Prevalence, awareness, treatment and control of hypertension in rural and urban communities in Latin American countries

Lamelas, Pablo; Dı́az, Rafael; Orlandini, Andrés; Avezum, Álvaro; Oliveira, Gustavo B.F.; Mattos, AC; Lanas, Fernando; Serón, Pamela; Oliveros, María José; López‐Jaramillo, Patricio; Otero, Johanna; Camacho, Paul Anthony; Miranda, J. Jaime; Bernabé‐Ortiz, Antonio; Málaga, Germán; Irazola, Vilma; Gutiérrez, Laura; Rubinstein, Adolfo; Castellana, Noelia; Rangarajan, Sumathy; Yusuf, Salim

doi:10.1097/hjh.0000000000002108

Cited by 72 publications

(79 citation statements)

References 37 publications

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“…Our results concur with an Italian population-based study, in which hypertension (7.1%) was also frequent [33], and with a Spanish study that showed high associated morbidity in adults with severe AD, especially hypertension (37.6%) [3]. Frequency of hypertension among our adult AD patients (10.2%) was lower than the prevalence reported among adult individuals from the general population in Brazil, in order of 30.5% to 52.5% [34,35]; however, adult patients with AD in the present study were younger (mean age 24.7 years-old) than those included in studies of hypertension in the general Brazilian population (median age of 41 and mean age of 52 years-old) [34,35]. A systematic review of 40 studies comprising over 120,000 individuals (mostly ≥18 years old) estimated that hypertension prevalence in Brazil is 28.7% (95% confidence interval, 26.2-31.4) [36].…”

Section: Discussionsupporting

confidence: 90%

Clinical Features and Disease Management in Adult Patients With Atopic Dermatitis Receiving Care at Reference Hospitals in Brazil: the ADAPT Study

Arruda

Yang

Aoki

et al. 2021

J Investig Allergol Clin Immunol

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Background: Atopic dermatitis is a chronic inflammatory skin disease with a prevalence of 0.02% to 8.1% in adults. Adult patients with moderate-to-severe atopic dermatitis have frequent relapses and significant disease burden.Objectives: Characterize clinical, immunological and therapeutic features of Brazilian adults with atopic dermatitis.Methods: A multicenter, observational, retrospective, descriptive registry-based study, conducted at reference hospitals, between December 2016 and October 2017. Demographics, personal and family history of atopic diseases, clinical manifestations, laboratory tests, disease severity and management were collected. Results:From the 187 subjects included in the analysis, 56.1% were female and 71.7% were Caucasian, with a mean age of 24.7 years. Mean follow-up duration was 9 years. Asthma or other allergic diseases were reported by 80.2% of the patients.The main comorbidity was hypertension (10.2%) and common disease manifestations included pruritus and erythema. Lesions were generally distributed in non-flexural and flexural areas, with typical morphology. Around 83% of patients had moderate to severe disease and 8.6% reported at least one hospitalization. Most patients received topical and/or systemic pharmacological therapies, including omalizumab (5.9%); 4.3% received phototherapy. Moreover, 66.8% of patients received adjuvant therapy and 79.1% changed or discontinued treatment for atopic dermatitis due to remission (46.5%), poor effectiveness (33.7%) or lack of therapeutic adherence (12.9%). Most patients presented characteristics of type 2 inflammation, with immunoglobulin E levels above 100 IU/mL (94.4%) and peripheral blood eosinophils above 5% (55.9%). Conclusion:Brazilian adult patients with severe atopic dermatitis need treatments to efficiently control the disease and improve quality of life. RESUMENAntecedentes: La dermatitis atópica es una enfermedad inflamatoria crónica de la piel con una prevalencia, en adultos, del 0,02% al 8,1%. Los pacientes adultos con dermatitis atópica moderada o grave tienen reagudizaciones frecuentes y una sintomatología importante.Objetivos: Describir las características clínicas e inmunológicas, así como las opciones terapéuticas de los pacientes brasileños adultos con dermatitis atópica.Métodos: Estudio multicéntrico, observacional, retrospectivo, descriptivo y basado en registros, realizado en hospitales de referencia, entre diciembre de 2016 y octubre de 2017.Se recopilaron datos demográficos, antecedentes personales y familiares de enfermedades atópicas, manifestaciones clínicas, pruebas de laboratorio, gravedad y manejo de la enfermedad.Resultados: De los 187 pacientes incluidos en el análisis, el 56,1% fueron mujeres y el 71,7% caucásicos, con una edad media de 24,7 años. La duración media del seguimiento fue de 9 años. El 80,2% de los pacientes referían asma u otras enfermedades alérgicas. La principal comorbilidad fue la hipertensión (10,2%) y las manifestaciones más frecuentes de la enfermedad fueron el prurito y el eritema. Las ...

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Section: Discussionsupporting

confidence: 90%

Clinical Features and Disease Management in Adult Patients With Atopic Dermatitis Receiving Care at Reference Hospitals in Brazil: the ADAPT Study

Arruda

Yang

Aoki

et al. 2021

J Investig Allergol Clin Immunol

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“…Hypertension is the main cause of cardiovascular disease, the leading cause of death and disability worldwide [1]. In Latin America, hypertension prevalence is 44.0%, with the highest rates in Brazil (52.5%) [2].…”

Section: Introductionmentioning

confidence: 99%

Parents’ Perceptions about Salt Consumption in Urban Areas of Peru: Formative Research for a Social Marketing Strategy

et al. 2020

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Background: Salt intakes in Latin America currently double the World Health Organization’s recommendation of 5 g/day. Various strategies to reduce the population’s salt consumption, such as raising awareness using social marketing, have been recommended. This study identified parents’ perceptions of salt consumption to inform a social marketing strategy focused on urban areas in Peru. Methods: Using a sequential exploratory methods design, parents of pre-school children, of high and low socioeconomic status, provided qualitative data in the form of interviews and focus groups. Following this, quantitative data was obtained via questionnaires, which were sent to all parents. The information was analyzed jointly. Results: 296 people (mean age 35.4, 82% women) participated, 64 in the qualitative and 232 in the quantitative phase of the study. Qualitative data from the first phase revealed that the majority of mothers were in charge of cooking, and female participants expressed that cooking was “their duty” as housewives. The qualitative phase also revealed that despite the majority of the participants considered their salt intake as adequate, half of them mentioned that they have tried to reduce salt consumption, and the change in the flavor of the food was stated as the most difficult challenge to continue with such practice. Quantitative data showed that 67% of participants would be willing to reduce their salt intake, and 79.7% recognized that high salt intake causes hypertension. In total, 84% of participants reaffirmed that mothers were in charge of cooking. There were no salient differences in terms of responses provided by participants from high versus low socioeconomic groups. Conclusions: The results point towards the identification of women as a potential target-audience of a social marketing strategy to promote reductions in salt intake in their families and, therefore, a gender-responsive social marketing intervention is recommended.

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“…Globally, hypertension (HTN) is the main modifiable risk factor for CVD with a population attributable risk of 32.5% (42.7% for coronary heart disease, 38.9% for stroke, and 21.9% for heart failure) 2 . Currently, HTN is common in LMIC where the percentages of awareness, treatment, and control of the disease are very low, 3 particularly in Latin America 4 . Few population studies on HTN prevalence have been carried out in Ecuador, and however, it is not known the rates of awareness, treatment, and control of HTA 5 .…”

Section: Introductionmentioning

confidence: 99%

Low levels of awareness, treatment, and control of hypertension in Andean communities of Ecuador

Félix

Baldeón

Zertuche

et al. 2020

J of Clinical Hypertension

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Cardiovascular diseases (CVD) are the principal cause of mortality in low-medium-income countries (LMIC). 1 Globally, hypertension (HTN) is the main modifiable risk factor for CVD with a population attributable risk of 32.5% (42.7% for coronary heart disease, 38.9% for stroke, and 21.9% for heart failure). 2 Currently, HTN is common in LMIC where the percentages of awareness, treatment, and control of the disease are very low, 3 particularly in Latin America. 4 Few population studies on HTN prevalence have been carried out in Ecuador, and however, it is not known the rates of awareness, treatment, and control of HTA. 5 Thus, the aim of the present study was to determine the prevalence, awareness, treatment, and control of HTA and the association with socioeconomic , nutritional, and lifestyle habits in urban and rural communities of Pichincha province in Ecuador, that are included in the Prospective Urban and Rural Epidemiology (PURE) study. 4 2 | ME THODS 2.1 | Study design and participants Ecuadorian participants (n = 2020) are part of the international cohort of the PURE study, coordinated by the Population Health

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Prevalence, awareness, treatment and control of hypertension in rural and urban communities in Latin American countries

Cited by 72 publications

References 37 publications

Clinical Features and Disease Management in Adult Patients With Atopic Dermatitis Receiving Care at Reference Hospitals in Brazil: the ADAPT Study

Clinical Features and Disease Management in Adult Patients With Atopic Dermatitis Receiving Care at Reference Hospitals in Brazil: the ADAPT Study

Parents’ Perceptions about Salt Consumption in Urban Areas of Peru: Formative Research for a Social Marketing Strategy

Low levels of awareness, treatment, and control of hypertension in Andean communities of Ecuador

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