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Sažetak. Rad je imao za cilj proučavati dijastoličku hipertenziju u slučajnom uzorku populacije, u dobi od 35 do 54 godine, u šest općina SR Hrvatske. Pregledane su 3 203 osobe (1 543 muškarca i 1 660 žena) u dva pregleda u razmaku od tri godine. Dijastolička hipertenzija cd 12, 7 kPa i više (95 mm Hg) u oba mjerenja utvrđena je kod 16, 7% muškaraca i 18, 7% žena. Hipertenzija je bila značajno češća u starijim dobnim skupinama. Utvrđeno je da je hipertenzija tri do četiri puta češća u skupinama gojaznih nego u skupinama mršavih osoba. Ipak je i u mršavih osoba utvrđena prevalencija hipertenzije u preko 10% ispitanika. S obzirom na zanimanje najniža učestalost hipertenzije je bila u skupini poljoprivrednog stanovništva. Nađena je povezanost hipertenzije s urinarnim nalazima. Nije utvrđena značajna povezanost hipertenzije s navikama pušenja, uživanja alkohola, kave i s dosoljavanjem hrane. Hipertenzija se nedovoljno liječi u našoj populaciji i onda kada se utvrdi. Samo 15% hipertoničara imalo je nakon 12 godina normalan dijastolički tlak. Potrebno je organizirati širu medicinsku i društvenu akciju za liječenje i suzbijanje hipertenzije. Summary. The incidence of diastolic hypertension was studied in a sample of the population aged 35—54 years randomly selected from six communities in the Republic of Croatia. There were altogether 3 203 subjects (1 543 male and 1 660 female) wbo were examined twice with a three-year interval betvveen the two examinations. Diastolic hypertension of 12.7 kPa and higher (95 mmHg) in both measurements was found in 16.7 per cent of men and 18.7 per cent of women. Hypertension was significantly more frequent in older age groups. It occurred three to four times more often among the obese than among the thin persons. Even among the latter there were more than 10 per cent of hypertensive subjects. With respect to occupation the lowest incidence of hypertension was noted in the group of agricultural population. A positive correlation was found betvveen hypertension and urinary findings. No significant correlation betvveen hypertension and smoking, alcohol consumption, coffee drinking and seasoning of food with salt vvas observed. The treatment of hypertension in our population has been inadequate even in the cases where the disease vvas diagnosed. Only in 15 per cent of the hypertensive persons vvas the dia¬stolic pressure normal after 12 years. There is a need for the organization of a wide action, both on medical and social level, in order to detect, treat and prevent hypertension. |
