The May Measurement Month (MMM) campaign was conducted in Nigeria in 2023 to raise awareness of raised blood pressure (BP).
Adults aged ≥18 years were recruited through convenience sampling at hospital outpatient clinics, public places and worship centres in the six geopolitical zones of the country. Three seated BP readings were taken on each participant, and a questionnaire was completed to obtain information on demographics, lifestyle factors, and comorbidities. Hypertension was defined as a systolic BP ≥140mmHg or diastolic BP ≥90mmHg or being on BP-lowering medication. Controlled BP was defined as being on BP-lowering medication with a BP <140/90mmHg. Multiple imputation was used to estimate missing BP readings. In total, 5,485 participants were screened, with a mean age of 46.0 years and 55.2% were female. Of all participants, 2,510 (45.8%) had hypertension, of whom 1,888 (75.2%) were aware, and 1,788 (71.2%) were on antihypertensive medication. Of those on antihypertensive medication, 925 (51.7%) had controlled BP, and of all participants with hypertension, 36.9% had controlled BP.
The MMM campaign in Nigeria identified a substantial number of participants with untreated or inadequately treated hypertension. A holistic, multi-modality intervention is needed to improve both the detection of hypertension and initiation of appropriate management.
Kolawole W. Wahab, P. Kolo, U. Okafor et al.· European Heart Journal, Supp...· 0 citations
The May Measurement Month (MMM) campaign was conducted in the Republic of Ireland and the United Kingdom in 2023 to raise awareness of raised blood pressure (BP). Adults aged ≥18 years were recruited through convenience sampling at hospitals, general practice surgeries, community pharmacies, universities, gyms, and other public places. Three seated BP readings were taken for each participant, and a questionnaire collected information on demographics, lifestyle factors, and comorbidities. Hypertension was defined as a systolic BP ≥140mmHg or diastolic BP ≥90mmHg or being on BP-lowering medication. Controlled BP was defined as being on BP-lowering medication with a BP <140/90mmHg. Multiple imputation was used to estimate one or two missing BP readings. In total, 2,201 were screened, with a mean age of 51.9 years and 51.2% were female. Of all participants, 821 (37.3%) had hypertension, of whom 393 (47.9%) were aware, and 300 (36.5%) were on antihypertensive medication. Of those on antihypertensive medication, 152 (50.8%) had controlled BP, and of all participants with hypertension, 18.6% had controlled BP. Hypertension was more common in males, whilst awareness, antihypertensive medication use, and BP control were lower. Hypertension awareness and antihypertensive medication use were particularly low in adults aged <50 years. The MMM campaign in the Republic of Ireland and the United Kingdom identified substantial numbers of participants with untreated or inadequately treated hypertension. This evidence reinforces the urgent need for more effective hypertension detection and control strategies to abate the rising hypertension burden.
K. Stone, Abbie R Williams, Christopher J A Pugh et al.· European Heart Journal, Supp...· 0 citations
Hypertension is a leading non-communicable disease (NCD) risk factor in Nepal, estimated to affect approximately one quarter of the adult population. The May Measurement Month (MMM) campaign was conducted in Nepal in 2023 to raise awareness of raised blood pressure (BP).
Adults aged ≥18 years were recruited through convenience sampling from 11 districts of Nepal from May to August 2023. Three seated BP readings were taken from each participant, and a questionnaire collected information on demographics, lifestyle factors, and comorbidities. Hypertension was defined as a systolic BP ≥140mmHg or diastolic BP ≥90mmHg or being on antihypertensive medication. Controlled BP was defined as being on antihypertensive medication with a BP <140/90mmHg. Multiple imputation was used to estimate one or two missing BP readings. In total, 7,589 were screened, with a mean age of 41.3 years and 50.4% were female. Of all participants, 1,828 (24.1%) had hypertension, of whom 833 (45.6%) were aware, and 716 (39.2%) were on antihypertensive medication. Of those on antihypertensive medication, 421 (58.8%) had controlled BP, and of all participants with hypertension, 23.0% had controlled BP.
The MMM campaign in Nepal identified a substantial number of participants with untreated or inadequately treated hypertension. Despite a higher proportion of hypertension among males, their awareness, treatment, and control levels were significantly lower than that in females. This study highlights the need to strengthen community-based programs to enhance the continuum of hypertension detection and management.
Zhengbang Yao, Y. Inagaki, S. Koirala et al.· European Heart Journal, Supp...· 0 citations
The May Measurement Month (MMM) campaign was conducted in Vietnam in 2023 to raise awareness of raised blood pressure (BP). Adults aged ≥18 years were recruited through convenience sampling at multiple sites across various provinces and cities throughout Vietnam. Three seated BP readings were taken from each participant, and a questionnaire collected information on demographics, lifestyle factors, and comorbidities. Hypertension was defined as a systolic BP ≥140mmHg or diastolic BP ≥90mmHg or being on BP-lowering medication. Controlled BP was defined as being on BP-lowering medication with a BP <140/90mmHg. Multiple imputation was used to estimate missing BP readings. In total, 10,944 adults were screened, with a mean age of 53.5 years and 52.3% were female. Of all participants, 4,905 (44.8%) had hypertension, of whom 3,673 (74.9%) were aware, and 3,584 (73.1%) were on antihypertensive medication. Of those on antihypertensive medication, 1,925 (53.7%) had controlled BP, and of all participants with hypertension, 39.2% had controlled BP. The MMM campaign in Vietnam identified a substantial number of participants with untreated or inadequately treated hypertension. These findings underscore the urgent need for strengthened national strategies to improve hypertension screening, treatment accessibility, and long-term blood pressure control.
M. Van, Viet Nguyen Lan, Son Tran Kim et al.· European Heart Journal, Supp...· 0 citations
The May Measurement Month (MMM) campaign was conducted in Ghana in 2023 to raise awareness of raised blood pressure (BP). Adults aged ≥18 years were recruited through convenience sampling in the Greater Accra, Eastern, Central and Ashanti Regions of Ghana. Three seated BP readings were taken on each participant, and a questionnaire collected information on demographics, lifestyle factors, and comorbidities. Hypertension was defined as a systolic BP ≥140mmHg or diastolic BP ≥90mmHg or being on BP-lowering medication. Controlled BP was defined as being on BP-lowering medication with a BP <140/90mmHg. In total, 4,203 were screened, with a mean age of 33.6 years and 29.0% were female. Of all participants, 506 (12.0%) had hypertension, of whom 73 (14.4%) were aware, and 69 (13.6%) were on antihypertensive medication. Of those on antihypertensive medication, 26 (37.7%) had controlled BP, and of all participants with hypertension, 5.1% had controlled BP. The MMM campaign in Ghana identified a substantial number of participants with untreated or inadequately treated hypertension. It is significant to note that the annual BP screening campaign is a means to create awareness of the need to get screened and also identify individuals with high BP.
Betty Owusu-Ansah, Joseph O Kiddy-Kodua, Martin Adu-Adadey et al.· European Heart Journal, Supp...· 0 citations
The May Measurement Month (MMM) campaign was conducted in Egypt in 2023 to raise awareness of raised blood pressure (BP). Adults aged ≥18 years were recruited through convenience sampling at hospitals, workplaces, and public areas across Egypt. Three seated BP readings were taken on each participant, and a questionnaire collected information on demographics, lifestyle factors, and comorbidities. Hypertension was defined as a systolic BP ≥140mmHg or diastolic BP ≥90mmHg or being on BP-lowering medication. Controlled BP was defined as being on BP-lowering medication with a BP <140/90mmHg. Multiple imputation was used to estimate missing BP readings. In total, 2,701 were screened, with a mean age of 41.9 years and 44.5% were female. Of all participants, 661 (24.5%) had hypertension, of whom 452 (68.4%) were aware, and 431 (65.2%) were on antihypertensive medication. Of those on antihypertensive medication, 290 (67.3%) had controlled BP, and of all participants with hypertension, 43.9% had controlled BP. Females had a higher prevalence of hypertension (27.3% vs 22.2%), awareness (75.9% vs 61.0%) and controlled BP (50.6% vs 37.2%) than males.
The MMM campaign in Egypt identified a substantial number of participants with untreated or inadequately treated hypertension, underscoring a high burden and persistent gaps in detection and management. These findings highlight the need for public education, clinical management, and community-centric screening and interventions to improve BP control and reduce cardiovascular risk.
Marina Sous, Farah Bishay, Esraa Magdy et al.· European Heart Journal, Supp...· 0 citations
The May Measurement Month (MMM) campaign was conducted in Thailand in 2023 to raise awareness of raised blood pressure (BP). Adults aged ≥18 years were recruited through convenience sampling at voluntary healthcare centres throughout Thailand. Three seated BP readings were taken on each participant, and a questionnaire collected information on demographics, lifestyle factors, and comorbidities. Hypertension was defined as a systolic BP ≥140mmHg or diastolic BP ≥90mmHg or being on BP-lowering medication. Controlled BP was defined as being on BP-lowering medication with a BP <140/90mmHg. Multiple imputation was used to estimate missing BP readings. In total, 14,390 were screened, with a mean age of 52.7 years and 60.2% were female. Of all participants, 6,377 (44.3%) had hypertension, of whom 5,137 (80.6%) were aware, and 5,066 (79.4%) were on antihypertensive medication. Of those on antihypertensive medication, 3,391 (66.9%) had controlled BP, and of all participants with hypertension, 53.2% had controlled BP.
The MMM campaign in Thailand identified a substantial number of participants with untreated or inadequately treated hypertension. Strategies to deliver early and effective BP control must be emphasized.
Chavalit Chotruangnapa, S. Kunanon, P. Kotruchin et al.· European Heart Journal, Supp...· 0 citations
The May Measurement Month (MMM) campaign was conducted in Oman in 2023 to raise awareness of raised blood pressure (BP). Adults aged ≥18 years were recruited through convenience sampling at hospitals, clinics, workplaces, and public spaces in eight regions of Oman. Three seated BP readings were taken on each participant, and a questionnaire collected information on demographics, lifestyle factors, and comorbidities. Hypertension was defined as a systolic BP ≥140mmHg or diastolic BP ≥90mmHg or being on BP-lowering medication. Controlled BP was defined as being on BP-lowering medication with a BP <140/90mmHg. Multiple imputation was used to estimate missing BP readings. In total, 3,114 were screened, with a mean age of 40.1 years and 38.4% of whom were female. Of all participants, 1,010 (32.4%) had hypertension, of whom 421 (41.7%) were aware, and 389 (38.5%) were on antihypertensive medication. Of those on antihypertensive medication, 221 (56.8%) had controlled BP, and of all participants with hypertension, 21.9% had controlled BP.
The MMM campaign in Oman identified a substantial number of participants with untreated or inadequately treated hypertension. These findings highlight persistent gaps in the awareness, identification, and management of hypertension across Oman. The MMM campaigns emphasise the need for broader community screening, targeted educational initiatives, and system-level strategies to improve hypertension control and reduce cardiovascular risk.
Mahfoudha Al Shezawi, Saed Al Bimani, Asaad Al Toubi et al.· European Heart Journal, Supp...· 0 citations
The MMM campaign in Argentina identified a substantial number of participants with untreated but more frequently inadequately treated hypertension, which is essential to implement more effective strategies, such as treatment adjustments, lifestyle changes, and close patient monitoring, to improve control and reduce long-term risks.
J. Zilberman, T. Beaney, G. Kerr et al.· European Heart Journal, Supp...· 0 citations