Persistence of diabetes and hypertension after multimodal. Depression and mobility among older adults in mexico. The study aim was to profile physical mobility, declared health problems, hypertension and diabetes frequency, awareness, treated and good control in urban lowincome elders. Dec 19, 2000 of all hypertensives in 199495, 54% were detected in men and 64% in women, the treatment rates were 23% and 32%, and the proportions of those with controlled hypertension below 14090 mm hg with. Treatment of arterial hypertension by physical methods dimo s. Treatment of acute severe hypertension springerlink.
Treatmentresistant hypertension introduction about one third of adults in most communities in the developed and developing world have hypertension. We used data from the 2012 health and nutrition survey ensanut, which is representative of the mexican population. This study aimed to determine the prevalence and identify correlates of type 2 diabetes mellitus type 2 dm and metabolic syndrome mets in a rural, indigenous community in northwestern mexico. High prevalence of metabolic syndrome in a mestizo group of. Since hypertension is asymptomatic, the consequences of poorly controlled bp should be explained to patient. The highest prevalence was seen among children and adolescents in urban areas and those from the highest socioeconomic level. Analysis of ensanut 2012 national survey of health and nutrition 2012.
To describe in a national sample 1 the prevalence, awareness, treatment and control of. Ensanut was undertaken in the second semester of 2011 and the first of 2012 and surveyed 194,900 persons, representative of 114. As responsible for the ensanut 2012 survey, jpg declares that data available at the web site includes all variables used in this analysis. Rafael perezescamilla, phd, 1 salvador villalpando, md, phd, 2 teresa shamahlevy, phd, 2 ignacio mendezgomez humaran, mc. Feb 02, 20 during the 2007 2012 federal administration, ncds became a top priority in the national health plan, and efforts in prevention, treatment and control were intensified based on a specific action programme for diabetes mellitus. Healthcare coverage and access to health care in the context of type 2 diabetes and hypertension in rural mexico. The surveys were conducted between october and may in 20052006 and 2011 2012. In 2012, these diseases represented 82% of premature deaths, 68% of total deaths and three fourths of these deaths occurred in low and middle income countries. Health and quality of life outcomes impairment of quality of.
The present study aims to describe the prevalence, distribution and trends of hypertension ht in mexican adults. We used the 2012 mexican national health and nutrition survey ensanut to obtain information on population demographics and health status to ascertain need for services. The sample size was designed to be representative of the country and regions, and their expansion factors and sampling weights were used in all analyses to render nationally representative estimates. Prevalence of obesity and metabolic syndromecomponents in.
Depressive symptoms were evaluated using the center for epidemiological studies depression scale shortform cesdsf. Ensanut 2012 show that the t2d prevalence based on pmd is 9. The reason may be lack of work regarding comprehensive treatment with an endocrinenephrologist approach. Resistant hypertension patients are under a greater risk of presenting secondary causes of hypertension and may be benefited by. The requirement to initiate pharmacological treatment was similar when. Pdf household food insecurity, diabetes and hypertension. Optimal cutoff points for the detectionof undiagnosed type 2. Treatment strategies for hypertension consist of lifestyle modifications which include a diet rich in fruits, vegetables, and lowfat food or fish with a reduced content of saturated and total fat, salt restriction, appropriate body weight, regular exercise, moderate alcohol consumption, and smoking cessation and drug therapies, although.
Household food insecurity, diabetes and hypertension among mexican adults. Pdf dyslipidemia prevalence, awareness, treatment and control in. This means that 20% of the population lives with hypertension without knowing about it in 2012, 47. These recommendations include weight loss and physical activity, a hearthealthy diet with sodium intake reduction ensanut 2012 1 which included 46 303 subjects older. A public health approach to global management of hypertension. Incidence of hypertension in a highrisk workgroup police. To describe the number of mexican adults with undiagnosed diabetes and arterial hypertension and their association with obesity.
Food insecurity was determined by the latin american and caribbean food security scale elcsa. Household food insecurity is associated with depressive. Detections of cardiovascular disease risk factors dyslipidemia and hypertension were the indicators with the highest improvement, while nonpharmaceutical treatment and diabetic foot exams showed minor changes. Aace, ace dyslipidemia clinical practice guidelines update. In mexico, the prevalence of hypertension arterial blood pressure bp. Ensanut 2012 of every mexicans 315 suffer from hta and half of them do not know it, that is, it affects 31. Causes of resistant hypertension detected by a standardized. Based on multistage stratified probability sampling, ensanut 2012. Obesity stands as an important risk factor for the development of chronic diseases such as type 2 diabetes1,2 and cardiovascular diseases. Diabetes is a leading cause of morbidity and mortality in mexico and understudied among indigenous populations. Perezescamilla r1, villalpando s2, shamahlevy t2, mendezgomez humaran i3. Kidney damage in hypertensive adults in primary care.
Type 2 diabetes mellitus dm2 is a chronic disease, and for treatment to succeed, it is necessary to harmonize the mental health of the patient with the environment, which impacts quality of life and adherence to medical regimens. National health survey ensanut 2012 in mexico the prevalence in 2012 was from 31. Medical expenditure for chronic diseases in mexico. Primary hyperparathyroidism phpt and metabolic syndrome ms have been independently related to cardiovascular morbidities, however this association is still controversial. Comorbidities, such as heart failure, diabetes, high cholesterol and the need for laboratory tests will increase the frequency of visits.
This is the repository of all ensanut 2012 survey data. Health status of urban mediumlowincome elderly at the. Prevalence, diagnosis and control of hypertension in. This study aims to assess the prevalence, awareness, treatment, and control of hypertension in two major slums in nairobi, kenya. We use data from a crosssectional populationbased survey, conducted in 20082009, involving a random sample of 5190 2794 men and 2396 women adults aged 18 years and older resident in both slums. Sp on diabetes and hypertension care, intermediate process indicators for older adults 50 years. Household food insecurity hfi is defined as lack of access to a diet of sufficient quality and quantity to lead an active healthy life. Clinical practice guidelines for the management of. Prescription patterns of antihypertensives in a community. The study had crosssectional design in population sample. In the case of an active competitive athlete, it is recommended that once the blood pressure is well controlled, regular followup should be continued with by. We conclude that the general prevalence of diabetes and hypertension among patients with acromegaly remains higher than in the population without acromegaly several years after multimodal therapy.
The complex scenario of obesity, diabetes and hypertension. The frequency of diabetes but not of hypertension appears to be related to the biochemical control of acromegaly, particularly to igf1 concentrations. Selfperceived stress is associated with adiposity and. New 2017 american college of cardiologyamerican heart. Prevalence and correlates of diabetes and metabolic. Hypertensive crises are further defined as either hypertensive emergencies. The clinical practice guideline for the diagnosis and treatment of hbp in the irst level of care 2014 has given 73% 27% percentage of patients with hypertension. The complex scenario of obesity, diabetes and hypertension in. To assess trends in prevalence and detection, treatment and control of hypertension in a german population between 1984 and 1995. To examine the impact of seguro popular mexican social health insurance for the poor.
Controlled blood pressure was considered when sbp was hypertension in adults with a vulnerability condition was 49. In addition, during the 2012 ensanut observed that 100% of. The main objective was to evaluate the prevalence and clinical characteristics of diabetes mellitus and hypertension on diagnosis and after multimodal treatment of acromegaly. Approximately 72 million people in the us experience hypertension. A secondary data analysis was conducted on a total samp. Gao j, marc y, iturrioz x, leroux v, balavoine f, llorenscortes c. This simple scheme facilitates continuous assessment and improvement of programme performance, and between 1990 and 2012, the global tuberculosis death rate fell by 45%. Diagnosis criteria the diagnosis of hypertension must be accompanied by an appropriate family. The mexican national health and nutrition survey ensanut 2012, a nationally representative survey, was the main source of data.
Mexican population has a high prevalence of metabolic syndrome, however its frequency seems to be even higher than expected in patients with phpt. Sep 17, 2012 approximately 72 million people in the us experience hypertension. Household food insecurity, diabetes and hypertension among. The obesity prevalence doubled in the last three decades. Diabetic nephropathy remains the same for the last 20 years. Aug 14, 2015 a growing body of evidence suggests that psychological stress is an independent cardiovascular risk factor. Optimal cutoff points for the detectionof undiagnosed type. The 2017 update introduces a cardiovascular disease extreme risk category. The treatment of arterial hypertension should start before significant cardiovascular damage develops and is usually lifelong. Among noncommunicable chronic diseases nccd, diabetes and hypertension are the main cause of adult mortality worldwide. It is a widespread symptom leading to very serious consequences, making it an important medical and social issue.
Of the hypertensive patients who received pharmacological treatment 69. Prevalence of previous diagnosis of hypertension and. Filaretova, medical university, sofia, 2 department of anatomy and histology, medical university, sofia. Worldwide, hypertension may affect as many as 1 billion people and be responsible for. Obesity prevalence shows accelerating trends worldwide, and is known to be associated with a range of comorbidities and survival. Preventive healthcareseeking behavior among poor older. Role of diuretics in the prevention of heart failure. Subjects with a previous diagnosis of diabetes or hypertension n1 861 were excluded. Resistant hypertension patients are under a greater risk of presenting secondary causes of hypertension and may be benefited by therapeutical approach for this diagnosis. The authors received no specific funding for this work. Mexicos household health expenditure on diabetes and. Ensanut is a household survey designed to ensure representative results for the 31 states and 1 federal entity henceforth states. Primary hyperparathyroidism phpt is a common endocrine disease, particularly in postmenopausal women. Dyslipidemia prevalence, awareness, treatment and control in mexico.
Save my name, email, and website in this browser for the next time i comment. The collection of information from ensanut 2012 was. Percentage % of 1 men and women with data on arterial hypertension in a population at risk. Applicability of the current hypertension guidelines in. Seventh report of the joint national committee on the prevention, detection, evaluation, and treatment of high blood pressure jnc 7. To reduce cardiovascular disease through treatment of hypertension, both increased access to diagnosis and treatment and improved treatment quality will be necessary. A new strategy for treating hypertension by blocking the activity of the brain reninangiotensin system with aminopeptidase a inhibitors. Addition of several factors is strongly related to atherosclerotic cardiovascular disease cvd and type 2 diabetes dt2 development. According to the national survey of health ensanut 2012 a prevalence of hypertension in mexico of 31. Krastev1, ivan petcov1, nikolay krastev2,4, manol kalniev2, alexander apostolov3, 1 college of medicine j. Depression among older people can be associated with limitations in physical mobility. Pharmacological treatment is the commonest intervention and has been shown to reduce cardiovascular mortality and morbidity, and total mortality.
Epidemiology s epidemiology s according to the international diabetes federation, china, india, usa, brazil, russia and mexico, in that order are the countries with the highest number of diabetics. Table of contents international journal of hypertension. The medical guidelines for clinical practice for the diagnosis and treatment of dyslipidemia and prevention of atherosclerosis were published by aace in 2012. Epidemiology of diabetes mellitus in mexico nutrition. Treatment of secondary forms of hypertension differs widely. The ensanut used a probabilistic multistage stratified cluster sampling design. Member of panel appointed to the eighth joint national committee jnc 8 1. High prevalence of metabolic syndrome in a mestizo group. Of the hypertensive adults who had previous diagnosis of hypertension and receiving drug treatment 79. In adults arterial hypertension registers within 818%, approximately 5% of cases with arterial hypertension is possible the cause not to be found. Metabolic syndrome mets is a cluster of risk factors that, taken alone or synergically, are independent predictors of type 2 diabetes and cardiovascular disease cvd, which are both major public health problems that requires urgent containment actions. It is the main cause of hypercalcemia in outpatient settings and its prevalence is estimated to be 1 to 4 per people in the general population and 21 per in postmenopausal women. The prevalence of hypertension of 2012 ensanut had a sensitivity of 74. Blood pressure was measured at 8 352 adults who participated in the ensanut mc 2016.
In addition, few studies had evaluated this issue in emergent countries. The aim of this study was to assess the relationship between selfperceived psychological stress with parameters of adiposity, metabolic syndrome, and. Subjects were urban men and women older than 59 years at the. Hypertension was considered controlled when blood pressure was tas hypertension was 25. To make the adjustment, the results of a subsample of ensanut 2012 n3,670 adults were used, which. This constellation of biochemical and clinical abnormalities are. The impact of social health insurance on diabetes and. Methods a crosssectional study was conducted with data from the 2012 national health and nutrition survey ensanut 2012 by its initials in spanish. The protocol of ensanut was approved by the research, ethics and biosecurity committees of the national institute of public health. Healthcare coverage and access to health care in the context. Definitions acromegaly was diagnosed based on the finding of a glucosesuppressed gh 1 ngml and an igf1 1. Metabolic syndrome mets is a multifactorial disorder defined by a combination of altered metabolism of glucose, lipids, obesity andor arterial pressure elevation.
On the other hand, alternative medicine was the treatment option for 6. Prevalence, awareness, treatment and control of hypertension. Healthcare coverage and access to health care in the. In contrast, ensanut 2012, a national stateoftheart survey conducted by the mexican government, found that the national prevalence of hypertension was 31. Fine, md, drph, faha division of cardiovascular sciences nhlbinih august 21, 2014 disclosures. Ensanut carried out in 2000 and 2006 with the one carried out in 2012 and subsequently contrasted it was found that the trends in the mexican population they have followed a steady path since it has not undergone changes. Assessing hypertension management in the community. Hypertensive crises are further defined as either hypertensive emergencies or urgencies, depending on. To describe the prevalence of hypertension among mexican adults, and to compare to that. Applicability of the current hypertension guidelines in latin.
The study included a subsample of 6 6 subjects aged 20 years or more who participated in the 2006 national health and nutrition survey ensanut 2006. Unpacking recent hypertension guidelines lawrence j. In these cases we speak of hypertension of unknown etiology. In usa most of the comorbidities remain low in the last 20 years. Objective to determine the prevalence and associated factors of attempted suicide as in a sample of mexican adolescents between 10 and 19 years of age. However, the rh is currently little studied, and more knowledge of this clinical condition is necessary. Pdf dyslipidemia prevalence, awareness, treatment and.