Global burden of hypertension: analysis of worldwide data

被引:1572
作者
Kearney, PM
Whelton, M
Reynolds, K
Muntner, P
Whelton, PK
He, J
机构
[1] Tulane Univ, Sch Publ Hlth & Trop Med, Dept Epidemiol, New Orleans, LA 70112 USA
[2] Tulane Univ, Sch Publ Hlth & Trop Med, Dept Med, New Orleans, LA 70112 USA
[3] Tulane Univ, Sch Publ Hlth & Trop Med, Tulane Hypertens & Renal Ctr Excellence, New Orleans, LA 70112 USA
[4] Radcliffe Infirm, Clin Trial Serv Unit, Oxford OX2 6HE, England
[5] Radcliffe Infirm, Epidemiol Studies Unit, Oxford OX2 6HE, England
关键词
D O I
10.1016/S0140-6736(05)17741-1
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
Background Reliable information about the prevalence of hypertension in different world regions is essential to the development of national and international health policies for prevention and control of this condition. We aimed to pool data from different regions of the world to estimate the overall prevalence and absolute burden of hypertension in 2000, and to estimate the global burden in 2025. Methods We searched the published literature from Jan 1, 1980, to Dec 31, 2002, using MEDLINE, supplemented by a manual search of bibliographies of retrieved articles. We included studies that reported sex-specific and age-specific prevalence of hypertension in representative population samples. All data were obtained independently, by two investigators with a standardised protocol and data-collection form. Results Overall, 26.4% (95% CI 26.0-26.8%) of the adult population in 2000 had hypertension (26.6% of men [26.0-27.2%] and 26.1% of women [25.5-26.6%]), and 29.2% (28.8-29.7%) were projected to have this condition by 2025 (29.0% of men [28.6-29.4%] and 29.5% of women [29.1-29.9%]). The estimated total number of adults with hypertension in 2000 was 972 million (957-987 million); 333 million (329-336 million) in economically developed countries and 639 million (625-654 million) in economically developing countries. The number of adults with hypertension in 2025 was predicted to increase by about 60% to a total of 1.56 billion (1.54-1.58 billion). Interpretation Hypertension is an important public-health challenge worldwide. Prevention, detection, treatment, and control of this condition should receive high priority.
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页码:217 / 223
页数:7
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