Prevalence, awareness, treatment and control of hypertension and sodium intake in Zhejiang Province, China: A cross-sectional survey in 2017


Autoři: Xiaofu Du aff001;  Le Fang aff001;  Jianwei Xu aff002;  Xiangyu Chen aff001;  Jie Zhang aff001;  Yamin Bai aff002;  Jing Wu aff002;  Jixiang Ma aff003;  Min Yu aff001;  Jieming Zhong aff001
Působiště autorů: Department of Non-Communicable Disease Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, P. R. China aff001;  National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, P. R. China aff002;  Division of Non-communicable Disease Control and Community Health, Chinese Center for Disease Control and Prevention, Beijing, P. R. China aff003
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
doi: 10.1371/journal.pone.0226756

Souhrn

Background

In recent decades, hypertension has become a popular public health problem in China. In 2017, a cross-sectional survey about hypertension and sodium intake measured by 24-hour (24-h) urine was launched in Zhejiang Province, to provide the basis of the Chinese population to develop a salt reduction intervention and prevention of hypertension strategy.

Methods

Cross-sectional data were obtained from 7512 participants aged 18 to 69 years in Zhejiang Province of China by complex, multistage sampling methods. The survey included face-to-face questionnaires and physical examination among all participants. Blood pressures and the use of anti-hypertension medications were used to determine hypertension. One thousand five hundred participants of them were asked to collect 24-h urine to measure sodium and potassium levels to assess intake. All rates and means were weighted by sampling weight and population structure of the province.

Results

The weighted means of systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 127.78 mm Hg (95% confidence interval [CI], 127.21–128.36) and 79.40 mm Hg (95%CI, 79.04–79.76). The weighted hypertension prevalence was 30.41% (95%CI, 28.91–31.91). Among those classified as having hypertension, 43.55% (95%CI, 40.77–46.34) were aware of the fact that they were suffering from hypertension, 32.05% (95%CI, 29.49–34.61) of them reported taking anti-hypertension medications, only 14.48% (95%CI, 12.54–16.42) had their blood pressure controlled. The weighted means of 24-h urinary sodium was 165.52 mmol (standard deviation [SD], 2.92), representing that the mean intake of sodium chloride was 9.68g (SD, 0.17) through conversion.

Conclusion

These cross-sectional survey results show that hypertension and excessive sodium intake in adults are prevalent in Zhejiang Province, China. Salt reduction and prevention of hypertension is still an urgent public health work.

Klíčová slova:

Blood pressure – Health education and awareness – Hypertension – Obesity – Rural areas – Sodium chloride – Urban areas – Urine


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