Longitudinal trends in blood pressure, prevalence, awareness, treatment, and control of hypertension in the Czech population. Are there any sex differences?

BackgroundHypertension is the most common cardiovascular disease which substantially increases cardiovascular morbidity and mortality. Despite the broad availability of antihypertensive medication, control of hypertension is not satisfactory worldwide.ObjectiveThe study aim was to assess longitudina...

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Main Authors: Renata Cífková, Jan Bruthans, Larysa Strilchuk, Peter Wohlfahrt, Alena Krajčoviechová, Pavel Šulc, Marie Jozífová, Lenka Eremiášová, Jan Pudil, Aleš Linhart, Jiří Widimský, Jan Filipovský, Otto Mayer, Zdenka Škodová, Věra Lánská
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2022.1033606/full
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author Renata Cífková
Renata Cífková
Jan Bruthans
Larysa Strilchuk
Larysa Strilchuk
Peter Wohlfahrt
Alena Krajčoviechová
Pavel Šulc
Marie Jozífová
Lenka Eremiášová
Jan Pudil
Aleš Linhart
Jiří Widimský
Jan Filipovský
Otto Mayer
Zdenka Škodová
Věra Lánská
author_facet Renata Cífková
Renata Cífková
Jan Bruthans
Larysa Strilchuk
Larysa Strilchuk
Peter Wohlfahrt
Alena Krajčoviechová
Pavel Šulc
Marie Jozífová
Lenka Eremiášová
Jan Pudil
Aleš Linhart
Jiří Widimský
Jan Filipovský
Otto Mayer
Zdenka Škodová
Věra Lánská
author_sort Renata Cífková
collection DOAJ
description BackgroundHypertension is the most common cardiovascular disease which substantially increases cardiovascular morbidity and mortality. Despite the broad availability of antihypertensive medication, control of hypertension is not satisfactory worldwide.ObjectiveThe study aim was to assess longitudinal trends in blood pressure, prevalence, awareness, treatment, and control of hypertension in a representative population sample of the Czechia from 1985 to 2016/2017, focusing on sex differences.MethodsA total of 7,606 men and 8,050 women aged 25–64 years were screened for major CV risk factors in seven independent cross-sectional surveys run consistently in the same six country districts of the Czechia between 1985 and 2016/2017. The population samples were randomly selected.ResultsOver a study period of 31/32 years, there was a significant decline in systolic and diastolic blood pressure in both sexes, whereas the prevalence of hypertension decreased only in women. There was an increase in hypertension awareness in both sexes over the entire study period with consistently higher rates in women. The proportion of individuals treated with antihypertensive drugs increased significantly in both sexes throughout the study, again with consistently higher rates in women. Control of hypertension increased significantly over the study period with consistently higher rates in women. The age-adjusted trends in blood pressure, prevalence, awareness, and treatment of hypertension were significantly different in men and women, always in favor of women. The age-adjusted trends in control of hypertension in treated patients were equally poor in both sexes.ConclusionThere are significant differences in longitudinal trends in blood pressure, prevalence, awareness, treatment, and control of hypertension between men and women, always in favor of women except for the control of hypertension in treated patients, where it is equally poor in both sexes.
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spelling doaj.art-8918ee96cecf43f48914c3586e82ffd52022-12-22T02:28:13ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-11-01910.3389/fcvm.2022.10336061033606Longitudinal trends in blood pressure, prevalence, awareness, treatment, and control of hypertension in the Czech population. Are there any sex differences?Renata Cífková0Renata Cífková1Jan Bruthans2Larysa Strilchuk3Larysa Strilchuk4Peter Wohlfahrt5Alena Krajčoviechová6Pavel Šulc7Marie Jozífová8Lenka Eremiášová9Jan Pudil10Aleš Linhart11Jiří Widimský12Jan Filipovský13Otto Mayer14Zdenka Škodová15Věra Lánská16Center for Cardiovascular Prevention, First Faculty of Medicine and Thomayer University Hospital, Charles University in Prague, Prague, CzechiaDepartment of Medicine II, First Faculty of Medicine, Charles University in Prague, Prague, CzechiaCenter for Cardiovascular Prevention, First Faculty of Medicine and Thomayer University Hospital, Charles University in Prague, Prague, CzechiaCenter for Cardiovascular Prevention, First Faculty of Medicine and Thomayer University Hospital, Charles University in Prague, Prague, CzechiaDepartment of Therapy No. 1, Medical Diagnostics, Hematology and Transfusiology, Danylo Halytsky Lviv National Medical University, Lviv, UkraineCenter for Cardiovascular Prevention, First Faculty of Medicine and Thomayer University Hospital, Charles University in Prague, Prague, CzechiaCenter for Cardiovascular Prevention, First Faculty of Medicine and Thomayer University Hospital, Charles University in Prague, Prague, CzechiaCenter for Cardiovascular Prevention, First Faculty of Medicine and Thomayer University Hospital, Charles University in Prague, Prague, CzechiaCenter for Cardiovascular Prevention, First Faculty of Medicine and Thomayer University Hospital, Charles University in Prague, Prague, CzechiaDepartment of Medicine II, First Faculty of Medicine, Charles University in Prague, Prague, CzechiaDepartment of Medicine II, First Faculty of Medicine, Charles University in Prague, Prague, CzechiaDepartment of Medicine II, First Faculty of Medicine, Charles University in Prague, Prague, CzechiaDepartment of Medicine III, First Faculty of Medicine, Charles University, Prague, CzechiaDepartment of Medicine II, Faculty of Medicine, Charles University, Pilsen, CzechiaDepartment of Medicine II, Faculty of Medicine, Charles University, Pilsen, CzechiaDepartment of Preventive Cardiology, Institute for Clinical and Experimental Medicine, Prague, CzechiaMedical Statistics Unit, Institute for Clinical and Experimental Medicine, Prague, CzechiaBackgroundHypertension is the most common cardiovascular disease which substantially increases cardiovascular morbidity and mortality. Despite the broad availability of antihypertensive medication, control of hypertension is not satisfactory worldwide.ObjectiveThe study aim was to assess longitudinal trends in blood pressure, prevalence, awareness, treatment, and control of hypertension in a representative population sample of the Czechia from 1985 to 2016/2017, focusing on sex differences.MethodsA total of 7,606 men and 8,050 women aged 25–64 years were screened for major CV risk factors in seven independent cross-sectional surveys run consistently in the same six country districts of the Czechia between 1985 and 2016/2017. The population samples were randomly selected.ResultsOver a study period of 31/32 years, there was a significant decline in systolic and diastolic blood pressure in both sexes, whereas the prevalence of hypertension decreased only in women. There was an increase in hypertension awareness in both sexes over the entire study period with consistently higher rates in women. The proportion of individuals treated with antihypertensive drugs increased significantly in both sexes throughout the study, again with consistently higher rates in women. Control of hypertension increased significantly over the study period with consistently higher rates in women. The age-adjusted trends in blood pressure, prevalence, awareness, and treatment of hypertension were significantly different in men and women, always in favor of women. The age-adjusted trends in control of hypertension in treated patients were equally poor in both sexes.ConclusionThere are significant differences in longitudinal trends in blood pressure, prevalence, awareness, treatment, and control of hypertension between men and women, always in favor of women except for the control of hypertension in treated patients, where it is equally poor in both sexes.https://www.frontiersin.org/articles/10.3389/fcvm.2022.1033606/fullCzech MONICACzech post-MONICA studyepidemiology of hypertensionpopulation random sampleresponse rate
spellingShingle Renata Cífková
Renata Cífková
Jan Bruthans
Larysa Strilchuk
Larysa Strilchuk
Peter Wohlfahrt
Alena Krajčoviechová
Pavel Šulc
Marie Jozífová
Lenka Eremiášová
Jan Pudil
Aleš Linhart
Jiří Widimský
Jan Filipovský
Otto Mayer
Zdenka Škodová
Věra Lánská
Longitudinal trends in blood pressure, prevalence, awareness, treatment, and control of hypertension in the Czech population. Are there any sex differences?
Frontiers in Cardiovascular Medicine
Czech MONICA
Czech post-MONICA study
epidemiology of hypertension
population random sample
response rate
title Longitudinal trends in blood pressure, prevalence, awareness, treatment, and control of hypertension in the Czech population. Are there any sex differences?
title_full Longitudinal trends in blood pressure, prevalence, awareness, treatment, and control of hypertension in the Czech population. Are there any sex differences?
title_fullStr Longitudinal trends in blood pressure, prevalence, awareness, treatment, and control of hypertension in the Czech population. Are there any sex differences?
title_full_unstemmed Longitudinal trends in blood pressure, prevalence, awareness, treatment, and control of hypertension in the Czech population. Are there any sex differences?
title_short Longitudinal trends in blood pressure, prevalence, awareness, treatment, and control of hypertension in the Czech population. Are there any sex differences?
title_sort longitudinal trends in blood pressure prevalence awareness treatment and control of hypertension in the czech population are there any sex differences
topic Czech MONICA
Czech post-MONICA study
epidemiology of hypertension
population random sample
response rate
url https://www.frontiersin.org/articles/10.3389/fcvm.2022.1033606/full
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