Vol 12, No 3 (2008)
Original paper
Published online: 2008-05-29
Arterial hypertension as a population’s health problem in the prophylactic campaign “Ladies in red”
Nadciśnienie tętnicze 2008;12(3):207-215.
Abstract
Background Assessment of hypertension, as a health problem
of the population, during prophylactic campaign, with
paying special attention to accompanied modifying risk
factors of cardio-vascular diseases.
Material and methods 240 patients (120 women and 120 men), 18 to 65 years old were examined during prophylactic campaign „Ladies in red”. Patients were divided into three groups: A - with normal blood pressure - 165 patients - 83 women (X1), 81 men (Y1), group B without hypertension in medical history but with blood pressure over 140/90 mm Hg while being examined during campaign - 30 patients: 13 women (X2), 17 men (Y2) and C patients with hypertension - 45 patients: 28 women (X3) and 17 men (Y3). Following measurements were taken during campaign: blood pressure, weight, height, BMI, level of glycemia, percentage of fat tissue, waist and hip size. Smoking, family history and current treatment were also considered. The Kruskal-Wallis test, Mann-Whitney test and Chi-square test were used for the statistical analysis, ρ Spearmana was taken to analyze correlation of statistically significant values.
Results We revealed statistically significant differences between the means: systolic and diastolic blood pressure between groups: A (116.3; 74.8) and B (144.5; 83.1); A (116.3; 74.8) and C (138.7; 83.4); X1 (115.8; 75.8) and X2 (143.2; 82.5); X1 (115.8; 75.8) and X3 (136.0; 81.4); Y1 (116.6; 73.8) and Y2 (145.6; 83.6); Y1 (116.6; 73.8) and Y3 (137.1; 83.9); patients who declare to smoke (127.0; 79.4) and non-smokers (123.0; 76.7); age in groups: Y1 (43.5) and Y3 (55.2); BMI in groups: X (24.3), Y (27.1); systolic blood pressure with waist size > 88 cm (134.0) and < 88 cm (122.0), BMI > 25 (134.0) and < 25 (120.0) in group X; systolic and diastolic blood pressure with waist size > 102 cm (136.0; 81.0) and < 102 cm (115.0; 73.0), BMI > 25 (131.0; 79.0) and < 25 (105.0; 70.0) in group Y. We revealed the correlation between BMI value, waist size and systolic, diastolic blood pressure in group X and Y.
Conclusions
1. There is positive correlation between BMI value, waist size, smoking and systolic as well as diastolic blood pressure in examined group.
2. There is a need to pay special attention to effective prevention of hypertension and other cardio-vascular diseases.
3. Problem of undiagnosed hypertension in men and women is significant. All of these patients have increased risk of cardio-vascular event. Some of them, apart from changes in lifestyle, need immediate pharmacotherapy.
Material and methods 240 patients (120 women and 120 men), 18 to 65 years old were examined during prophylactic campaign „Ladies in red”. Patients were divided into three groups: A - with normal blood pressure - 165 patients - 83 women (X1), 81 men (Y1), group B without hypertension in medical history but with blood pressure over 140/90 mm Hg while being examined during campaign - 30 patients: 13 women (X2), 17 men (Y2) and C patients with hypertension - 45 patients: 28 women (X3) and 17 men (Y3). Following measurements were taken during campaign: blood pressure, weight, height, BMI, level of glycemia, percentage of fat tissue, waist and hip size. Smoking, family history and current treatment were also considered. The Kruskal-Wallis test, Mann-Whitney test and Chi-square test were used for the statistical analysis, ρ Spearmana was taken to analyze correlation of statistically significant values.
Results We revealed statistically significant differences between the means: systolic and diastolic blood pressure between groups: A (116.3; 74.8) and B (144.5; 83.1); A (116.3; 74.8) and C (138.7; 83.4); X1 (115.8; 75.8) and X2 (143.2; 82.5); X1 (115.8; 75.8) and X3 (136.0; 81.4); Y1 (116.6; 73.8) and Y2 (145.6; 83.6); Y1 (116.6; 73.8) and Y3 (137.1; 83.9); patients who declare to smoke (127.0; 79.4) and non-smokers (123.0; 76.7); age in groups: Y1 (43.5) and Y3 (55.2); BMI in groups: X (24.3), Y (27.1); systolic blood pressure with waist size > 88 cm (134.0) and < 88 cm (122.0), BMI > 25 (134.0) and < 25 (120.0) in group X; systolic and diastolic blood pressure with waist size > 102 cm (136.0; 81.0) and < 102 cm (115.0; 73.0), BMI > 25 (131.0; 79.0) and < 25 (105.0; 70.0) in group Y. We revealed the correlation between BMI value, waist size and systolic, diastolic blood pressure in group X and Y.
Conclusions
1. There is positive correlation between BMI value, waist size, smoking and systolic as well as diastolic blood pressure in examined group.
2. There is a need to pay special attention to effective prevention of hypertension and other cardio-vascular diseases.
3. Problem of undiagnosed hypertension in men and women is significant. All of these patients have increased risk of cardio-vascular event. Some of them, apart from changes in lifestyle, need immediate pharmacotherapy.
Keywords: arterial hypertensionprophylactic campaign “Ladies in red”