36.9%), and Estonia (36%) . Further variability is seen even within regions and countries, seemingly due to different age compositions of the studied population as the main reason, as well as differences in resources, education, and access to care.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence, awareness, treatment, and control of hypertension in a small northern town in Nicaragua: The Elieth‐HIFARI study

Valladares

Sándigo

Rivera³

et al. 2019

Health Science Reports

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Background and aims Hypertension is considered the most important risk factor for cardiovascular disease and is associated with high levels of morbidity, mortality, and health care expenditure. The negative effects of hypertension and its complications are preventable if those at risk are appropriately treated and controlled. Continually monitoring the epidemiological trends of hypertension is essential to formulate and evaluate public health measures to limit its negative effects. The herein presented Elieth‐HIFARI study sought to estimate the prevalence of hypertension, as well as the prevalence of related awareness, treatment, and control in a small town in Central America. Methods A population survey to assess cardiovascular risk was conducted (n = 577, 55.3% women, mean age 42.4 years) in the municipality of San Rafael del Norte in northern Nicaragua, between November 2016 and March 2017, based on the STEPwise method by the World Health Organization and the recommendations by the World Hypertension League. Results The overall prevalence of hypertension, awareness, treatment, and control was 28.1%, 72.2%, 68.5%, and 36.4%, respectively. Men had a lower prevalence of all indicators (22.5%, 60.3%, 53.4%, and 24.1%, respectively) compared with women (32.6%, 78.8%, 76.9%, and 43.3%, respectively). The median systolic blood pressure was 118.5 mm Hg (20.5 interquartile range [IQR]) (men: 123.0 mm Hg vs women: 115.5 mm Hg, Mann‐Whitney U test P < .001), and the mean diastolic blood pressure was 78.0 mm Hg (13 IQR) (men: 77.0, women: 78.0). Conclusion Hypertension is highly prevalent in San Rafael del Norte, while control rates are low despite the relatively higher levels of awareness and treatment. Furthermore, women have much higher prevalence of hypertension than men, along with higher awareness, treatment, and control. However, the control rate for those treated for hypertension was low, irrespective of sex.

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Section: Introductionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

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Prevalence, awareness, treatment, and control of hypertension in a small northern town in Nicaragua: The Elieth‐HIFARI study

Valladares

Sándigo

Rivera³

et al. 2019

Health Science Reports

View full text Add to dashboard Cite

show abstract

“…The data collected were analyzed in three directions. One study analyzed the prevalence of CVD risk factors (except PWV) in the investigated population, composed of 1111 participants with corresponding complete data [2, 3]. The other study was focused on the correlation of oxLDL and cholesterol of LDL particles, based on a smaller sample population due to the absence of specially pre-treated blood samples for part of the responders [15].…”

Section: Methodsmentioning

confidence: 99%

“…According to the data on mortality rates of cardiovascular disease (CVD) of the European Guideline on cardiovascular disease prevention in clinical practice, Estonia belongs to the high-risk countries [1]. The high prevalence of cardiovascular disease risk factors and hypertension in the adult population of Tallinn, the capital of Estonia, was also demonstrated in recently published studies [2, 3].…”

Section: Introductionmentioning

confidence: 99%

Pulse wave velocity and its gender-related associations with cardiovascular risk factors in a high cardiovascular risk population

Zemtsovskaja

Abina

Meigas

et al. 2018

Arch Med Sci Atheroscler Dis

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IntroductionAssociations found between pulse wave velocity (PWV) and cardiovascular risk factors (CVrF) are diverse. We aimed to evaluate whether differences in PWV and its associations with CVrF in a high cardiovascular risk population exist between genders and between the whole population (WHgr) and groups of apparently healthy (AHgr) and those of hypertensive, obese or diabetics (Rgr).Material and methodsPulse wave velocity measured by Arteriograph was investigated in 805 adults aged 20–65, randomly selected from the Tallinn Population Register.ResultsPulse wave velocity was the highest in Rgr and no differences were found between genders of the same group. In women of WHgr and AHgr age and SBP with addition of BMI and apolipoprotein B (ApoB) were associated with 54% and 48%, and without ApoB in Rgr with only 30% of PWV values. In men aged ≥ 50 of WHgr with elevated SBP odds ratios for increased PWV were 25.3 and 3.5, in Rgr 21.2 and 2.2, in those aged ≥ 50 AHgr 28.4. In women aged ≥ 50 of WHgr with elevated SBP and diabetes odds ratios were 5.5, 4.9 and 4.0, in Rgr with elevated SBP and diabetes 3.6 and 3.7, in those aged ≥ 50 AHgr 29.3.ConclusionsThe associations of ApoB and BMI with PWV and diabetes with elevated PWV indicative of increased aortic stiffness were unique for women. Aging and SBP were related to PWV even in AHgr, although age ≥ 50 years in Rgr women and normal SBP in AHgr were not associated with elevated PWV.

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Construction of gender-specific regression models for aortic length estimation based on computed tomography images

et al. 2019

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Prevalence and determinants of hypertension in Estonian adults

Cited by 12 publications

References 26 publications

Prevalence, awareness, treatment, and control of hypertension in a small northern town in Nicaragua: The Elieth‐HIFARI study

Prevalence, awareness, treatment, and control of hypertension in a small northern town in Nicaragua: The Elieth‐HIFARI study

Pulse wave velocity and its gender-related associations with cardiovascular risk factors in a high cardiovascular risk population

Construction of gender-specific regression models for aortic length estimation based on computed tomography images

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