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)70151-3
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发表时间：
2005-01-15
期刊：
影响因子：
168.9
通讯作者：
He, J
中科院分区：
文献类型：
--
作者：
Kearney, PM;Whelton, M;He, J
高血压患病率在世界不同地区的可靠信息是必不可少的国家和国际卫生政策的发展，预防和控制这种情况。方法采用MEDLINE检索1980年1月1日至2002年12月31日期间的文献，并结合文献参考书目进行人工检索。我们纳入了报告代表性人群样本中高血压的性别特异性和年龄特异性患病率的研究。所有数据均由两名研究者独立获得，采用标准化的方案和数据收集表。（95% CI 26.0-26.8%）2000年成人人群患有高血压（26.6%的男性[26.0-27.2%]和26.1%的女性[25.5-26.6%]）和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%]）。据估计，2000年患高血压的成年人总数为9.72亿（9.57 - 9.87亿）;其中3.33亿（3.29 - 3.36亿）在经济发达国家，6.39亿（6.25 - 6.54亿）在经济发展中国家。据预测，到2025年，高血压患者的人数将增加约60%，达到15.6亿人（15.4 - 15.8亿）。高血压是世界范围内一项重要的公共卫生挑战。预防、检测、治疗和控制这种疾病应得到高度重视。
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.