May Measurement Month 2018: a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension.pdf (3.64 MB)
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May Measurement Month 2018: a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension.

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journal contribution
posted on 07.08.2019, 08:18 by T Beaney, LM Burrell, RR Castillo, FJ Charchar, S Cro, A Damasceno, R Kruger, PM Nilsson, D Prabhakaran, AJ Ramirez, MP Schlaich, AE Schutte, M Tomaszewski, R Touyz, J-G Wang, MA Weber, NR Poulter, MMM Investigators
AIMS: Raised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries. METHODS AND RESULTS: Eighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg, or taking antihypertensive medication. In total, 74.9% of screenees provided three BP readings. Multiple imputation using chained equations was used to impute missing readings. 1 504 963 individuals (mean age 45.3 years; 52.4% female) were screened. After multiple imputation, 502 079 (33.4%) individuals had hypertension, of whom 59.5% were aware of their diagnosis and 55.3% were taking antihypertensive medication. Of those on medication, 60.0% were controlled and of all hypertensives, 33.2% were controlled. We detected 224 285 individuals with untreated hypertension and 111 214 individuals with inadequately treated (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg) hypertension. CONCLUSION: May Measurement Month expanded significantly compared with 2017, including more participants in more countries. The campaign identified over 335 000 adults with untreated or inadequately treated hypertension. In the absence of systematic screening programmes, MMM was effective at raising awareness at least among these individuals at risk.


May Measurement Month (MMM) is an initiative of the International Society of Hypertension. May Measurement Month 2018 was generously supported by Imperial College London and Servier through the Institut la Conference Hippocrate.



European Heart Journal, 2019, 40 (25), pp. 2006-2017

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/Organisation/COLLEGE OF LIFE SCIENCES/School of Medicine/Department of Cardiovascular Sciences


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European Heart Journal


Oxford University Press (OUP) for European Society of Cardiology



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A correction has been published: European Heart Journal, ehz373, In the original version of this article, a small number of the MMM Investigators were missing or recorded incorrectly, and an author's affiliation was incorrect. This has now been corrected online and in print. The authors apologise for the error.;Supplementary material is available at European Heart Journal online



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