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Prevalence, awareness, treatment and control of high blood pressure in a Swiss city general population: the CoLaus study.
Eur J Cardiovasc Prev Rehabil 2009; 16(1):66-72EJ

Abstract

BACKGROUND

This study is aimed to assess the prevalence of awareness, treatment and control of high blood pressure (HBP) and associated factors in a Swiss city.

DESIGN

Population-based cross-sectional study of 6182 participants (52.5% women) aged 35-75 years living in Lausanne, Switzerland.

METHODS

HBP was defined as blood pressure >/=140/90 mmHg or current antihypertensive medication.

RESULTS

The overall prevalence of HBP was 36% (95% confidence interval: 35-38%). Among participants with HBP, 63% were aware of it. Among participants aware of HBP, 78% were treated, and among those treated, 48% were controlled (BP <140/90 mmHg). In multivariate analysis, HBP prevalence was associated with older age, male sex, low educational level, high alcohol intake, awareness of diabetes or dyslipidaemia, obesity and parental history of myocardial infarction. HBP awareness was associated with older age, female sex, awareness of diabetes or dyslipidaemia, obesity and parental history of myocardial infarction. HBP control was associated with younger age, higher educational level and no alcohol intake. Alone or in combination, sartans were the most often prescribed antihypertensive medication category (41%), followed by diuretics, beta-blockers, angiotensin converting enzyme inhibitors and calcium channel blockers. Only 31% of participants treated for HBP were taking >/=2 antihypertensive medications.

CONCLUSION

Although more than half of all participants with HBP were aware and more than three-quarters of them received a pharmacological treatment, less than half of those treated were adequately controlled.

Authors+Show Affiliations

Institute of Social and Preventive Medicine (IUMSP), Vascular Medicine eDepartment of Medicine, University Hospital (CHUV), Lausanne, Switzerland.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19188810

Citation

Danon-Hersch, Nadia, et al. "Prevalence, Awareness, Treatment and Control of High Blood Pressure in a Swiss City General Population: the CoLaus Study." European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups On Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, vol. 16, no. 1, 2009, pp. 66-72.
Danon-Hersch N, Marques-Vidal P, Bovet P, et al. Prevalence, awareness, treatment and control of high blood pressure in a Swiss city general population: the CoLaus study. Eur J Cardiovasc Prev Rehabil. 2009;16(1):66-72.
Danon-Hersch, N., Marques-Vidal, P., Bovet, P., Chiolero, A., Paccaud, F., Pécoud, A., ... Vollenweider, P. (2009). Prevalence, awareness, treatment and control of high blood pressure in a Swiss city general population: the CoLaus study. European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups On Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, 16(1), pp. 66-72. doi:10.1097/HJR.0b013e32831e9511.
Danon-Hersch N, et al. Prevalence, Awareness, Treatment and Control of High Blood Pressure in a Swiss City General Population: the CoLaus Study. Eur J Cardiovasc Prev Rehabil. 2009;16(1):66-72. PubMed PMID: 19188810.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence, awareness, treatment and control of high blood pressure in a Swiss city general population: the CoLaus study. AU - Danon-Hersch,Nadia, AU - Marques-Vidal,Pedro, AU - Bovet,Pascal, AU - Chiolero,Arnaud, AU - Paccaud,Fred, AU - Pécoud,Alain, AU - Hayoz,Daniel, AU - Mooser,Vincent, AU - Waeber,Gérard, AU - Vollenweider,Peter, PY - 2009/2/4/entrez PY - 2009/2/4/pubmed PY - 2009/5/23/medline SP - 66 EP - 72 JF - European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology JO - Eur J Cardiovasc Prev Rehabil VL - 16 IS - 1 N2 - BACKGROUND: This study is aimed to assess the prevalence of awareness, treatment and control of high blood pressure (HBP) and associated factors in a Swiss city. DESIGN: Population-based cross-sectional study of 6182 participants (52.5% women) aged 35-75 years living in Lausanne, Switzerland. METHODS: HBP was defined as blood pressure >/=140/90 mmHg or current antihypertensive medication. RESULTS: The overall prevalence of HBP was 36% (95% confidence interval: 35-38%). Among participants with HBP, 63% were aware of it. Among participants aware of HBP, 78% were treated, and among those treated, 48% were controlled (BP <140/90 mmHg). In multivariate analysis, HBP prevalence was associated with older age, male sex, low educational level, high alcohol intake, awareness of diabetes or dyslipidaemia, obesity and parental history of myocardial infarction. HBP awareness was associated with older age, female sex, awareness of diabetes or dyslipidaemia, obesity and parental history of myocardial infarction. HBP control was associated with younger age, higher educational level and no alcohol intake. Alone or in combination, sartans were the most often prescribed antihypertensive medication category (41%), followed by diuretics, beta-blockers, angiotensin converting enzyme inhibitors and calcium channel blockers. Only 31% of participants treated for HBP were taking >/=2 antihypertensive medications. CONCLUSION: Although more than half of all participants with HBP were aware and more than three-quarters of them received a pharmacological treatment, less than half of those treated were adequately controlled. SN - 1741-8275 UR - https://www.unboundmedicine.com/medline/citation/19188810/Prevalence_awareness_treatment_and_control_of_high_blood_pressure_in_a_Swiss_city_general_population:_the_CoLaus_study_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;PAGE=linkout&amp;SEARCH=19188810.ui DB - PRIME DP - Unbound Medicine ER -