2005, Number 2
The Second National Week of Hypertension of the Mexican Association for Preventing Atherosclerosis and its Complications (AMPAC). Results in Jalisco, México
González-Pliego JA, Olvera-Ruiz R, Velasco-Sánchez G, Cardona-Muñoz E, Hernández García H, Troyo-Sanromán R, Petersen-Farah A, Meaney-Mendiolea E, Álvarez-López H, Bolaños-Preciado M, Briseño-Ramírez H, Calvo Vargas C, De la Torre-Jiménez N, Duarte-Vega M, Esparragoza-Romano J, Farías-González V, Fernández-Valadez E, González-Marines D, Illescas-Díaz J, Lugo-Peña P, Montaño-Dorado J, Munguía del Toro D, Murguía-Suárez J, Najar-López S, Ontiveros-Godínez T, Orendain-González V, Ortiz-Galván F, Rentería-Ibarra R
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Language: Spanish
References: 20
Page: 70-79
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ABSTRACT
Objective: The Second National Week of Hypertension was performed to determine the current status of the prevalence of hypertension (HTA) and its relationship with traditional atherosclerosis risk factors. This paper shows the results from the population screened in Jalisco, Mexico. Methods: From October 21 to 26, 2002, a survey was carried out in Jalisco, Mexico where 18,277 individuals were screened. Data about the average of two blood pressure readings, weight, height, smoking, hypercholesterolemia, diabetes and personal and familiar history of myocardial infarction and cerebrovascular disease were included. Diagnosis of HTA was accepted in individuals with previous medical diagnosis, or high blood pressure (systolic › 140 mmHg and/or diastolic › 90 mmHg) detected during the interview; thereafter, the cases were classified as systolic, diastolic or combined HTA and its association with risk factors was evaluated. Results: 18,092 (98.9%) individuals were correctly screened for blood pressure and analyzed with the Statistical Program for the Social Sciences 10.0 software. The mean age was 44.8 yr. (SD ± 16.1 yr; min-10 yr, max 98 yr). The prevalence of HTA in Jalisco was 34.9% (38.5% in men and 33.2% in women) with 10.4% diagnosed in the screening (new cases). The prevalence was directly related with age and after 50 y.o., is › 50%; after 70 y.o., two of each three individuals had high blood pressure. The percentage of persons with HTA who were unaware that they have high blood pressure was 29.86%; among persons with HTA diagnosed in the screening 15.4% were men and 7.8% were women; women were more participative than men. In 65.6% of people with HTA previously known, antihypertensive drug therapy was detected and the total percentage of HTA controlled with drugs was 19.6% (n = 1,242). The odds ratio (OR) for HTA were: for personal history of HTA 6.87 (C.I.95% 6.37-7.42); for hypercholesterolemia 2.42 (C.I.95% 2.19-2.67); for diabetes 2.41 (C.I.95% 2.19-2.65); for obesity 2.03 (C.I.95% 1.88-2.20); for smoking 1.03 (C.I.95% 0.94-1.1, NS). Conclusions: The prevalence of HTA in Jalisco is among the highest in Mexico and the number of new diagnosed cases increases notably. The personal history of HTA, diabetes, hypercholesterolemia and obesity but not of smoking, increases the risk for developing HTA.REFERENCES
Velázquez-Monroy O, Rosas PM, Lara EA, Pastelín HG, Grupo ENSA 2000, Sánchez CC et al. Prevalencia e interrelación de enfermedades crónicas no transmisibles y factores de riesgo cardiovascular en México: Resultados finales de la Encuesta Nacional de Salud (ENSA) 2000. Arch Cardiol Mex 2003; 73: 62-77.