May Measurement Month 2018: a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension
Top Cited Papers
Open Access
- 1 May 2019
- journal article
- research article
- Published by Oxford University Press (OUP) in European Heart Journal
- Vol. 40 (25), 2006-2017
- https://doi.org/10.1093/eurheartj/ehz300
Abstract
Raised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries. Eighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg, or taking antihypertensive medication. In total, 74.9% of screenees provided three BP readings. Multiple imputation using chained equations was used to impute missing readings. 1 504 963 individuals (mean age 45.3 years; 52.4% female) were screened. After multiple imputation, 502 079 (33.4%) individuals had hypertension, of whom 59.5% were aware of their diagnosis and 55.3% were taking antihypertensive medication. Of those on medication, 60.0% were controlled and of all hypertensives, 33.2% were controlled. We detected 224 285 individuals with untreated hypertension and 111 214 individuals with inadequately treated (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg) hypertension. May Measurement Month expanded significantly compared with 2017, including more participants in more countries. The campaign identified over 335 000 adults with untreated or inadequately treated hypertension. In the absence of systematic screening programmes, MMM was effective at raising awareness at least among these individuals at risk.Keywords
Funding Information
- May Measurement Month
- International Society of Hypertension
- Imperial College London and Servier
- Institut la Conference Hippocrate
This publication has 24 references indexed in Scilit:
- Reducing Cardiovascular Mortality Through Prevention and Management of Raised Blood Pressure: A World Heart Federation RoadmapCVD Prevention and Control, 2015
- Gestational-age-specific reference ranges for blood pressure in pregnancyJournal of Hypertension, 2015
- European Society of Hypertension practice guidelines for ambulatory blood pressure monitoringJournal of Hypertension, 2014
- Hypertension management in England: a serial cross-sectional study from 1994 to 2011The Lancet, 2014
- Prevalence, Awareness, Treatment, and Control of Hypertension in Rural and Urban Communities in High-, Middle-, and Low-Income CountriesJAMA, 2013
- Alcohol Consumption and the Risk of Hypertension in Men and Women: A Systematic Review and Meta‐AnalysisThe Journal of Clinical Hypertension, 2012
- Multiple imputation of missing covariates with non-linear effects and interactions: an evaluation of statistical methodsBMC Medical Research Methodology, 2012
- Multiple imputation using chained equations: Issues and guidance for practiceStatistics in Medicine, 2010
- Global burden of hypertension: analysis of worldwide dataThe Lancet, 2005
- The effect of the fast of Ramadan on ambulatory blood pressure in treated hypertensivesJournal of Human Hypertension, 2001