Hypertension in the Russian population during the COVID-19 pandemic: sex differences in prevalence, treatment and its effectiveness. Data from the ESSE-RF3 study

Aim. To study the epidemiological characteristics and changes of hypertension (HTN), as well as factors associated with HTN in the Russian population aged 35-74 years.Material and methods. The Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation-3 (ESSE-RF3...

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Main Authors: Yu. A. Balanova, O. M. Drapkina, V. A. Kutsenko, A. E. Imaeva, A. V. Kontsevaya, S. A. Maksimov, G. A. Muromtseva, M. B. Kotova, N. S. Karamnova, S. E. Evstifeeva, A. V. Kapustina, O. A. Litinskaya, M. S. Pokrovskaya, E. M. Filichkina, O. E. Ivlev, L. I. Gomanova, Yu. V. Doludin, I. A. Efimova, A. L. Borisova, B. M. Nazarov, E. B. Yarovaya, T. V. Repkina, T. O. Gonoshilova, A. V. Kudryavtsev, N. I. Belova, L. L. Shagrov, M. A. Samotrueva, A. L. Yasenyavskaya, E. N. Chernysheva, S. V. Glukhovskaya, I. A. Levina, E. A. Shirshova, E. B. Dorzhieva, E. Z. Urbanova, N. Yu. Borovkova, V. K. Kurashin, A. S. Tokareva, Yu. I. Ragino, G. I. Simonova, A. D. Khudyakova, V. N. Nikulin, O. R. Aslyamov, G. V. Khokhlova, A. V. Solovyova, A. A. Rodionov, O. V. Kryachkova, Yu. Yu. Shamurova, I. V. Tantsyreva, I. N. Baryshnikova, M. G. Ataev, M. O. Radjabov, M. M. Isakhanova, M. A. Umetov, L. V. Elgarova, I. A. Khakuasheva, E. I. Yamashkina, M. V. Esina, T. A. Kunyaeva, A. M. Nikitina, N. V. Savvina, Yu. E. Spiridonova, E. A. Naumova, A. A. Keskinov, D. A. Kashtanova, V. S. Yudin, S. M. Yudin, S. A. Shalnova
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Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2023-12-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/3785
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author Yu. A. Balanova
O. M. Drapkina
V. A. Kutsenko
A. E. Imaeva
A. V. Kontsevaya
S. A. Maksimov
G. A. Muromtseva
M. B. Kotova
N. S. Karamnova
S. E. Evstifeeva
A. V. Kapustina
O. A. Litinskaya
M. S. Pokrovskaya
E. M. Filichkina
O. E. Ivlev
L. I. Gomanova
Yu. V. Doludin
I. A. Efimova
A. L. Borisova
B. M. Nazarov
E. B. Yarovaya
T. V. Repkina
T. O. Gonoshilova
A. V. Kudryavtsev
N. I. Belova
L. L. Shagrov
M. A. Samotrueva
A. L. Yasenyavskaya
E. N. Chernysheva
S. V. Glukhovskaya
I. A. Levina
E. A. Shirshova
E. B. Dorzhieva
E. Z. Urbanova
N. Yu. Borovkova
V. K. Kurashin
A. S. Tokareva
Yu. I. Ragino
G. I. Simonova
A. D. Khudyakova
V. N. Nikulin
O. R. Aslyamov
G. V. Khokhlova
A. V. Solovyova
A. A. Rodionov
O. V. Kryachkova
Yu. Yu. Shamurova
I. V. Tantsyreva
I. N. Baryshnikova
M. G. Ataev
M. O. Radjabov
M. M. Isakhanova
M. A. Umetov
L. V. Elgarova
I. A. Khakuasheva
E. I. Yamashkina
M. V. Esina
T. A. Kunyaeva
A. M. Nikitina
N. V. Savvina
Yu. E. Spiridonova
E. A. Naumova
A. A. Keskinov
D. A. Kashtanova
V. S. Yudin
S. M. Yudin
S. A. Shalnova
author_facet Yu. A. Balanova
O. M. Drapkina
V. A. Kutsenko
A. E. Imaeva
A. V. Kontsevaya
S. A. Maksimov
G. A. Muromtseva
M. B. Kotova
N. S. Karamnova
S. E. Evstifeeva
A. V. Kapustina
O. A. Litinskaya
M. S. Pokrovskaya
E. M. Filichkina
O. E. Ivlev
L. I. Gomanova
Yu. V. Doludin
I. A. Efimova
A. L. Borisova
B. M. Nazarov
E. B. Yarovaya
T. V. Repkina
T. O. Gonoshilova
A. V. Kudryavtsev
N. I. Belova
L. L. Shagrov
M. A. Samotrueva
A. L. Yasenyavskaya
E. N. Chernysheva
S. V. Glukhovskaya
I. A. Levina
E. A. Shirshova
E. B. Dorzhieva
E. Z. Urbanova
N. Yu. Borovkova
V. K. Kurashin
A. S. Tokareva
Yu. I. Ragino
G. I. Simonova
A. D. Khudyakova
V. N. Nikulin
O. R. Aslyamov
G. V. Khokhlova
A. V. Solovyova
A. A. Rodionov
O. V. Kryachkova
Yu. Yu. Shamurova
I. V. Tantsyreva
I. N. Baryshnikova
M. G. Ataev
M. O. Radjabov
M. M. Isakhanova
M. A. Umetov
L. V. Elgarova
I. A. Khakuasheva
E. I. Yamashkina
M. V. Esina
T. A. Kunyaeva
A. M. Nikitina
N. V. Savvina
Yu. E. Spiridonova
E. A. Naumova
A. A. Keskinov
D. A. Kashtanova
V. S. Yudin
S. M. Yudin
S. A. Shalnova
author_sort Yu. A. Balanova
collection DOAJ
description Aim. To study the epidemiological characteristics and changes of hypertension (HTN), as well as factors associated with HTN in the Russian population aged 35-74 years.Material and methods. The Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation-3 (ESSE-RF3) study examined a representative sample of the population aged 35-74 years of 15 Russian regions with a response >70% (n=28611). Modular design questionnaire was used. Blood pressure (BP) was measured twice after a 5-minute rest in a sitting position on the right arm with an Omron blood pressure monitor. There were following criteria for hypertension: systolic blood pressure (SBP) ≥140 mm Hg and/or diastolic blood pressure (DBP) ≥90 mm Hg, and/or antihypertensive therapy. The effectiveness of treatment was considered the proportion (%) of people who achieved target blood pressure values among those being treated, while the control was considered the proportion (%) of patients with a BP <140/90 mm Hg of the total number of hypertensive patients. HTN changes were studied in a single age range of 35-64 years with the inclusion of materials from the ESSE-RF (2012-14) and ESSE-RF2 (2017) studies, carried out using the same methodology as ESSE-RF3. Statistical analysis was carried out using the open-source R 3.6.1 environment. Analysis of the association between factors and a binary variable was performed using logistic regression. The significance level for all tested hypotheses was 0,05.Results. According to ESSE-RF3, the average levels of SBP and DBP in the population were 131,9±18,7 and 84,4±10,9 mm Hg, respectively, while the proportion of those with BP ≥140/90 mm Hg — 38,8% (men: 44,8%, women: 33,9%). Prevalence of hypertension was 53,9% (men: 56,0%, women: 52,1%), awareness — 77,7% (men: 71,5%, women: 82,3%), while the treatment received 63,4%, significantly higher among women than among men: 72,3 vs 53,3%. The effectiveness of treatment was 44,0%, higher among women compared to men (48,2 vs 37,4%). In addition, 27,9% of patients have controlled HTN.Conclusion. The problem of controlled HTN in Russia remains unresolved in the 21st century. The following significant sex differences remain: the prevalence of HTN is higher among men, but awareness of the disease, treatment rate and its effectiveness are lower compared to women.
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spelling doaj-art-f4f3bb1a0fc14acbbb3642f106f9ee6a2025-08-20T03:57:21Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252023-12-01228S10.15829/1728-8800-2023-37852825Hypertension in the Russian population during the COVID-19 pandemic: sex differences in prevalence, treatment and its effectiveness. Data from the ESSE-RF3 studyYu. A. Balanova0O. M. Drapkina1V. A. Kutsenko2A. E. Imaeva3A. V. Kontsevaya4S. A. Maksimov5G. A. Muromtseva6M. B. Kotova7N. S. Karamnova8S. E. Evstifeeva9A. V. Kapustina10O. A. Litinskaya11M. S. Pokrovskaya12E. M. Filichkina13O. E. Ivlev14L. I. Gomanova15Yu. V. Doludin16I. A. Efimova17A. L. Borisova18B. M. Nazarov19E. B. Yarovaya20T. V. Repkina21T. O. Gonoshilova22A. V. Kudryavtsev23N. I. Belova24L. L. Shagrov25M. A. Samotrueva26A. L. Yasenyavskaya27E. N. Chernysheva28S. V. Glukhovskaya29I. A. Levina30E. A. Shirshova31E. B. Dorzhieva32E. Z. Urbanova33N. Yu. Borovkova34V. K. Kurashin35A. S. Tokareva36Yu. I. Ragino37G. I. Simonova38A. D. Khudyakova39V. N. Nikulin40O. R. Aslyamov41G. V. Khokhlova42A. V. Solovyova43A. A. Rodionov44O. V. Kryachkova45Yu. Yu. Shamurova46I. V. Tantsyreva47I. N. Baryshnikova48M. G. Ataev49M. O. Radjabov50M. M. Isakhanova51M. A. Umetov52L. V. Elgarova53I. A. Khakuasheva54E. I. Yamashkina55M. V. Esina56T. A. Kunyaeva57A. M. Nikitina58N. V. Savvina59Yu. E. Spiridonova60E. A. Naumova61A. A. Keskinov62D. A. Kashtanova63V. S. Yudin64S. M. Yudin65S. A. Shalnova66National Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive Medicine; Lomonosov Moscow State UniversityNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive Medicine; Lomonosov Moscow State UniversityNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineCity Polyclinic № 109National Medical Research Center for Therapy and Preventive Medicine; Lomonosov Moscow State UniversityRegional Center for Public Health and Medical PreventionRegional Center for Public Health and Medical PreventionNorthern State Medical UniversityNorthern State Medical UniversityNorthern State Medical UniversityAstrakhan State Medical UniversityAstrakhan State Medical UniversityAstrakhan State Medical UniversitySverdlovsk Regional Medical CollegeSverdlovsk Regional Medical CollegeSverdlovsk Regional Medical CollegeBoyanov Center for Public Health and Medical PreventionBoyanov Center for Public Health and Medical PreventionPrivolzhsky Research Medical UniversityPrivolzhsky Research Medical UniversityPrivolzhsky Research Medical UniversityResearch Institute of Internal and Preventive Medicine — branch of the Institute of Cytology and GeneticsResearch Institute of Internal and Preventive Medicine — branch of the Institute of Cytology and GeneticsResearch Institute of Internal and Preventive Medicine — branch of the Institute of Cytology and GeneticsOrenburg Regional Center for Public Health and Medical PreventionOrenburg Regional Center for Public Health and Medical PreventionOrenburg Regional Center for Public Health and Medical PreventionTver State Medical UniversityTver State Medical UniversityTver State Medical UniversitySouth Ural State Medical UniversitySouth Ural State Medical UniversitySouth Ural State Medical UniversityAbusuev Research Institute of Environmental Medicine, Dagestan State Medical UniversityAbusuev Research Institute of Environmental Medicine, Dagestan State Medical UniversityAbusuev Research Institute of Environmental Medicine, Dagestan State Medical UniversityBerbekov Kabardino-Balkarian State UniversityBerbekov Kabardino-Balkarian State UniversityBerbekov Kabardino-Balkarian State UniversityOgarev Mordovian State UniversityOgarev Mordovian State UniversityOgarev Mordovian State University; Mordovian Republican Central Clinical HospitalRepublican Center for Public Health and Medical PreventionAmmosov North-Eastern Federal UniversityRepublican Center for Public Health and Medical PreventionRepublican Center for Public Health and Medical Prevention, Exercise therapy and Sports MedicineCenter for Strategic Planning and Management of Biomedical Health RisksCenter for Strategic Planning and Management of Biomedical Health RisksCenter for Strategic Planning and Management of Biomedical Health RisksCenter for Strategic Planning and Management of Biomedical Health RisksNational Medical Research Center for Therapy and Preventive MedicineAim. To study the epidemiological characteristics and changes of hypertension (HTN), as well as factors associated with HTN in the Russian population aged 35-74 years.Material and methods. The Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation-3 (ESSE-RF3) study examined a representative sample of the population aged 35-74 years of 15 Russian regions with a response >70% (n=28611). Modular design questionnaire was used. Blood pressure (BP) was measured twice after a 5-minute rest in a sitting position on the right arm with an Omron blood pressure monitor. There were following criteria for hypertension: systolic blood pressure (SBP) ≥140 mm Hg and/or diastolic blood pressure (DBP) ≥90 mm Hg, and/or antihypertensive therapy. The effectiveness of treatment was considered the proportion (%) of people who achieved target blood pressure values among those being treated, while the control was considered the proportion (%) of patients with a BP <140/90 mm Hg of the total number of hypertensive patients. HTN changes were studied in a single age range of 35-64 years with the inclusion of materials from the ESSE-RF (2012-14) and ESSE-RF2 (2017) studies, carried out using the same methodology as ESSE-RF3. Statistical analysis was carried out using the open-source R 3.6.1 environment. Analysis of the association between factors and a binary variable was performed using logistic regression. The significance level for all tested hypotheses was 0,05.Results. According to ESSE-RF3, the average levels of SBP and DBP in the population were 131,9±18,7 and 84,4±10,9 mm Hg, respectively, while the proportion of those with BP ≥140/90 mm Hg — 38,8% (men: 44,8%, women: 33,9%). Prevalence of hypertension was 53,9% (men: 56,0%, women: 52,1%), awareness — 77,7% (men: 71,5%, women: 82,3%), while the treatment received 63,4%, significantly higher among women than among men: 72,3 vs 53,3%. The effectiveness of treatment was 44,0%, higher among women compared to men (48,2 vs 37,4%). In addition, 27,9% of patients have controlled HTN.Conclusion. The problem of controlled HTN in Russia remains unresolved in the 21st century. The following significant sex differences remain: the prevalence of HTN is higher among men, but awareness of the disease, treatment rate and its effectiveness are lower compared to women.https://cardiovascular.elpub.ru/jour/article/view/3785hypertension prevalencetreatment rateeffectiveness of hypertension treatmentsystolic blood pressurediastolic blood pressurehypertension control
spellingShingle Yu. A. Balanova
O. M. Drapkina
V. A. Kutsenko
A. E. Imaeva
A. V. Kontsevaya
S. A. Maksimov
G. A. Muromtseva
M. B. Kotova
N. S. Karamnova
S. E. Evstifeeva
A. V. Kapustina
O. A. Litinskaya
M. S. Pokrovskaya
E. M. Filichkina
O. E. Ivlev
L. I. Gomanova
Yu. V. Doludin
I. A. Efimova
A. L. Borisova
B. M. Nazarov
E. B. Yarovaya
T. V. Repkina
T. O. Gonoshilova
A. V. Kudryavtsev
N. I. Belova
L. L. Shagrov
M. A. Samotrueva
A. L. Yasenyavskaya
E. N. Chernysheva
S. V. Glukhovskaya
I. A. Levina
E. A. Shirshova
E. B. Dorzhieva
E. Z. Urbanova
N. Yu. Borovkova
V. K. Kurashin
A. S. Tokareva
Yu. I. Ragino
G. I. Simonova
A. D. Khudyakova
V. N. Nikulin
O. R. Aslyamov
G. V. Khokhlova
A. V. Solovyova
A. A. Rodionov
O. V. Kryachkova
Yu. Yu. Shamurova
I. V. Tantsyreva
I. N. Baryshnikova
M. G. Ataev
M. O. Radjabov
M. M. Isakhanova
M. A. Umetov
L. V. Elgarova
I. A. Khakuasheva
E. I. Yamashkina
M. V. Esina
T. A. Kunyaeva
A. M. Nikitina
N. V. Savvina
Yu. E. Spiridonova
E. A. Naumova
A. A. Keskinov
D. A. Kashtanova
V. S. Yudin
S. M. Yudin
S. A. Shalnova
Hypertension in the Russian population during the COVID-19 pandemic: sex differences in prevalence, treatment and its effectiveness. Data from the ESSE-RF3 study
Кардиоваскулярная терапия и профилактика
hypertension prevalence
treatment rate
effectiveness of hypertension treatment
systolic blood pressure
diastolic blood pressure
hypertension control
title Hypertension in the Russian population during the COVID-19 pandemic: sex differences in prevalence, treatment and its effectiveness. Data from the ESSE-RF3 study
title_full Hypertension in the Russian population during the COVID-19 pandemic: sex differences in prevalence, treatment and its effectiveness. Data from the ESSE-RF3 study
title_fullStr Hypertension in the Russian population during the COVID-19 pandemic: sex differences in prevalence, treatment and its effectiveness. Data from the ESSE-RF3 study
title_full_unstemmed Hypertension in the Russian population during the COVID-19 pandemic: sex differences in prevalence, treatment and its effectiveness. Data from the ESSE-RF3 study
title_short Hypertension in the Russian population during the COVID-19 pandemic: sex differences in prevalence, treatment and its effectiveness. Data from the ESSE-RF3 study
title_sort hypertension in the russian population during the covid 19 pandemic sex differences in prevalence treatment and its effectiveness data from the esse rf3 study
topic hypertension prevalence
treatment rate
effectiveness of hypertension treatment
systolic blood pressure
diastolic blood pressure
hypertension control
url https://cardiovascular.elpub.ru/jour/article/view/3785
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AT maumetov hypertensionintherussianpopulationduringthecovid19pandemicsexdifferencesinprevalencetreatmentanditseffectivenessdatafromtheesserf3study
AT lvelgarova hypertensionintherussianpopulationduringthecovid19pandemicsexdifferencesinprevalencetreatmentanditseffectivenessdatafromtheesserf3study
AT iakhakuasheva hypertensionintherussianpopulationduringthecovid19pandemicsexdifferencesinprevalencetreatmentanditseffectivenessdatafromtheesserf3study
AT eiyamashkina hypertensionintherussianpopulationduringthecovid19pandemicsexdifferencesinprevalencetreatmentanditseffectivenessdatafromtheesserf3study
AT mvesina hypertensionintherussianpopulationduringthecovid19pandemicsexdifferencesinprevalencetreatmentanditseffectivenessdatafromtheesserf3study
AT takunyaeva hypertensionintherussianpopulationduringthecovid19pandemicsexdifferencesinprevalencetreatmentanditseffectivenessdatafromtheesserf3study
AT amnikitina hypertensionintherussianpopulationduringthecovid19pandemicsexdifferencesinprevalencetreatmentanditseffectivenessdatafromtheesserf3study
AT nvsavvina hypertensionintherussianpopulationduringthecovid19pandemicsexdifferencesinprevalencetreatmentanditseffectivenessdatafromtheesserf3study
AT yuespiridonova hypertensionintherussianpopulationduringthecovid19pandemicsexdifferencesinprevalencetreatmentanditseffectivenessdatafromtheesserf3study
AT eanaumova hypertensionintherussianpopulationduringthecovid19pandemicsexdifferencesinprevalencetreatmentanditseffectivenessdatafromtheesserf3study
AT aakeskinov hypertensionintherussianpopulationduringthecovid19pandemicsexdifferencesinprevalencetreatmentanditseffectivenessdatafromtheesserf3study
AT dakashtanova hypertensionintherussianpopulationduringthecovid19pandemicsexdifferencesinprevalencetreatmentanditseffectivenessdatafromtheesserf3study
AT vsyudin hypertensionintherussianpopulationduringthecovid19pandemicsexdifferencesinprevalencetreatmentanditseffectivenessdatafromtheesserf3study
AT smyudin hypertensionintherussianpopulationduringthecovid19pandemicsexdifferencesinprevalencetreatmentanditseffectivenessdatafromtheesserf3study
AT sashalnova hypertensionintherussianpopulationduringthecovid19pandemicsexdifferencesinprevalencetreatmentanditseffectivenessdatafromtheesserf3study