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1. Health, psychosocial, and economic impacts of the COVID-19 pandemic on people with chronic conditions in India: a mixed methods study

Author

Singh, K, Kondal, D, Mohan, Sailesh, Jaganathan, S, Deepa, M, Venkateshmurthy, NS, Jarhyan, P, Anjana, RM, Narayan, KMV, Mohan, V, Tandon, N, Ali, MK, Prabhakaran, D, Eggleston, K, Singh, K, Kondal, D, Mohan, Sailesh, Jaganathan, S, Deepa, M, Venkateshmurthy, NS, Jarhyan, P, Anjana, RM, Narayan, KMV, Mohan, V, Tandon, N, Ali, MK, Prabhakaran, D, and Eggleston, K

Abstract

Abstract Background People with chronic conditions are disproportionately prone to be affected by the COVID-19 pandemic but there are limited data documenting this. We aimed to assess the health, psychosocial and economic impacts of the COVID-19 pandemic on people with chronic conditions in India. Methods Between July 29, to September 12, 2020, we telephonically surveyed adults (n = 2335) with chronic conditions across four sites in India. Data on participants’ demographic, socio-economic status, comorbidities, access to health care, treatment satisfaction, self-care behaviors, employment, and income were collected using pre-tested questionnaires. We performed multivariable logistic regression analysis to examine the factors associated with difficulty in accessing medicines and worsening of diabetes or hypertension symptoms. Further, a diverse sample of 40 participants completed qualitative interviews that focused on eliciting patient’s experiences during the COVID-19 lockdowns and data analyzed using thematic analysis. Results One thousand seven hundred thirty-four individuals completed the survey (response rate = 74%). The mean (SD) age of respondents was 57.8 years (11.3) and 50% were men. During the COVID-19 lockdowns in India, 83% of participants reported difficulty in accessing healthcare, 17% faced difficulties in accessing medicines, 59% reported loss of income, 38% lost jobs, and 28% reduced fruit and vegetable consumption. In the final-adjusted regression model, rural residence (OR, 95%CI: 4.01,2.90–5.53), having diabetes (2.42, 1.81–3.25) and hypertension (1.70,1.27–2.27), and loss of income (2.30,1.62–3.26) were significantly associated with difficulty in accessing medicines. Further, difficulties in accessing medicines (3.67,2.52–5.35

Published
2021

2. May Measurement Month 2017: an analysis of blood pressure screening results worldwide

Author

Beaney, T, Schutte, A, Tomaszewski, M, Ariti, C, Burrell, L, Castillo, R, Charchar, F, Damasceno, A, Kruger, R, Lackland, D, Nilsson, P, Prabhakaran, D, Ramirez, A, Schlaich, M, Wang, J, Weber, M, Poulter, N, Napiza-Granada, C, Sevilla, M, Atilano, A, Ona, D, More, A, Jose, A, Maheshwari, A, Kondal, D, Yu, W, Li, W, Xu, S, Yu, J, Zhang, H, Widyantoro, B, Turana, Y, Situmorang, T, Sofiatin, Y, Barack, R, Lin, H, Wang, T, Chen, W, Sirenko, Y, Evstigneeva, O, Negresku, E, Yousif, M, Medani, S, Beheiry, H, Ali, I, Zilberman, J, Marin, M, Rodriguez, P, Garcia-Vasquez, F, Kramoh, K, Ekoua, D, Lopez-Jaramillo, P, Otero, J, Sanchez, G, Narvaez, C, Accini, J, Hernandez-Hernandez, R, Octavio, J, Morr, I, Lopez-Rivera, J, Ojji, D, Arije, A, Babatunte, A, Wahab, K, REIS FERNANDES, M, Pereira, S, Valentim, M, Dzudie, A, Kingue, S, Djomou Ngongang, D, Ogola, E, Barasa, F, Gitura, B, Malik, F, Choudhury, S, Al Mamun, M, Minh, V, Viet, N, Cao Truong, S, Ferri, C, Parati, G, Torlasco, C, Borghi, C, Goma, F, Syatalimi, C, Zelveian, P, Barbosa, E, Sebba Barroso, W, Penaherrera, E, Jarrin, E, Yusufali, A, Bazargani, N, Tsinamdzgvrishvili, B, Trapaidze, D, Neupane, D, Mishra, S, Jozwiak, J, Malyszko, J, Konradi, A, Chazova, I, Ishaq, M, Memon, F, Heagerty, A, Keitley, J, Brady, A, Cockcroft, J, Mcdonnell, B, Lanas, F, Chia, Y, Ndhlovu, H, Kiss, I, Ruilope, L, Ellenga Mbolla, B, Milhailidou, A, Woodiwiss, A, Perl, S, Dolan, E, Azevedo, V, Garre, L, Boggia, J, Lee, V, Kowlessur, S, Miglinas, M, Sukackiene, D, Wainford, R, Habonimana, D, Masupe, T, Ortellado, J, Wuerzner, G, Alcocer, L, Burazeri, G, Sanchez Delgado, E, Lovic, D, Mondo, C, Mostafa, A, Nadar, S, Valdez Tiburcio, O, Leiba, A, Dorobantu, M, De Backer, T, Chifamba, J, Stergiou, G, Nwokocha, C, Sokolovic, S, Toure, A, Connell, K, Khan, N, Burger, D, De Carvalho Rodrigues, M, Kramer, B, Schmieder, R, Unger, T, Wyss, F, Yameogo, N, Beistline, H, Kenerson, J, Alfonso, B, Olsen, M, Soares, M, Beaney, Thomas, Schutte, Aletta E, Tomaszewski, Maciej, Ariti, Cono, Burrell, Louise M, Castillo, Rafael R, Charchar, Fadi J, Damasceno, Albertino, Kruger, Ruan, Lackland, Daniel T, Nilsson, Peter M, Prabhakaran, Dorairaj, Ramirez, Agustin J, Schlaich, Markus P, Wang, Jiguang, Weber, Michael A, Poulter, Neil R, Napiza-Granada, C., Sevilla, Ma. RC, Atilano, A. A., Ona, D. I. D., More, A., Jose, A. P., Maheshwari, A., Kondal, D., Yu, W., Li, W., Xu, S., Yu, J., Zhang, H., Widyantoro, B., Turana, Y., Situmorang, T. D., Sofiatin, Y., Barack, R., Lin, H. -J., Wang, T. -D., Chen, W. -J., Sirenko, Y., Evstigneeva, O., Negresku, E., Yousif, M. E., Medani, S. A., Beheiry, H. M., Ali, I. A., Zilberman, J. M., Marin, M. J., Rodriguez, P. D., Garcia-Vasquez, F., Kramoh, K. E., Ekoua, D., Lopez-Jaramillo, P., Otero, J., Sanchez, G., Narvaez, C., Accini, J. L., Hernandez-Hernandez, R., Octavio, J. A., Morr, I., Lopez-Rivera, J., Ojji, D., Arije, A., Babatunte, A., Wahab, K. W., REIS FERNANDES, MARCOS ANTONIO, Pereira, S. V., Valentim, M., Dzudie, A., Kingue, S., Djomou Ngongang, D. A., Ogola, E. N., Barasa, F. A., Gitura, B., Malik, F-T-N, Choudhury, S. R., Al Mamun, M. A., Minh, V. H., Viet, N. L., Cao Truong, S., Ferri, C., Parati, G., Torlasco, C., Borghi, C., Goma, F. M., Syatalimi, C., Zelveian, P. H., Barbosa, E., Sebba Barroso, W., Penaherrera, E., Jarrin, E., Yusufali, A., Bazargani, N., Tsinamdzgvrishvili, B., Trapaidze, D., Neupane, D., Mishra, S. R., Jozwiak, J., Malyszko, J., Konradi, A., Chazova, I., Ishaq, M., Memon, F., Heagerty, A. M., Keitley, J., Brady, A. J. B., Cockcroft, J. R., McDonnell, B. J., Lanas, F., Chia, Y. -C., Ndhlovu, H., Kiss, I., Ruilope, L. M., Ellenga Mbolla, B. F., Milhailidou, A. S., Woodiwiss, A. J., Perl, S., Dolan, E., Azevedo, V., Garre, L., Boggia, J. G., Lee, V. W. Y., Kowlessur, S., Miglinas, M., Sukackiene, D., Wainford, R. D., Habonimana, D., Masupe, T., Ortellado, J., Wuerzner, G., Alcocer, L., Burazeri, G., Sanchez Delgado, E., Lovic, D., Mondo, C. K., Mostafa, A., Nadar, S. K., Valdez Tiburcio, O., Leiba, A., Dorobantu, M., De Backer, T., Chifamba, J., Stergiou, G., Nwokocha, C. R., Sokolovic, S., Toure, A. I., Connell, K. L., Khan, N. A., Burger, D., De Carvalho Rodrigues, M., Kramer, B. K., Schmieder, R. E., Unger, T., Wyss, F. S., Yameogo, N. V., Beistline, H., Kenerson, J. G., Alfonso, B., Olsen, M. H., Soares, M., Beaney, T, Schutte, A, Tomaszewski, M, Ariti, C, Burrell, L, Castillo, R, Charchar, F, Damasceno, A, Kruger, R, Lackland, D, Nilsson, P, Prabhakaran, D, Ramirez, A, Schlaich, M, Wang, J, Weber, M, Poulter, N, Napiza-Granada, C, Sevilla, M, Atilano, A, Ona, D, More, A, Jose, A, Maheshwari, A, Kondal, D, Yu, W, Li, W, Xu, S, Yu, J, Zhang, H, Widyantoro, B, Turana, Y, Situmorang, T, Sofiatin, Y, Barack, R, Lin, H, Wang, T, Chen, W, Sirenko, Y, Evstigneeva, O, Negresku, E, Yousif, M, Medani, S, Beheiry, H, Ali, I, Zilberman, J, Marin, M, Rodriguez, P, Garcia-Vasquez, F, Kramoh, K, Ekoua, D, Lopez-Jaramillo, P, Otero, J, Sanchez, G, Narvaez, C, Accini, J, Hernandez-Hernandez, R, Octavio, J, Morr, I, Lopez-Rivera, J, Ojji, D, Arije, A, Babatunte, A, Wahab, K, REIS FERNANDES, M, Pereira, S, Valentim, M, Dzudie, A, Kingue, S, Djomou Ngongang, D, Ogola, E, Barasa, F, Gitura, B, Malik, F, Choudhury, S, Al Mamun, M, Minh, V, Viet, N, Cao Truong, S, Ferri, C, Parati, G, Torlasco, C, Borghi, C, Goma, F, Syatalimi, C, Zelveian, P, Barbosa, E, Sebba Barroso, W, Penaherrera, E, Jarrin, E, Yusufali, A, Bazargani, N, Tsinamdzgvrishvili, B, Trapaidze, D, Neupane, D, Mishra, S, Jozwiak, J, Malyszko, J, Konradi, A, Chazova, I, Ishaq, M, Memon, F, Heagerty, A, Keitley, J, Brady, A, Cockcroft, J, Mcdonnell, B, Lanas, F, Chia, Y, Ndhlovu, H, Kiss, I, Ruilope, L, Ellenga Mbolla, B, Milhailidou, A, Woodiwiss, A, Perl, S, Dolan, E, Azevedo, V, Garre, L, Boggia, J, Lee, V, Kowlessur, S, Miglinas, M, Sukackiene, D, Wainford, R, Habonimana, D, Masupe, T, Ortellado, J, Wuerzner, G, Alcocer, L, Burazeri, G, Sanchez Delgado, E, Lovic, D, Mondo, C, Mostafa, A, Nadar, S, Valdez Tiburcio, O, Leiba, A, Dorobantu, M, De Backer, T, Chifamba, J, Stergiou, G, Nwokocha, C, Sokolovic, S, Toure, A, Connell, K, Khan, N, Burger, D, De Carvalho Rodrigues, M, Kramer, B, Schmieder, R, Unger, T, Wyss, F, Yameogo, N, Beistline, H, Kenerson, J, Alfonso, B, Olsen, M, Soares, M, Beaney, Thomas, Schutte, Aletta E, Tomaszewski, Maciej, Ariti, Cono, Burrell, Louise M, Castillo, Rafael R, Charchar, Fadi J, Damasceno, Albertino, Kruger, Ruan, Lackland, Daniel T, Nilsson, Peter M, Prabhakaran, Dorairaj, Ramirez, Agustin J, Schlaich, Markus P, Wang, Jiguang, Weber, Michael A, Poulter, Neil R, Napiza-Granada, C., Sevilla, Ma. RC, Atilano, A. A., Ona, D. I. D., More, A., Jose, A. P., Maheshwari, A., Kondal, D., Yu, W., Li, W., Xu, S., Yu, J., Zhang, H., Widyantoro, B., Turana, Y., Situmorang, T. D., Sofiatin, Y., Barack, R., Lin, H. -J., Wang, T. -D., Chen, W. -J., Sirenko, Y., Evstigneeva, O., Negresku, E., Yousif, M. E., Medani, S. A., Beheiry, H. M., Ali, I. A., Zilberman, J. M., Marin, M. J., Rodriguez, P. D., Garcia-Vasquez, F., Kramoh, K. E., Ekoua, D., Lopez-Jaramillo, P., Otero, J., Sanchez, G., Narvaez, C., Accini, J. L., Hernandez-Hernandez, R., Octavio, J. A., Morr, I., Lopez-Rivera, J., Ojji, D., Arije, A., Babatunte, A., Wahab, K. W., REIS FERNANDES, MARCOS ANTONIO, Pereira, S. V., Valentim, M., Dzudie, A., Kingue, S., Djomou Ngongang, D. A., Ogola, E. N., Barasa, F. A., Gitura, B., Malik, F-T-N, Choudhury, S. R., Al Mamun, M. A., Minh, V. H., Viet, N. L., Cao Truong, S., Ferri, C., Parati, G., Torlasco, C., Borghi, C., Goma, F. M., Syatalimi, C., Zelveian, P. H., Barbosa, E., Sebba Barroso, W., Penaherrera, E., Jarrin, E., Yusufali, A., Bazargani, N., Tsinamdzgvrishvili, B., Trapaidze, D., Neupane, D., Mishra, S. R., Jozwiak, J., Malyszko, J., Konradi, A., Chazova, I., Ishaq, M., Memon, F., Heagerty, A. M., Keitley, J., Brady, A. J. B., Cockcroft, J. R., McDonnell, B. J., Lanas, F., Chia, Y. -C., Ndhlovu, H., Kiss, I., Ruilope, L. M., Ellenga Mbolla, B. F., Milhailidou, A. S., Woodiwiss, A. J., Perl, S., Dolan, E., Azevedo, V., Garre, L., Boggia, J. G., Lee, V. W. Y., Kowlessur, S., Miglinas, M., Sukackiene, D., Wainford, R. D., Habonimana, D., Masupe, T., Ortellado, J., Wuerzner, G., Alcocer, L., Burazeri, G., Sanchez Delgado, E., Lovic, D., Mondo, C. K., Mostafa, A., Nadar, S. K., Valdez Tiburcio, O., Leiba, A., Dorobantu, M., De Backer, T., Chifamba, J., Stergiou, G., Nwokocha, C. R., Sokolovic, S., Toure, A. I., Connell, K. L., Khan, N. A., Burger, D., De Carvalho Rodrigues, M., Kramer, B. K., Schmieder, R. E., Unger, T., Wyss, F. S., Yameogo, N. V., Beistline, H., Kenerson, J. G., Alfonso, B., Olsen, M. H., and Soares, M.

Abstract

Background: Increased blood pressure is the biggest contributor to the global burden of disease and mortality. Data suggest that less than half of the population with hypertension is aware of it. May Measurement Month was initiated to raise awareness of the importance of blood pressure and as a pragmatic interim solution to the shortfall in screening programmes. Methods: This cross-sectional survey included volunteer adults (≥18 years) who ideally had not had their blood pressures measured in the past year. Each participant had their blood pressure measured three times and received a a questionnaire about demographic, lifestyle, and environmental factors. The primary objective was to raise awareness of blood pressure, measured by number of countries involved, number of people screened, and number of people who have untreated or inadequately treated hypertension (defined as systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg, or both, or on the basis of receiving antihypertensive medication). Multiple imputation was used to estimate the mean of the second and third blood pressure readings if these were not recorded. Measures of association were analysed using linear mixed models. Findings: Data were collected from 1 201 570 individuals in 80 countries. After imputation, of the 1 128 635 individuals for whom a mean of the second and third readings was available, 393 924 (34·9%) individuals had hypertension. 153 905 (17·3%) of 888 616 individuals who were not receiving antihypertensive treatment were hypertensive, and 105 456 (46·3%) of the 227 721 individuals receiving treatment did not have controlled blood pressure. Significant differences in adjusted blood pressures and hypertension prevalence were apparent between regions. Adjusted blood pressure was higher in association with antihypertensive medication, diabetes, cerebrovascular disease, smoking, and alcohol consumption. Blood pressure was higher when measured on the right arm than on the le

Published
2018

3. May Measurement Month 2017: an analysis of blood pressure screening results worldwide

Author

Beaney, T, Schutte, A, Tomaszewski, M, Ariti, C, Burrell, L, Castillo, R, Charchar, F, Damasceno, A, Kruger, R, Lackland, D, Nilsson, P, Prabhakaran, D, Ramirez, A, Schlaich, M, Wang, J, Weber, M, Poulter, N, Napiza-Granada, C, Sevilla, M, Atilano, A, Ona, D, More, A, Jose, A, Maheshwari, A, Kondal, D, Yu, W, Li, W, Xu, S, Yu, J, Zhang, H, Widyantoro, B, Turana, Y, Situmorang, T, Sofiatin, Y, Barack, R, Lin, H, Wang, T, Chen, W, Sirenko, Y, Evstigneeva, O, Negresku, E, Yousif, M, Medani, S, Beheiry, H, Ali, I, Zilberman, J, Marin, M, Rodriguez, P, Garcia-Vasquez, F, Kramoh, K, Ekoua, D, Lopez-Jaramillo, P, Otero, J, Sanchez, G, Narvaez, C, Accini, J, Hernandez-Hernandez, R, Octavio, J, Morr, I, Lopez-Rivera, J, Ojji, D, Arije, A, Babatunte, A, Wahab, K, REIS FERNANDES, M, Pereira, S, Valentim, M, Dzudie, A, Kingue, S, Djomou Ngongang, D, Ogola, E, Barasa, F, Gitura, B, Malik, F, Choudhury, S, Al Mamun, M, Minh, V, Viet, N, Cao Truong, S, Ferri, C, Parati, G, Torlasco, C, Borghi, C, Goma, F, Syatalimi, C, Zelveian, P, Barbosa, E, Sebba Barroso, W, Penaherrera, E, Jarrin, E, Yusufali, A, Bazargani, N, Tsinamdzgvrishvili, B, Trapaidze, D, Neupane, D, Mishra, S, Jozwiak, J, Malyszko, J, Konradi, A, Chazova, I, Ishaq, M, Memon, F, Heagerty, A, Keitley, J, Brady, A, Cockcroft, J, Mcdonnell, B, Lanas, F, Chia, Y, Ndhlovu, H, Kiss, I, Ruilope, L, Ellenga Mbolla, B, Milhailidou, A, Woodiwiss, A, Perl, S, Dolan, E, Azevedo, V, Garre, L, Boggia, J, Lee, V, Kowlessur, S, Miglinas, M, Sukackiene, D, Wainford, R, Habonimana, D, Masupe, T, Ortellado, J, Wuerzner, G, Alcocer, L, Burazeri, G, Sanchez Delgado, E, Lovic, D, Mondo, C, Mostafa, A, Nadar, S, Valdez Tiburcio, O, Leiba, A, Dorobantu, M, De Backer, T, Chifamba, J, Stergiou, G, Nwokocha, C, Sokolovic, S, Toure, A, Connell, K, Khan, N, Burger, D, De Carvalho Rodrigues, M, Kramer, B, Schmieder, R, Unger, T, Wyss, F, Yameogo, N, Beistline, H, Kenerson, J, Alfonso, B, Olsen, M, Soares, M, Beaney, Thomas, Schutte, Aletta E, Tomaszewski, Maciej, Ariti, Cono, Burrell, Louise M, Castillo, Rafael R, Charchar, Fadi J, Damasceno, Albertino, Kruger, Ruan, Lackland, Daniel T, Nilsson, Peter M, Prabhakaran, Dorairaj, Ramirez, Agustin J, Schlaich, Markus P, Wang, Jiguang, Weber, Michael A, Poulter, Neil R, Napiza-Granada, C., Sevilla, Ma. RC, Atilano, A. A., Ona, D. I. D., More, A., Jose, A. P., Maheshwari, A., Kondal, D., Yu, W., Li, W., Xu, S., Yu, J., Zhang, H., Widyantoro, B., Turana, Y., Situmorang, T. D., Sofiatin, Y., Barack, R., Lin, H. -J., Wang, T. -D., Chen, W. -J., Sirenko, Y., Evstigneeva, O., Negresku, E., Yousif, M. E., Medani, S. A., Beheiry, H. M., Ali, I. A., Zilberman, J. M., Marin, M. J., Rodriguez, P. D., Garcia-Vasquez, F., Kramoh, K. E., Ekoua, D., Lopez-Jaramillo, P., Otero, J., Sanchez, G., Narvaez, C., Accini, J. L., Hernandez-Hernandez, R., Octavio, J. A., Morr, I., Lopez-Rivera, J., Ojji, D., Arije, A., Babatunte, A., Wahab, K. W., REIS FERNANDES, MARCOS ANTONIO, Pereira, S. V., Valentim, M., Dzudie, A., Kingue, S., Djomou Ngongang, D. A., Ogola, E. N., Barasa, F. A., Gitura, B., Malik, F-T-N, Choudhury, S. R., Al Mamun, M. A., Minh, V. H., Viet, N. L., Cao Truong, S., Ferri, C., Parati, G., Torlasco, C., Borghi, C., Goma, F. M., Syatalimi, C., Zelveian, P. H., Barbosa, E., Sebba Barroso, W., Penaherrera, E., Jarrin, E., Yusufali, A., Bazargani, N., Tsinamdzgvrishvili, B., Trapaidze, D., Neupane, D., Mishra, S. R., Jozwiak, J., Malyszko, J., Konradi, A., Chazova, I., Ishaq, M., Memon, F., Heagerty, A. M., Keitley, J., Brady, A. J. B., Cockcroft, J. R., McDonnell, B. J., Lanas, F., Chia, Y. -C., Ndhlovu, H., Kiss, I., Ruilope, L. M., Ellenga Mbolla, B. F., Milhailidou, A. S., Woodiwiss, A. J., Perl, S., Dolan, E., Azevedo, V., Garre, L., Boggia, J. G., Lee, V. W. Y., Kowlessur, S., Miglinas, M., Sukackiene, D., Wainford, R. D., Habonimana, D., Masupe, T., Ortellado, J., Wuerzner, G., Alcocer, L., Burazeri, G., Sanchez Delgado, E., Lovic, D., Mondo, C. K., Mostafa, A., Nadar, S. K., Valdez Tiburcio, O., Leiba, A., Dorobantu, M., De Backer, T., Chifamba, J., Stergiou, G., Nwokocha, C. R., Sokolovic, S., Toure, A. I., Connell, K. L., Khan, N. A., Burger, D., De Carvalho Rodrigues, M., Kramer, B. K., Schmieder, R. E., Unger, T., Wyss, F. S., Yameogo, N. V., Beistline, H., Kenerson, J. G., Alfonso, B., Olsen, M. H., Soares, M., Beaney, T, Schutte, A, Tomaszewski, M, Ariti, C, Burrell, L, Castillo, R, Charchar, F, Damasceno, A, Kruger, R, Lackland, D, Nilsson, P, Prabhakaran, D, Ramirez, A, Schlaich, M, Wang, J, Weber, M, Poulter, N, Napiza-Granada, C, Sevilla, M, Atilano, A, Ona, D, More, A, Jose, A, Maheshwari, A, Kondal, D, Yu, W, Li, W, Xu, S, Yu, J, Zhang, H, Widyantoro, B, Turana, Y, Situmorang, T, Sofiatin, Y, Barack, R, Lin, H, Wang, T, Chen, W, Sirenko, Y, Evstigneeva, O, Negresku, E, Yousif, M, Medani, S, Beheiry, H, Ali, I, Zilberman, J, Marin, M, Rodriguez, P, Garcia-Vasquez, F, Kramoh, K, Ekoua, D, Lopez-Jaramillo, P, Otero, J, Sanchez, G, Narvaez, C, Accini, J, Hernandez-Hernandez, R, Octavio, J, Morr, I, Lopez-Rivera, J, Ojji, D, Arije, A, Babatunte, A, Wahab, K, REIS FERNANDES, M, Pereira, S, Valentim, M, Dzudie, A, Kingue, S, Djomou Ngongang, D, Ogola, E, Barasa, F, Gitura, B, Malik, F, Choudhury, S, Al Mamun, M, Minh, V, Viet, N, Cao Truong, S, Ferri, C, Parati, G, Torlasco, C, Borghi, C, Goma, F, Syatalimi, C, Zelveian, P, Barbosa, E, Sebba Barroso, W, Penaherrera, E, Jarrin, E, Yusufali, A, Bazargani, N, Tsinamdzgvrishvili, B, Trapaidze, D, Neupane, D, Mishra, S, Jozwiak, J, Malyszko, J, Konradi, A, Chazova, I, Ishaq, M, Memon, F, Heagerty, A, Keitley, J, Brady, A, Cockcroft, J, Mcdonnell, B, Lanas, F, Chia, Y, Ndhlovu, H, Kiss, I, Ruilope, L, Ellenga Mbolla, B, Milhailidou, A, Woodiwiss, A, Perl, S, Dolan, E, Azevedo, V, Garre, L, Boggia, J, Lee, V, Kowlessur, S, Miglinas, M, Sukackiene, D, Wainford, R, Habonimana, D, Masupe, T, Ortellado, J, Wuerzner, G, Alcocer, L, Burazeri, G, Sanchez Delgado, E, Lovic, D, Mondo, C, Mostafa, A, Nadar, S, Valdez Tiburcio, O, Leiba, A, Dorobantu, M, De Backer, T, Chifamba, J, Stergiou, G, Nwokocha, C, Sokolovic, S, Toure, A, Connell, K, Khan, N, Burger, D, De Carvalho Rodrigues, M, Kramer, B, Schmieder, R, Unger, T, Wyss, F, Yameogo, N, Beistline, H, Kenerson, J, Alfonso, B, Olsen, M, Soares, M, Beaney, Thomas, Schutte, Aletta E, Tomaszewski, Maciej, Ariti, Cono, Burrell, Louise M, Castillo, Rafael R, Charchar, Fadi J, Damasceno, Albertino, Kruger, Ruan, Lackland, Daniel T, Nilsson, Peter M, Prabhakaran, Dorairaj, Ramirez, Agustin J, Schlaich, Markus P, Wang, Jiguang, Weber, Michael A, Poulter, Neil R, Napiza-Granada, C., Sevilla, Ma. RC, Atilano, A. A., Ona, D. I. D., More, A., Jose, A. P., Maheshwari, A., Kondal, D., Yu, W., Li, W., Xu, S., Yu, J., Zhang, H., Widyantoro, B., Turana, Y., Situmorang, T. D., Sofiatin, Y., Barack, R., Lin, H. -J., Wang, T. -D., Chen, W. -J., Sirenko, Y., Evstigneeva, O., Negresku, E., Yousif, M. E., Medani, S. A., Beheiry, H. M., Ali, I. A., Zilberman, J. M., Marin, M. J., Rodriguez, P. D., Garcia-Vasquez, F., Kramoh, K. E., Ekoua, D., Lopez-Jaramillo, P., Otero, J., Sanchez, G., Narvaez, C., Accini, J. L., Hernandez-Hernandez, R., Octavio, J. A., Morr, I., Lopez-Rivera, J., Ojji, D., Arije, A., Babatunte, A., Wahab, K. W., REIS FERNANDES, MARCOS ANTONIO, Pereira, S. V., Valentim, M., Dzudie, A., Kingue, S., Djomou Ngongang, D. A., Ogola, E. N., Barasa, F. A., Gitura, B., Malik, F-T-N, Choudhury, S. R., Al Mamun, M. A., Minh, V. H., Viet, N. L., Cao Truong, S., Ferri, C., Parati, G., Torlasco, C., Borghi, C., Goma, F. M., Syatalimi, C., Zelveian, P. H., Barbosa, E., Sebba Barroso, W., Penaherrera, E., Jarrin, E., Yusufali, A., Bazargani, N., Tsinamdzgvrishvili, B., Trapaidze, D., Neupane, D., Mishra, S. R., Jozwiak, J., Malyszko, J., Konradi, A., Chazova, I., Ishaq, M., Memon, F., Heagerty, A. M., Keitley, J., Brady, A. J. B., Cockcroft, J. R., McDonnell, B. J., Lanas, F., Chia, Y. -C., Ndhlovu, H., Kiss, I., Ruilope, L. M., Ellenga Mbolla, B. F., Milhailidou, A. S., Woodiwiss, A. J., Perl, S., Dolan, E., Azevedo, V., Garre, L., Boggia, J. G., Lee, V. W. Y., Kowlessur, S., Miglinas, M., Sukackiene, D., Wainford, R. D., Habonimana, D., Masupe, T., Ortellado, J., Wuerzner, G., Alcocer, L., Burazeri, G., Sanchez Delgado, E., Lovic, D., Mondo, C. K., Mostafa, A., Nadar, S. K., Valdez Tiburcio, O., Leiba, A., Dorobantu, M., De Backer, T., Chifamba, J., Stergiou, G., Nwokocha, C. R., Sokolovic, S., Toure, A. I., Connell, K. L., Khan, N. A., Burger, D., De Carvalho Rodrigues, M., Kramer, B. K., Schmieder, R. E., Unger, T., Wyss, F. S., Yameogo, N. V., Beistline, H., Kenerson, J. G., Alfonso, B., Olsen, M. H., and Soares, M.

Abstract

Background: Increased blood pressure is the biggest contributor to the global burden of disease and mortality. Data suggest that less than half of the population with hypertension is aware of it. May Measurement Month was initiated to raise awareness of the importance of blood pressure and as a pragmatic interim solution to the shortfall in screening programmes. Methods: This cross-sectional survey included volunteer adults (≥18 years) who ideally had not had their blood pressures measured in the past year. Each participant had their blood pressure measured three times and received a a questionnaire about demographic, lifestyle, and environmental factors. The primary objective was to raise awareness of blood pressure, measured by number of countries involved, number of people screened, and number of people who have untreated or inadequately treated hypertension (defined as systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg, or both, or on the basis of receiving antihypertensive medication). Multiple imputation was used to estimate the mean of the second and third blood pressure readings if these were not recorded. Measures of association were analysed using linear mixed models. Findings: Data were collected from 1 201 570 individuals in 80 countries. After imputation, of the 1 128 635 individuals for whom a mean of the second and third readings was available, 393 924 (34·9%) individuals had hypertension. 153 905 (17·3%) of 888 616 individuals who were not receiving antihypertensive treatment were hypertensive, and 105 456 (46·3%) of the 227 721 individuals receiving treatment did not have controlled blood pressure. Significant differences in adjusted blood pressures and hypertension prevalence were apparent between regions. Adjusted blood pressure was higher in association with antihypertensive medication, diabetes, cerebrovascular disease, smoking, and alcohol consumption. Blood pressure was higher when measured on the right arm than on the le

Published
2018

4. Isolated HbA1c identifies a different subgroup of individuals with type 2 diabetes compared to fasting or post-challenge glucose in Asian Indians: The CARRS and MASALA studies.

Author

Gujral, UP, Gujral, UP, Prabhakaran, D, Pradeepa, R, Kandula, NR, Kondal, D, Deepa, M, Zakai, NA, Anjana, RM, Rautela, G, Mohan, V, Narayan, KMV, Tandon, N, Kanaya, AM, Gujral, UP, Gujral, UP, Prabhakaran, D, Pradeepa, R, Kandula, NR, Kondal, D, Deepa, M, Zakai, NA, Anjana, RM, Rautela, G, Mohan, V, Narayan, KMV, Tandon, N, and Kanaya, AM

Abstract

AimsGuidelines recommend hemoglobin A1c (HbA1c) as a diagnostic test for type 2 diabetes, but its accuracy may differ in certain ethnic groups.MethodsThe prevalence of type 2 diabetes by HbA1c, fasting glucose, and 2 h glucose was compared in 3016 participants from Chennai and Delhi, India from the CARRS-2 Study to 757 Indians in the U.S. from the MASALA Study. Type 2 diabetes was defined as fasting glucose ≥ 7.0 mmol/L, 2-h glucose ≥ 11.1 mmol/L, or HbA1c ≥ 6.5%. Isolated HbA1c diabetes was defined as HbA1c ≥ 6.5% with fasting glucose < 7.0 mmol/L and 2 h glucose < 11.1 mmol/L.ResultsThe age, sex, and BMI adjusted prevalence of diabetes by isolated HbA1c was 2.9% (95% CI: 2.2-4.0), 3.1% (95% CI: 2.3-4.1), and 0.8% (95% CI: 0.4-1.8) in CARRS-Chennai, CARRS-Delhi, and MASALA, respectively. The proportion of diabetes diagnosed by isolated HbA1c was 19.4%, 26.8%, and 10.8% in CARRS-Chennai, CARRS-Delhi, and MASALA respectively. In CARRS-2, individuals with type 2 diabetes by isolated HbA1c milder cardio-metabolic risk than those diagnosed by fasting or 2-h measures.ConclusionsIn Asian Indians, the use of HbA1c for type 2 diabetes diagnosis could result in a higher prevalence. HbA1c may identify a subset of individuals with milder glucose intolerance.

Published
2019

5. Isolated HbA1c identifies a different subgroup of individuals with type 2 diabetes compared to fasting or post-challenge glucose in Asian Indians: The CARRS and MASALA studies.

Author

Gujral, UP, Gujral, UP, Prabhakaran, D, Pradeepa, R, Kandula, NR, Kondal, D, Deepa, M, Zakai, NA, Anjana, RM, Rautela, G, Mohan, V, Narayan, KMV, Tandon, N, Kanaya, AM, Gujral, UP, Gujral, UP, Prabhakaran, D, Pradeepa, R, Kandula, NR, Kondal, D, Deepa, M, Zakai, NA, Anjana, RM, Rautela, G, Mohan, V, Narayan, KMV, Tandon, N, and Kanaya, AM

Abstract

AimsGuidelines recommend hemoglobin A1c (HbA1c) as a diagnostic test for type 2 diabetes, but its accuracy may differ in certain ethnic groups.MethodsThe prevalence of type 2 diabetes by HbA1c, fasting glucose, and 2 h glucose was compared in 3016 participants from Chennai and Delhi, India from the CARRS-2 Study to 757 Indians in the U.S. from the MASALA Study. Type 2 diabetes was defined as fasting glucose ≥ 7.0 mmol/L, 2-h glucose ≥ 11.1 mmol/L, or HbA1c ≥ 6.5%. Isolated HbA1c diabetes was defined as HbA1c ≥ 6.5% with fasting glucose < 7.0 mmol/L and 2 h glucose < 11.1 mmol/L.ResultsThe age, sex, and BMI adjusted prevalence of diabetes by isolated HbA1c was 2.9% (95% CI: 2.2-4.0), 3.1% (95% CI: 2.3-4.1), and 0.8% (95% CI: 0.4-1.8) in CARRS-Chennai, CARRS-Delhi, and MASALA, respectively. The proportion of diabetes diagnosed by isolated HbA1c was 19.4%, 26.8%, and 10.8% in CARRS-Chennai, CARRS-Delhi, and MASALA respectively. In CARRS-2, individuals with type 2 diabetes by isolated HbA1c milder cardio-metabolic risk than those diagnosed by fasting or 2-h measures.ConclusionsIn Asian Indians, the use of HbA1c for type 2 diabetes diagnosis could result in a higher prevalence. HbA1c may identify a subset of individuals with milder glucose intolerance.

Published
2019

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