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

Devi, P and Rao, M and Sigamani, A and Faruqui, A and Jose, M and Gupta, R and Kerkar, P and Jain, R K and Joshi, R and Chidambaram, N and Rao, D S and Thanikachalam, S and Iyengar, S S and Verghese, K and Mohan, V and Pais, P and Xavier, D (2013) Prevalence, risk factors and awareness of hypertension in India: a systematic review. Journal of Human Hypertension, 27 (5). p. 281. ISSN 0950-9240

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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 (Po0.0001) 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.

Item Type:Article
Official URL/DOI:
Uncontrolled Keywords:blood pressure; prevalence; India
Subjects:Genetics and Diabetes
Divisions:Department of Epidemiology
Neonatal Diabetes
ID Code:663
Deposited On:17 May 2013 09:45
Last Modified:17 May 2013 09:45

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