Prevalence and characterization of undiagnosed arterial hypertension in the eastern zone of Mexico

Abstract Arterial hypertension is considered a public health problem with severe consequences at an individual and public health levels. However, there is a lack of information regarding its characterization in Mexico. The objective of this study is to estimate the proportion of undiagnosed arterial...

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Main Authors: Silvia Palomo‐Piñón, Neftali Eduardo Antonio‐Villa, Luis Rey García‐Cortés, Cleto Álvarez‐Aguilar, Esteban González‐Palomo, Olga Margarita Bertadillo‐Mendoza, María Eugenia Figueroa‐Suárez, Francisco Vargas‐Hernández, Imer Guillermo Herrera‐Olvera, Jairo Enoc Cruz‐Toledo, Maria Adriana Cruz‐Arce, Berenice Serafín‐Méndez, Gerardo Muñoz‐Cortés, Claudia Janeth Morfin‐Macias
Format: Article
Language:English
Published: Wiley 2022-02-01
Series:The Journal of Clinical Hypertension
Subjects:
Online Access:https://doi.org/10.1111/jch.14414
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author Silvia Palomo‐Piñón
Neftali Eduardo Antonio‐Villa
Luis Rey García‐Cortés
Cleto Álvarez‐Aguilar
Esteban González‐Palomo
Olga Margarita Bertadillo‐Mendoza
María Eugenia Figueroa‐Suárez
Francisco Vargas‐Hernández
Imer Guillermo Herrera‐Olvera
Jairo Enoc Cruz‐Toledo
Maria Adriana Cruz‐Arce
Berenice Serafín‐Méndez
Gerardo Muñoz‐Cortés
Claudia Janeth Morfin‐Macias
author_facet Silvia Palomo‐Piñón
Neftali Eduardo Antonio‐Villa
Luis Rey García‐Cortés
Cleto Álvarez‐Aguilar
Esteban González‐Palomo
Olga Margarita Bertadillo‐Mendoza
María Eugenia Figueroa‐Suárez
Francisco Vargas‐Hernández
Imer Guillermo Herrera‐Olvera
Jairo Enoc Cruz‐Toledo
Maria Adriana Cruz‐Arce
Berenice Serafín‐Méndez
Gerardo Muñoz‐Cortés
Claudia Janeth Morfin‐Macias
author_sort Silvia Palomo‐Piñón
collection DOAJ
description Abstract Arterial hypertension is considered a public health problem with severe consequences at an individual and public health levels. However, there is a lack of information regarding its characterization in Mexico. The objective of this study is to estimate the proportion of undiagnosed arterial hypertension (UAH) and the overall prevalence and clinical management of arterial hypertension within the Eastern Zone of Mexico. Additionally, we explore associated factors related with both UAH and uncontrolled arterial hypertension. We obtained information from the May Measure Month (MMM) 2019 study. People were asked for cardiovascular risk factors and blood pressure was measured according to the protocols of the European Society of Hypertension (ESH). Data from 5901 subjects were extracted: 76.04% from the Eastern Zone of the State of Mexico. The overall prevalence of hypertension was 32.4% (95% CI 31.2‐33.6). From all subjects living with hypertension, 28.3% had UAH, 22.1% had previous diagnosis but were untreated; 29.3% were treated but had uncontrolled hypertension. Younger men adults living in the State of Michoacán had increased proportion of UAH and untreated hypertension. We observed that male sex, age, obesity, living at Michoacán were risk factors for UAH. Finally, male sex, diabetes, and living at Michoacán were related risk conditions for having uncontrolled arterial hypertension. In summary, there is a high proportion of UAH in Easter Zone of Mexico. Younger adults had higher proportion of UAH and untreated hypertension profiles. Efficient actions are required to make a timely diagnosis in the young adult population to prevent long‐term complications.
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spelling doaj.art-f81fbe344d5548c99a41b9a242981b212023-10-30T13:26:35ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762022-02-0124213113910.1111/jch.14414Prevalence and characterization of undiagnosed arterial hypertension in the eastern zone of MexicoSilvia Palomo‐Piñón0Neftali Eduardo Antonio‐Villa1Luis Rey García‐Cortés2Cleto Álvarez‐Aguilar3Esteban González‐Palomo4Olga Margarita Bertadillo‐Mendoza5María Eugenia Figueroa‐Suárez6Francisco Vargas‐Hernández7Imer Guillermo Herrera‐Olvera8Jairo Enoc Cruz‐Toledo9Maria Adriana Cruz‐Arce10Berenice Serafín‐Méndez11Gerardo Muñoz‐Cortés12Claudia Janeth Morfin‐Macias13Coordinación de Investigación en Salud Instituto Mexicano del Seguro Social (IMSS) Ciudad de México MéxicoMD/PhD PECEM (Program), Facultad de Medicina Universidad Nacional Autónoma de México Ciudad de México MéxicoCoordinación Auxiliar Médica de Investigación en Salud IMSS Estado de México Oriente MéxicoCoordinación Auxiliar Médica de Investigación en Salud, IMSS Morelia Michoacán MéxicoFacultad de Ciencias Universidad Anáhuac Campus Norte Estado de México MéxicoPlaneación y Enlace Institucional IMSS Estado de México Oriente MéxicoCoordinación Clínica de Educación e Investigación en Salud (CCEIS) Unidad de Medicina Familiar (UMF) No. 52, IMSS Estado de México Oriente MéxicoCCEIS, UMF No. 64 IMSS, Estado de México Oriente MéxicoCCEIS, UMF No. 75 IMSS Estado de México Oriente MéxicoCCEIS, UMF No. 91 IMSS Estado de México Oriente MéxicoCCEIS Unidad Médica de Atención Ambulatoria con UMF No. 198, IMSS Estado de México Oriente MéxicoCCEIS, Hospital General de Zona No. 57, IMSS Estado de México Oriente MéxicoCCEIS UMF No. 80 IMSS Morelia Michoacán MéxicoCCEIS UMF No. 75 IMSS Morelia Michoacán MéxicoAbstract Arterial hypertension is considered a public health problem with severe consequences at an individual and public health levels. However, there is a lack of information regarding its characterization in Mexico. The objective of this study is to estimate the proportion of undiagnosed arterial hypertension (UAH) and the overall prevalence and clinical management of arterial hypertension within the Eastern Zone of Mexico. Additionally, we explore associated factors related with both UAH and uncontrolled arterial hypertension. We obtained information from the May Measure Month (MMM) 2019 study. People were asked for cardiovascular risk factors and blood pressure was measured according to the protocols of the European Society of Hypertension (ESH). Data from 5901 subjects were extracted: 76.04% from the Eastern Zone of the State of Mexico. The overall prevalence of hypertension was 32.4% (95% CI 31.2‐33.6). From all subjects living with hypertension, 28.3% had UAH, 22.1% had previous diagnosis but were untreated; 29.3% were treated but had uncontrolled hypertension. Younger men adults living in the State of Michoacán had increased proportion of UAH and untreated hypertension. We observed that male sex, age, obesity, living at Michoacán were risk factors for UAH. Finally, male sex, diabetes, and living at Michoacán were related risk conditions for having uncontrolled arterial hypertension. In summary, there is a high proportion of UAH in Easter Zone of Mexico. Younger adults had higher proportion of UAH and untreated hypertension profiles. Efficient actions are required to make a timely diagnosis in the young adult population to prevent long‐term complications.https://doi.org/10.1111/jch.14414blood pressurecontrolhypertensionMexicoundiagnosed arterial hypertension
spellingShingle Silvia Palomo‐Piñón
Neftali Eduardo Antonio‐Villa
Luis Rey García‐Cortés
Cleto Álvarez‐Aguilar
Esteban González‐Palomo
Olga Margarita Bertadillo‐Mendoza
María Eugenia Figueroa‐Suárez
Francisco Vargas‐Hernández
Imer Guillermo Herrera‐Olvera
Jairo Enoc Cruz‐Toledo
Maria Adriana Cruz‐Arce
Berenice Serafín‐Méndez
Gerardo Muñoz‐Cortés
Claudia Janeth Morfin‐Macias
Prevalence and characterization of undiagnosed arterial hypertension in the eastern zone of Mexico
The Journal of Clinical Hypertension
blood pressure
control
hypertension
Mexico
undiagnosed arterial hypertension
title Prevalence and characterization of undiagnosed arterial hypertension in the eastern zone of Mexico
title_full Prevalence and characterization of undiagnosed arterial hypertension in the eastern zone of Mexico
title_fullStr Prevalence and characterization of undiagnosed arterial hypertension in the eastern zone of Mexico
title_full_unstemmed Prevalence and characterization of undiagnosed arterial hypertension in the eastern zone of Mexico
title_short Prevalence and characterization of undiagnosed arterial hypertension in the eastern zone of Mexico
title_sort prevalence and characterization of undiagnosed arterial hypertension in the eastern zone of mexico
topic blood pressure
control
hypertension
Mexico
undiagnosed arterial hypertension
url https://doi.org/10.1111/jch.14414
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