Por: Honorato Ortiz Marrón, Ricardo J.Vaamonde Martín, Belén Zorrilla Torrás, Francisco Arrieta Blanco, Mariano Casado López y Ma José Medrano Albero. Rev. Esp. Salud Publica vol.85 no.4 Madrid jul.-ago. 2011.
Nuestras cifras de prevalencia, tratamiento y control ocupan un lugar intermedio-bajo entre las publicadas en estudios previos sobre poblaciones españolas y europeas. Sin embargo la HTA es un problema de salud pública en la CM. Un porcentaje importante de personas hipertensas no están diagnosticadas. De los hipertensos que conocen su diagnóstico y reciben tratamiento sólo 1 de cada 3 varones y una de cada 2 mujeres están bien controlados.
Por: Gutiérrez-Misis, Aliciaa, Sánchez-Santos, Maria T., Banegas, Jose R., Zunzunegui, Maria V., Castell, Maria V. y Otero, Angela.
To estimate the prevalence and incidence of hypertension in a Spanish cohort of people aged at least 65 years with 13 years’ follow-up. This is the first study to provide age-adjusted and sex-adjusted incidence rates of hypertension in a Mediterranean-based population aged 65 years or older.
Population-based longitudinal study set in the city of Leganes, Spain. The cross-sectional prevalence of hypertension was estimated using data available for the 1993, 1995, 1999, and 2006 cohorts. The incidence density (incident cases of hypertension/person-years) was calculated for 522 individuals without hypertension at baseline. Individuals were classified as hypertensive if they were taking physician-prescribed medication for hypertension or if their blood pressure was equal to or greater than 140/90 mmHg.
Hypertension prevalence increased progressively with time, from 53.5% in 1993 to 86.2% in 2006. In all four waves, women had a higher prevalence of hypertension than men (P < 0.05). The total incidence density of hypertension was 7.6 [95% confidence interval (CI) 6.6–8.7] cases per 100 person-years of follow-up: 9.0 (95% CI 7.2–11.2) in women and 6.9 (95% CI 5.8–8.3) in men. In all age groups, the incidence density was nonsignificantly higher in women than in men (P > 0.05).
Both the incidence and prevalence of hypertension in this population of people aged at least 65 years were high, and the prevalence increased dramatically over time, especially among women.
Fuente: Journal of Hypertension: October 2011 – Volume 29 – Issue 10 – p: 1863–1870.
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