Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension.
Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension.
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DOI：
10.1097/hjh.0000000000000146
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发表时间：
2014-06
影响因子：
4.9
通讯作者：
Prabhakaran D
中科院分区：
文献类型：
--
作者：
Anchala R;Kannuri NK;Pant H;Khan H;Franco OH;Di Angelantonio E;Prabhakaran D
针对印度北部、东部、西部和南部的城市和农村地区，对印度高血压患者的患病率、意识和控制进行了系统的回顾和荟萃分析。检索1950年至2013年4月30日的Medline、Web of Science和Scopus数据库，搜索“印度成年人（≥18岁）中血压（BP）或高血压（≥140 SBP和或≥90 DBP）的患病率、负担、意识和控制”。在总共3047篇文章中，有142篇被收录。印度高血压总患病率为29.8%（95%可信区间：26.7-33.0）。农村和城市高血压患病率分别为27.6%（23.2 ~ 32.0）和33.8% (29.7 ~ 37.8)；p = 0.05]。高血压患病率的区域估计如下：印度北部、东部、西部和南部农村的14.5%（13.3-15.7）、31.7%（30.2-33.3）、18.1%（16.9-19.2）和21.1% (20.1-22.0)；印度北部、东部、西部和南部城市分别为28.8%（26.9-30.8）、34.5%（32.6-36.5）、35.8%（35.2-36.5）和31.8%（30.4-33.1）。农村印度人对BP的认识、治疗和控制的总体估计患病率为25.3%（21.4-29.3）、25.1%（17.0-33.1）和10.7% (6.5-15.0)；城市印度人为42.0%(35.2-48.9),37.6%（24.0-51.2）和20.2%（11.6-28.7）。大约33%的城市和25%的农村印度人患有高血压。其中，25%的农村和42%的城市印度人意识到自己的高血压状况。只有25%的农村和38%的城市印度人正在接受高血压治疗。印度十分之一的农村和五分之一的城市高血压患者血压得到控制。
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. 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. 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. 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.