Screening for pre-hypertension and elevated cardiovascular risk factors in a Thai community pharmacy
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Objectives To identify subjects with pre-hypertension and elevated cardiovascular risk factors in a community pharmacy and to assess their readiness to adopt lifestyle changes. Setting An accredited community pharmacy in Songkla province, Thailand.Method Subjects aged ≥ 35 years old and reporting no hypertension or other cardiovascular disease were included. Blood pressure was measured using the Microlife BP 3AC1-1. Those with pre-hypertension or hypertension defined by the JNC 7, and reporting no diabetes and/or dyslipidemia, were checked for blood glucose and/or total cholesterol with the Accutrend GCT monitor. Other risk factors were collected. Their readiness to adopt healthy lifestyles was evaluated. Main outcome measure The prevalence of pre-hypertension and elevated cardiovascular risk factors. Results 350 subjects met the study criteria. Approximately 36 and 29% were pre-hypertensive and hypertensive, respectively. Two of these had blood glucose > 200 mg/dl but about 47% had total cholesterol > 200 mg/dl. Most common modifiable cardiovascular risks were inadequate exercise and elevated body mass index (~52% each). Almost 40% were ready to adopt healthy lifestyles within 1–6 months. Conclusion Subjects at risk for hypertension and cardiovascular disease can be identified by community pharmacists, with the use of point-of-care devices and careful interview.
KeywordsBlood pressure Cardiovascular risks Community pharmacy Diabetes Dyslipidemia Hypertension Pharmacist Point-of-care Screening Thailand
We thank the Samaphan International Co., LTD. and Roche Diagnostics (Thailand) for the supply of Microlife BP 3AC1-1 and Accutrend GCT devices, respectively. Language proof-reading by Prof L.A. Damani is appreciated.
The research project had some financial support from the Faculty of Graduate Study and the Faculty of Pharmaceutical Sciences, Prince of Songkla University.
Conflict of interest statement
The corresponding author provides routine professional service at the study site on a scheduled basis, but was not engaged in the screening process.
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