Global burden of hypertension: analysis of worldwide data
Global burden of hypertension: analysis of worldwide data
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DOI：
10.1016/s0140-6736(05)17741-1
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发表时间：
2005-01
期刊：
影响因子：
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通讯作者：
P. Kearney;Megan Whelton;K. Reynolds;P. Muntner;P. Whelton;Jiang He
中科院分区：
文献类型：
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作者：
P. Kearney;Megan Whelton;K. Reynolds;P. Muntner;P. Whelton;Jiang He
背景 有关世界不同地区高血压患病率的可靠信息对于制定预防和控制这种疾病的国家和国际卫生政策至关重要。我们的目的是汇集世界不同地区的数据，估计 2000 年高血压的总体患病率和绝对负担，并估计 2025 年的全球负担。方法我们使用 MEDLINE 检索 1980 年 1 月 1 日至 2002 年 12 月 31 日期间发表的文献，并辅以手动检索检索到的文章的参考书目。我们纳入了报告代表性人群样本中特定性别和特定年龄高血压患病率的研究。所有数据均由两名研究人员通过标准化方案和数据收集表格独立获得。结果总体而言，2000 年成年人口中有 26·4% (95% CI 26·0–26·8%) 患有高血压（男性 26·6% [26·0–27·2%] 和女性 26·1% [25·5–26·6%]），女性 29·2% (28·8–29·7%) 预计到 2025 年将患有这种疾病（29·0% 的男性 [28·6–29·4%] 和 29·5% 的女性 [29·1–29·9%]）。 2000 年估计患有高血压的成年人总数为 9.72 亿（957-9.87 亿）；经济发达国家有 3.33 亿（329-3.36 亿），发展中国家有 6.39 亿（625-6.54 亿）。预计到 2025 年，患有高血压的成人人数将增加约 60%，达到 1·560 亿（1·54–1·580 亿）。 解读高血压是全球一项重要的公共卫生挑战。应高度重视这种情况的预防、检测、治疗和控制。
BackgroundReliable 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.MethodsWe 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.ResultsOverall, 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).InterpretationHypertension is an important public-health challenge worldwide. Prevention, detection, treatment, and control of this condition should receive high priority.