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• W2897940329 abstract "Jiapeng Lu and colleagues (Dec 9, 2017, p 2549)1Lu J Lu Y Wang X et al.Prevalence, awareness, treatment, and control of hypertension in China: data from 1·7 million adults in a population-based screening study (China PEACE Million Persons Project).Lancet. 2017; 390: 2549-2558Summary Full Text Full Text PDF PubMed Scopus (567) Google Scholar elegantly showed that uncontrolled blood pressure was highly prevalent in China, although resources to control hypertension were limited.1Lu J Lu Y Wang X et al.Prevalence, awareness, treatment, and control of hypertension in China: data from 1·7 million adults in a population-based screening study (China PEACE Million Persons Project).Lancet. 2017; 390: 2549-2558Summary Full Text Full Text PDF PubMed Scopus (567) Google Scholar As in other studies assessing the prevalence of hypertension,2Olsen MH Angell SY Asma S et al.A call to action and a lifecourse strategy to address the global burden of raised blood pressure on current and future generations: the Lancet Commission on hypertension.Lancet. 2016; 388: 2665-2712Summary Full Text Full Text PDF PubMed Scopus (484) Google Scholar controlled hypertension was defined as a blood pressure of 140/90 mm Hg or more, irrespective of age and cardiovascular risk. However, several guidelines, including those from WHO, recommend prescribing a blood pressure-lowering treatment only if cardiovascular risk is high (eg, 10-year risk of fatal or non-fatal cardiovascular event ≥20%) or blood pressure is very high (eg, ≥160/100 mm Hg).2Olsen MH Angell SY Asma S et al.A call to action and a lifecourse strategy to address the global burden of raised blood pressure on current and future generations: the Lancet Commission on hypertension.Lancet. 2016; 388: 2665-2712Summary Full Text Full Text PDF PubMed Scopus (484) Google Scholar When using an approach based on cardiovascular risk, many young or middle-aged adults (aged <40 years) with moderately increased blood pressure will not be eligible for antihypertensive medication. Hence, despite a blood pressure of 140/90 mm Hg or more, the hypertension in these people might not be considered uncontrolled. The prevalence of people eligible for hypertension treatment, the prevalence of uncontrolled hypertension, and the resources needed to treat hypertension will, therefore, largely differ depending on whether national guidelines advise treatment above a specific blood pressure (eg, ≥140/90 mm Hg) or on the basis of cardiovascular risk.3WHOPackage of essential noncommunicable (PEN) disease interventions for primary health care in low-resource settings. World Health Organization, Geneva2013Google Scholar, 4Ndindjock R Gedeon J Mendis S Paccaud F Bovet P Potential impact of single-risk-factor versus total risk management for the prevention of cardiovascular events in Seychelles.Bull World Health Organ. 2011; 89: 286-295Crossref PubMed Scopus (35) Google Scholar Irrespective of which strategy is best,5Khanji MY1 Bicalho VV van Waardhuizen CN et al.Cardiovascular risk assessment: a systematic review of guidelines.Ann Intern Med. 2016; 165: 713-722Crossref PubMed Scopus (38) Google Scholar we suggest that all studies reporting the prevalence of uncontrolled hypertension, and the resources needed to address the burden, explicitly state whether they refer to a risk factor approach, a cardiovascular risk approach, or a mix of both, to help interpret the results and better guide policy. We declare no competing interests. Prevalence, awareness, treatment, and control of hypertension in China: data from 1·7 million adults in a population-based screening study (China PEACE Million Persons Project)Among Chinese adults aged 35–75 years, nearly half have hypertension, fewer than a third are being treated, and fewer than one in twelve are in control of their blood pressure. The low number of people in control is ubiquitous in all subgroups of the Chinese population and warrants broad-based, global strategy, such as greater efforts in prevention, as well as better screening and more effective and affordable treatment. Full-Text PDF Prevalence and control of hypertension – Authors' replyWe appreciate the Correspondence by Pascal Bovet and Arnaud Chiolero about our study of the prevalence, awareness, treatment, and control of hypertension in China.1 They suggest that for all studies reporting the prevalence of uncontrolled hypertension, and the resources needed to address the burden, authors should explicitly state whether referring to a risk factor approach, a cardiovascular risk approach, or a mix of both so as to help interpret the results and guide policy.As stated in the Methods section of our Article, we clearly defined controlled and treated hypertension. Full-Text PDF" @default.
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• W2897940329 title "Prevalence and control of hypertension" @default.
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