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High blood pressure and obesity: disparities among four French Overseas Territories.
MedLine Citation:
PMID:  21720269     Owner:  NLM     Status:  Publisher    
BACKGROUND AND PURPOSE: The epidemiological characteristics of hypertension and obesity in French Overseas Territories (FOTs) have never been compared. METHODS: This cross-sectional survey included representative population-based samples of 602, 601, 620 and 605 men and women aged more than 15 years, respectively, from four FOTs of Guadeloupe, Martinique, French Guiana, and French Polynesia. Hypertension was defined as blood pressure (BP) at least 140/90 mmHg or the current use of antihypertensive treatment. RESULTS: The prevalence of hypertension was 29.2% in Guadeloupe, 17.9% in French Guiana, 27.6% in Martinique and 24.5% in French Polynesia. Considering the Guadeloupe population as the reference group, prevalence of hypertension was significantly lower in French Guiana (P < 0.001), even after controlling for age and sex (P = 0.006). Awareness and treatment of hypertension were similar in French Guiana, Martinique and Guadeloupe (68.8-75.1% and 69.0-73.4%, respectively). Awareness was lower in French Polynesia (50.0%, adjusted P value = 0.04), as was treatment of hypertension (32.4%, adjusted P value = 0.001). Control of hypertension was also lower in French Polynesia (8.8%, adjusted P value = 0.001) compared with the other territories (29.7-31.8%). French Polynesia had the highest prevalence of obesity (33.1%, adjusted P value < 0.001) as compared with the other territories (17.9-22.8%). It had also the largest population attributable fraction of hypertension due to obesity (35.5%) compared with Guadeloupe (13.3%), Martinique (12.3%) and French Guiana (23.6%). CONCLUSION: Wide variations were observed in the prevalence and the management of hypertension between these FOTs, and an especially challenging low control of hypertension was found in French Polynesia. Obesity appears a key target to prevent hypertension, particularly in French Polynesia.
Jocelyn Inamo; Jean-Loup Daigre; Jean-Louis Boissin; Pauline Kangambega; Laurent Larifla; Helene Chevallier; Beverley Balkau; Didier Smadja; Andre Atallah
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-6-30
Journal Detail:
Title:  Journal of hypertension     Volume:  -     ISSN:  1473-5598     ISO Abbreviation:  -     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-7-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8306882     Medline TA:  J Hypertens     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
aDépartement de Cardiologie, Hopital de Fort de France, Inserm U558, IFERISS,Toulouse, Universite Antilles et de la Guyane, Pointe à Pitre, Guadeloupe bDépartement de Diabetologie, CH de l'Ouest Guyanais, Saint Laurent du Maroni, French Guiana cDépartement de Diabetologie, Papeete, French Polynesia dDépartement de Diabetologie, CHU Pointe à Pitre eDépartement de Cardiologie, Hopital de Pointe à Pitre, Pointe à Pitre, Guadeloupe fInstitut CSA, Paris gINSERM CESP, Centre for Research in Epidemiology and Population Health U1018 hUniversity Paris Sud 11, UMRS 1018, Villejuif, France iDépartement de Neurologie, Hopital de Fort de France, Fort de France, Martinique jDépartement de Cardiologie, Hopital de Basse-Terre, Guadeloupe.
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