Prevalence, risk factors and awareness of hypertension in India: a systematic review

被引：75

作者：

Devi, P. ^{[1
,2
]}

Rao, M. ^{[1
,2
]}

Sigamani, A. ^{[1
,2
]}

Faruqui, A. ^{[1
,2
]}

Jose, M. ^{[1
]}

Gupta, R. ^{[3
]}

Kerkar, P. ^{[4
]}

Jain, R. K. ^{[5
]}

Joshi, R. ^{[6
]}

Chidambaram, N. ^{[7
]}

Rao, D. S. ^{[8
]}

Thanikachalam, S. ^{[9
]}

Iyengar, S. S. ^{[10
]}

Verghese, K. ^{[11
]}

Mohan, V. ^{[12
,13
]}

Pais, P. ^{[2
,14
]}

Xavier, D. ^{[1
,2
]}

机构：

[1] St Johns Natl Acad Hlth Sci, Dept Pharmacol, St Johns Med Coll, Div Clin Trials,St Johns Res Inst, Bangalore 560034, Karnataka, India

[2] St Johns Res Inst, Div Clin Trials, Bangalore, Karnataka, India

[3] Fortis Escorts Hosp, Dept Med, Jaipur, Rajasthan, India

[4] King Edward Mem Hosp, Dept Cardiol, Bombay, Maharashtra, India

[5] Krishna Inst Med Sci, Dept Cardiol, Secunderabad, India

[6] Mahatma Gandhi Inst Med Sci, Dept Med, Wardha, India

[7] Rajah Muthiah Med Coll, Dept Med, Annamalainagar, Tamil Nadu, India

[8] Krishna Inst Med Sci, Dept Cardiol, Hyderabad, Andhra Pradesh, India

[9] Sri Ramachandra Univ, Cardiac Care Ctr, Madras, Tamil Nadu, India

[10] Manipal Hosp, Dept Cardiol, Bangalore, Karnataka, India

[11] St Johns Med Coll, Dept Cardiol, Bangalore, Karnataka, India

[12] Dr Mohans Diabet Special Ctr, Madras, Tamil Nadu, India

[13] Madras Diabet Res Fdn, Madras, Tamil Nadu, India

[14] St Johns Med Coll, Dept Med, Bangalore, Karnataka, India

来源：

JOURNAL OF HUMAN HYPERTENSION | 2013年 / 27卷 / 05期

关键词：

blood pressure; prevalence; India; LEFT-VENTRICULAR HYPERTROPHY; BLOOD-PRESSURE; RURAL-POPULATION; DETERMINANTS; ASSOCIATION; PREVENTION; DISEASE;

D O I：

10.1038/jhh.2012.33

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Indians have high rates of cardiovascular disease. Hypertension (HTN) is an important modifiable risk factor. There are no comprehensive reviews or a nationally representative study of the burden, treatments and outcomes of HTN in India. A systematic review was conducted to study the trends in prevalence, risk factors and awareness of HTN in India. We searched MEDLINE from January 1969 to July 2011 using prespecified medical subject heading (MeSH) terms. Of 3372 studies, 206 were included for data extraction and 174 were observational studies. Prevalence was reported in 48 studies with sample size varying from 206 to 167 331. A significant positive trend (P < 0.0001) was observed over time in prevalence of HTN by region and gender. Awareness and control of HTN (11 studies) ranged from 20 to 54% and 7.5 to 25%, respectively. Increasing age, body mass index, smoking, diabetes and extra salt intake were common risk factors. In conclusion, from this systematic review, we record an increasing trend in prevalence of HTN in India by region and gender. The awareness of HTN in India is low with suboptimal control rates. There are few long-term studies to assess outcomes. Good quality long-term studies will help to understand HTN better and implement effective prevention and management programs. Journal of Human Hypertension (2013) 27, 281-287; doi:10.1038/jhh.2012.33; published online 13 September 2012

引用

页码：281 / 287

页数：7

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