Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension

BACKGROUND: A region-specific (urban and rural parts of north, east, west, and south India) systematic review and meta-analysis of the prevalence, awareness, and control of hypertension among Indian patients have not been done before. METHODS: Medline, Web of Science, and Scopus databases from 1950...

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Autores principales: Anchala, Raghupathy, Kannuri, Nanda K., Pant, Hira, Khan, Hassan, Franco, Oscar H., Di Angelantonio, Emanuele, Prabhakaran, Dorairaj
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4011565/
https://www.ncbi.nlm.nih.gov/pubmed/24621804
http://dx.doi.org/10.1097/HJH.0000000000000146
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author Anchala, Raghupathy
Kannuri, Nanda K.
Pant, Hira
Khan, Hassan
Franco, Oscar H.
Di Angelantonio, Emanuele
Prabhakaran, Dorairaj
author_facet Anchala, Raghupathy
Kannuri, Nanda K.
Pant, Hira
Khan, Hassan
Franco, Oscar H.
Di Angelantonio, Emanuele
Prabhakaran, Dorairaj
author_sort Anchala, Raghupathy
collection PubMed
description BACKGROUND: A region-specific (urban and rural parts of north, east, west, and south India) systematic review and meta-analysis of the prevalence, awareness, and control of hypertension among Indian patients have not been done before. METHODS: Medline, Web of Science, and Scopus databases from 1950 to 30 April 2013 were searched for ‘prevalence, burden, awareness, and control of blood pressure (BP) or hypertension (≥140 SBP and or ≥90 DBP) among Indian adults’ (≥18 years). Of the total 3047 articles, 142 were included. RESULTS: Overall prevalence for hypertension in India was 29.8% (95% confidence interval: 26.7–33.0). Significant differences in hypertension prevalence were noted between rural and urban parts [27.6% (23.2–32.0) and 33.8% (29.7–37.8); P = 0.05]. Regional estimates for the prevalence of hypertension were as follows: 14.5% (13.3–15.7), 31.7% (30.2–33.3), 18.1% (16.9–19.2), and 21.1% (20.1–22.0) for rural north, east, west, and south India; and 28.8% (26.9–30.8), 34.5% (32.6–36.5), 35.8% (35.2–36.5), and 31.8% (30.4–33.1) for urban north, east, west, and south India, respectively. Overall estimates for the prevalence of awareness, treatment, and control of BP were 25.3% (21.4–29.3), 25.1% (17.0–33.1), and 10.7% (6.5–15.0) for rural Indians; and 42.0% (35.2–48.9), 37.6% (24.0–51.2), and 20.2% (11.6–28.7) for urban Indians. CONCLUSION: About 33% urban and 25% rural Indians are hypertensive. Of these, 25% rural and 42% urban Indians are aware of their hypertensive status. Only 25% rural and 38% of urban Indians are being treated for hypertension. One-tenth of rural and one-fifth of urban Indian hypertensive population have their BP under control.
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spelling pubmed-40115652014-05-06 Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension Anchala, Raghupathy Kannuri, Nanda K. Pant, Hira Khan, Hassan Franco, Oscar H. Di Angelantonio, Emanuele Prabhakaran, Dorairaj J Hypertens Reviews BACKGROUND: A region-specific (urban and rural parts of north, east, west, and south India) systematic review and meta-analysis of the prevalence, awareness, and control of hypertension among Indian patients have not been done before. METHODS: Medline, Web of Science, and Scopus databases from 1950 to 30 April 2013 were searched for ‘prevalence, burden, awareness, and control of blood pressure (BP) or hypertension (≥140 SBP and or ≥90 DBP) among Indian adults’ (≥18 years). Of the total 3047 articles, 142 were included. RESULTS: Overall prevalence for hypertension in India was 29.8% (95% confidence interval: 26.7–33.0). Significant differences in hypertension prevalence were noted between rural and urban parts [27.6% (23.2–32.0) and 33.8% (29.7–37.8); P = 0.05]. Regional estimates for the prevalence of hypertension were as follows: 14.5% (13.3–15.7), 31.7% (30.2–33.3), 18.1% (16.9–19.2), and 21.1% (20.1–22.0) for rural north, east, west, and south India; and 28.8% (26.9–30.8), 34.5% (32.6–36.5), 35.8% (35.2–36.5), and 31.8% (30.4–33.1) for urban north, east, west, and south India, respectively. Overall estimates for the prevalence of awareness, treatment, and control of BP were 25.3% (21.4–29.3), 25.1% (17.0–33.1), and 10.7% (6.5–15.0) for rural Indians; and 42.0% (35.2–48.9), 37.6% (24.0–51.2), and 20.2% (11.6–28.7) for urban Indians. CONCLUSION: About 33% urban and 25% rural Indians are hypertensive. Of these, 25% rural and 42% urban Indians are aware of their hypertensive status. Only 25% rural and 38% of urban Indians are being treated for hypertension. One-tenth of rural and one-fifth of urban Indian hypertensive population have their BP under control. Lippincott Williams & Wilkins 2014-06 2014-04-30 /pmc/articles/PMC4011565/ /pubmed/24621804 http://dx.doi.org/10.1097/HJH.0000000000000146 Text en © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins http://creativecommons.org/licenses/by-nc-nd/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivitives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.
spellingShingle Reviews
Anchala, Raghupathy
Kannuri, Nanda K.
Pant, Hira
Khan, Hassan
Franco, Oscar H.
Di Angelantonio, Emanuele
Prabhakaran, Dorairaj
Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension
title Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension
title_full Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension
title_fullStr Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension
title_full_unstemmed Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension
title_short Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension
title_sort hypertension in india: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4011565/
https://www.ncbi.nlm.nih.gov/pubmed/24621804
http://dx.doi.org/10.1097/HJH.0000000000000146
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