Evidence map›Paper›PMID 33513161›Full record

SynthesisPloS one2021

Factors associated with hypertension in Pakistan: A systematic review and meta-analysis.

Muhammad Riaz, Ghazala Shah, Muhammad Asif, Asma Shah, Kaustubh Adhikari, Amani Abu-Shaheen

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
6.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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  17. The Role of Social Functioning Between Vitality and Mental Distress in Hypertension: A Partial Mediation Model.European journal of investigation in health, psychology and education · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 4 countries.

Muhammad RiazDepartment of Public Health, College of Health Sciences, QU Health, Qatar University, Doha, Qatar.ORCID 0000-0002-5512-1745
Ghazala ShahDepartment of Statistics, University of Malakand, Lower Dir, Chakdara, Pakistan.
Muhammad AsifDepartment of Statistics, University of Malakand, Lower Dir, Chakdara, Pakistan.ORCID 0000-0002-6458-5154
Asma ShahDepartment of Biotechnology, Women University Mardan, Mardan, Pakistan.
Kaustubh AdhikariSchool of Mathematics and Statistics, The Open University, Milton Keynes, United Kingdom.
Amani Abu-ShaheenResearch and Publication Center, King Fahad Medical City Riyadh, Riyadh, Saudi Arabia.
The Open University · GBUniversity of Malakand · PKKing Fahd Medical City · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh blood pressure is an important public health concern and the leading risk factor for global mortality and morbidity. To assess the implications of this condition, we aimed to review the existing literature and study the factors that are significantly associated with hypertension in the Pakistani population.

methodsWe conducted several electronic searches in PubMed, ISI Web of Science, PsycINFO, EMBASE, Scopus, Elsevier, and manually searched the citations of published articles on hypertension from May 2019 to August 2019. We included all studies that examined factors associated with hypertension regardless of the study design. To assess the quality of the research, we used the Newcastle-Ottawa Quality Assessment Scale. We also conducted meta-analyses using the DerSimonian & Laird random-effects model to collate results from at least three studies.

resultsWe included 30 cross-sectional and 7 case-control studies (99,391 participants country-wide) in this review and found 13 (35.1%) to be high-quality studies. We identified 5 socio-demographic, 3 lifestyle, 3 health-related, and 4 psychological variables that were significantly associated with hypertension. Adults aged between 30-60 years who were married, living in urban areas with high incomes, used tobacco, had a family history of hypertension, and had comorbidities (overweight, obesity, diabetes, anxiety, stress, and anger management issues) were positively associated with hypertension. On the other hand, individuals having high education levels, normal physical activity, and unrestricted salt in their diet were negatively associated with hypertension.

conclusionWe found several socio-demographic, lifestyle, health-related, and psychological factors that were significantly (positively and negatively) associated with hypertension. Our findings may help physicians and public health workers to identify high-risk groups and recommend appropriate prevention strategies. Further research is warranted to investigate these factors rigorously and collate global evidence on the same.

Indexed as

HypertensionAdultAnxietyCross-Sectional StudiesDiabetes ComplicationsExerciseFemaleHumansLife StyleMaleMiddle AgedPakistanStress, PsychologicalTobacco Use

Identifiers

PMID33513161
PMCPMC7845984
OpenAlexW3125884165

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.