ArticleInternational journal of epidemiology2018
Contributions of mean and shape of blood pressure distribution to worldwide trends and variations in raised blood pressure: a pooled analysis of 1018 population-based measurement studies with 88.6 million participants.
Article in International journal of epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 83 citations in OpenAlex.
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- Prevalence of high blood pressure under 2017 ACC/AHA guidelines: a systematic review and meta-analysis.Journal of human hypertension · 2021Pooled it
- A systematic review of population-based studies on lipid profiles in Latin America and the Caribbean.eLife · 2020Pooled it
- The influence of foot and back massage on blood pressure and sleep quality in females with essential hypertension: a randomized controlled study.Journal of human hypertension · 2021Trial
- Validating the Framingham Hypertension Risk Score: A 4-year follow-up from the Brazilian Longitudinal Study of the Adult Health (ELSA-Brasil).Journal of clinical hypertension (Greenwich, Conn.) · 2020Trial
- Diverging trends in health at older ages in England, 2004-2024: evidence from the English Longitudinal Study of Ageing.medRxiv : the preprint server for health sciences · 2026Article
- Prevalence of pre-clinical and clinical obesity in adults: Pooled analysis of 56 population-based national health surveys.PLOS global public health · 2025Article
- Changes in patient profiles in the cardiology department of the University Hospital Gabriel Touré (UH-GT) : results of two cross-sectional studies of 2010 and 2022.BMC cardiovascular disorders · 2024Article
- Chronic Administration of Ion Channel Blockers Impact Microglia Morphology and Function in a Murine Model of Alzheimer's Disease.International journal of molecular sciences · 2023Article
- Challenges of managing hypertension in Pakistan - a review.Clinical hypertension · 2023Review
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- Blood pressure control status of patients with hypertension on treatment in Dessie City Northeast Ethiopia.BMC public health · 2022Article
- Arterial Hypertension in Morbid Obesity after Bariatric Surgery: Five Years of Follow-Up, a Before-And-After Study.International journal of environmental research and public health · 2022Article
- Cumulative exposure to elevated blood pressure better predicts cardiovascular disease risk in rural Chinese adults.Frontiers in public health · 2022Article
- Association of spironolactone treatment and arterial stiffness and cardiovascular disease in hypertensive patients.Archives of medical science : AMS · 2022Article
- Article
- Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants.Lancet (London, England) · 2021Article
- Demographic, socioeconomic, and biological correlates of hypertension in an adult population: evidence from the Bangladesh demographic and health survey 2017-18.BMC public health · 2021Article
- Genome-wide association study on blood pressure traits in the Iranian population suggests ZBED9 as a new locus for hypertension.Scientific reports · 2021Article
Corrections and comments
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Authors and funding
1 author at 20 institutions in 39 countries.
Funding
Abstract
backgroundChange in the prevalence of raised blood pressure could be due to both shifts in the entire distribution of blood pressure (representing the combined effects of public health interventions and secular trends) and changes in its high-blood-pressure tail (representing successful clinical interventions to control blood pressure in the hypertensive population). Our aim was to quantify the contributions of these two phenomena to the worldwide trends in the prevalence of raised blood pressure.
methodsWe pooled 1018 population-based studies with blood pressure measurements on 88.6 million participants from 1985 to 2016. We first calculated mean systolic blood pressure (SBP), mean diastolic blood pressure (DBP) and prevalence of raised blood pressure by sex and 10-year age group from 20-29 years to 70-79 years in each study, taking into account complex survey design and survey sample weights, where relevant. We used a linear mixed effect model to quantify the association between (probit-transformed) prevalence of raised blood pressure and age-group- and sex-specific mean blood pressure. We calculated the contributions of change in mean SBP and DBP, and of change in the prevalence-mean association, to the change in prevalence of raised blood pressure.
resultsIn 2005-16, at the same level of population mean SBP and DBP, men and women in South Asia and in Central Asia, the Middle East and North Africa would have the highest prevalence of raised blood pressure, and men and women in the high-income Asia Pacific and high-income Western regions would have the lowest. In most region-sex-age groups where the prevalence of raised blood pressure declined, one half or more of the decline was due to the decline in mean blood pressure. Where prevalence of raised blood pressure has increased, the change was entirely driven by increasing mean blood pressure, offset partly by the change in the prevalence-mean association.
conclusionsChange in mean blood pressure is the main driver of the worldwide change in the prevalence of raised blood pressure, but change in the high-blood-pressure tail of the distribution has also contributed to the change in prevalence, especially in older age groups.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.