Trends of mean systolic and diastolic blood pressure among adults in Shenzhen, China, 1997–2018: findings from three rounds of the population-based survey
Objective To quantify the trends in systolic and diastolic blood pressure (BP) among adults in Shenzhen from 1997 to 2018.Design Cross-sectional study.Settings The data were collected from all districts in Shenzhen, China in the years of 1997, 2009 and 2018 by multistage cluster sampling procedure.P...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-02-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/2/e074575.full |
| _version_ | 1827324142798503936 |
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| author | Yu Shi Lei Si Wei Wang Ke Peng Yishu Liu Xiaoying Liu Zhihui Wang Menglu Ouyang Jing Hao Weicong Cai Lin Lei Kaihao Lin Jessica Gong Guiyuan Han Yunfeng Wang Honglei Zhao Yinghao Xie Yuxin Xie |
| author_facet | Yu Shi Lei Si Wei Wang Ke Peng Yishu Liu Xiaoying Liu Zhihui Wang Menglu Ouyang Jing Hao Weicong Cai Lin Lei Kaihao Lin Jessica Gong Guiyuan Han Yunfeng Wang Honglei Zhao Yinghao Xie Yuxin Xie |
| author_sort | Yu Shi |
| collection | DOAJ |
| description | Objective To quantify the trends in systolic and diastolic blood pressure (BP) among adults in Shenzhen from 1997 to 2018.Design Cross-sectional study.Settings The data were collected from all districts in Shenzhen, China in the years of 1997, 2009 and 2018 by multistage cluster sampling procedure.Participants Participants were residents aged 18–69 years in Shenzhen, China. A total of 26 621 people were included: 8266 people in 1997, 8599 people in 2009 and 9756 people in 2018.Primary and secondary outcome measures All participants were surveyed about their sociodemographic and lifestyle information. BP was measured by trained physicians using a mercury sphygmomanometer. Hypertension was defined as systolic BP of at least 140 mm Hg and diastolic BP of at least 90 mm Hg, self-reported use of antihypertensive medications or both. Hypertension control was defined as systolic BP values of less than 140 mm Hg and diastolic BP values of less than 90 mm Hg.Result Age-adjusted mean systolic BP increased from 117±16 mm Hg to 123±15 mm Hg (p<0.001) in males, and from 113±18 mm Hg to 115±16 mm Hg (p<0.001) in females from 1997 to 2018. Diastolic BP among males increased from 75 mm Hg (SD=11) to 79 mm Hg (SD=11) and increased from 71 mm Hg (SD=10) to 73 mm Hg (SD=10) among females between 1997 and 2018 (p<0.001). Rate of hypertension rose rapidly from 17.71% (95% CI: 16.60% to 18.90%) in 2009 to 24.01% (95% CI: 22.84% to 25.22%) in 2018 among males (p<0.001), whereas the prevalence among females remained stable at around 13.5% (p=0.98). Both awareness and treatment rates of hypertension among males and females showed a decreased trend between 2009 and 2018, while no significant changes were observed for control rates.Conclusions The mean systolic BP and diastolic BP among adults in Shenzhen increased from 1997 to 2018, and no improvements in hypertension awareness, treatment and control rates were found. |
| first_indexed | 2024-03-08T03:33:14Z |
| format | Article |
| id | doaj.art-6d4d2c3fc9aa4896b077d6afdfab391a |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-25T02:07:19Z |
| publishDate | 2024-02-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj.art-6d4d2c3fc9aa4896b077d6afdfab391a2024-03-07T14:30:09ZengBMJ Publishing GroupBMJ Open2044-60552024-02-0114210.1136/bmjopen-2023-074575Trends of mean systolic and diastolic blood pressure among adults in Shenzhen, China, 1997–2018: findings from three rounds of the population-based surveyYu Shi0Lei Si1Wei Wang2Ke Peng3Yishu Liu4Xiaoying Liu5Zhihui Wang6Menglu Ouyang7Jing Hao8Weicong Cai9Lin Lei10Kaihao Lin11Jessica Gong12Guiyuan Han13Yunfeng Wang14Honglei Zhao15Yinghao Xie16Yuxin Xie17Fuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, Guangdong, ChinaWestern Sydney University, Penrith South, New South Wales, AustraliaNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaFuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, Guangdong, ChinaThe George Institute for Global Health, Beijing, ChinaFuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, Guangdong, ChinaChinese Academy of Medical Sciences & Peking Union Medical College, Beijing, ChinaThe George Institute for Global Health, Newtown, New South Wales, AustraliaShenzhen Mindray Bio-Medical Electronic Co, Shenzhen, ChinaShenzhen Center for Chronic Disease Control, Shenzhen, Guangdong, ChinaShenzhen Center for Chronic Disease Control, Shenzhen, Guangdong, ChinaShenzhen Center for Chronic Disease Control, Shenzhen, Guangdong, ChinaImperial College London, London, UKFuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, Guangdong, ChinaFuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, Guangdong, ChinaFuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, Guangdong, ChinaFuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, Guangdong, ChinaFuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, Guangdong, ChinaObjective To quantify the trends in systolic and diastolic blood pressure (BP) among adults in Shenzhen from 1997 to 2018.Design Cross-sectional study.Settings The data were collected from all districts in Shenzhen, China in the years of 1997, 2009 and 2018 by multistage cluster sampling procedure.Participants Participants were residents aged 18–69 years in Shenzhen, China. A total of 26 621 people were included: 8266 people in 1997, 8599 people in 2009 and 9756 people in 2018.Primary and secondary outcome measures All participants were surveyed about their sociodemographic and lifestyle information. BP was measured by trained physicians using a mercury sphygmomanometer. Hypertension was defined as systolic BP of at least 140 mm Hg and diastolic BP of at least 90 mm Hg, self-reported use of antihypertensive medications or both. Hypertension control was defined as systolic BP values of less than 140 mm Hg and diastolic BP values of less than 90 mm Hg.Result Age-adjusted mean systolic BP increased from 117±16 mm Hg to 123±15 mm Hg (p<0.001) in males, and from 113±18 mm Hg to 115±16 mm Hg (p<0.001) in females from 1997 to 2018. Diastolic BP among males increased from 75 mm Hg (SD=11) to 79 mm Hg (SD=11) and increased from 71 mm Hg (SD=10) to 73 mm Hg (SD=10) among females between 1997 and 2018 (p<0.001). Rate of hypertension rose rapidly from 17.71% (95% CI: 16.60% to 18.90%) in 2009 to 24.01% (95% CI: 22.84% to 25.22%) in 2018 among males (p<0.001), whereas the prevalence among females remained stable at around 13.5% (p=0.98). Both awareness and treatment rates of hypertension among males and females showed a decreased trend between 2009 and 2018, while no significant changes were observed for control rates.Conclusions The mean systolic BP and diastolic BP among adults in Shenzhen increased from 1997 to 2018, and no improvements in hypertension awareness, treatment and control rates were found.https://bmjopen.bmj.com/content/14/2/e074575.full |
| spellingShingle | Yu Shi Lei Si Wei Wang Ke Peng Yishu Liu Xiaoying Liu Zhihui Wang Menglu Ouyang Jing Hao Weicong Cai Lin Lei Kaihao Lin Jessica Gong Guiyuan Han Yunfeng Wang Honglei Zhao Yinghao Xie Yuxin Xie Trends of mean systolic and diastolic blood pressure among adults in Shenzhen, China, 1997–2018: findings from three rounds of the population-based survey BMJ Open |
| title | Trends of mean systolic and diastolic blood pressure among adults in Shenzhen, China, 1997–2018: findings from three rounds of the population-based survey |
| title_full | Trends of mean systolic and diastolic blood pressure among adults in Shenzhen, China, 1997–2018: findings from three rounds of the population-based survey |
| title_fullStr | Trends of mean systolic and diastolic blood pressure among adults in Shenzhen, China, 1997–2018: findings from three rounds of the population-based survey |
| title_full_unstemmed | Trends of mean systolic and diastolic blood pressure among adults in Shenzhen, China, 1997–2018: findings from three rounds of the population-based survey |
| title_short | Trends of mean systolic and diastolic blood pressure among adults in Shenzhen, China, 1997–2018: findings from three rounds of the population-based survey |
| title_sort | trends of mean systolic and diastolic blood pressure among adults in shenzhen china 1997 2018 findings from three rounds of the population based survey |
| url | https://bmjopen.bmj.com/content/14/2/e074575.full |
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