2017年美国心脏病学会/美国心脏协会指南对印度成年人高血压患病率的影响：一项横断面调查结果
Impact of the 2017 ACC/AHA guidelines on the prevalence of hypertension among Indian adults: Results from a cross-sectional survey.
作者信息
Gupta Kartik, Ramakrishnan Sivasubramanian, Zachariah Geevar, Rao J Shivkumar, Mohanan P P, Venugopal K, Sateesh Santosh, Sethi Rishi, Jain Dharmendra, Bardolei Neil, Mani Kalaivani, Kakar Tanya Singh, Jain Vardhmaan, Gupta Prakash, Gupta Rajeev, Bansal Sandeep, Nath Ranjit K, Tyagi Sanjay, Wander G S, Gupta Satish, Mandal Subroto, Senguttuvan Nagendra Boopathy, Subramanyam Geetha, Roy Debabatra, Datta Sibananda, Ganguly Kajal, Routray S N, Mishra S S, Singh B P, Bharti B B, Das Mrinal Kanti, Deb P K, Deedwania Prakash, Seth Ashok
机构信息
Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Department of Medicine, Henry Ford Hospital, Detroit, MI, USA.
出版信息
Int J Cardiol Hypertens. 2020 Oct 7;7:100055. doi: 10.1016/j.ijchy.2020.100055. eCollection 2020 Dec.
BACKGROUND
The impact of the 2017 American College of Cardiology (ACC)/American Heart Association (AHA) guidelines for diagnosis and management of hypertension on the prevalence of hypertension in India is unknown.
METHODS
We analyzed data from the Cardiac Prevent 2015 survey to estimate the change in the prevalence of hypertension. The JNC8 guidelines defined hypertension as a systolic blood pressure of ≥140 mmHg or diastolic blood pressure of ≥90 mmHg. The 2017 ACC/AHA guidelines define hypertension as a systolic blood pressure of ≥130 mmHg or diastolic blood pressure of ≥80 mmHg. We standardized the prevalence as per the 2011 census population of India. We also calculated the prevalence as per the World Health Organization (WHO) World Standard Population (2000-2025).
RESULTS
Among 180,335 participants (33.2% women), the mean age was 40.6 ± 14.9 years (41.1 ± 15.0 and 39.7 ± 14.7 years in men and women, respectively). Among them, 8,898 (4.9%), 99,791 (55.3%), 35,694 (11.9%), 23,084 (12.8%), 9,989 (5.5%) and 2,878 (1.6%) participants belonged to age group 18-19, 20-44, 45-54, 55-64, 65-74 and ≥ 75 years respectively. The prevalence of hypertension according to the JNC8 and 2017 ACC/AHA guidelines was 29.7% and 63.8%, respectively- an increase of 115%. With the 2011 census population of India, this suggests that currently, 486 million Indian adults have hypertension according to the 2017 ACC/AHA guidelines, an addition of 260 million as compared to the JNC8 guidelines.
CONCLUSION
According to the 2017 ACC/AHA guidelines, 3 in every 5 Indian adults have hypertension.
背景
2017年美国心脏病学会（ACC）/美国心脏协会（AHA）高血压诊断和管理指南对印度高血压患病率的影响尚不清楚。
方法
我们分析了心脏预防2015调查的数据，以估计高血压患病率的变化。美国国家联合委员会（JNC）8指南将高血压定义为收缩压≥140 mmHg或舒张压≥90 mmHg。2017年ACC/AHA指南将高血压定义为收缩压≥130 mmHg或舒张压≥80 mmHg。我们根据2011年印度人口普查数据对患病率进行了标准化。我们还根据世界卫生组织（WHO）世界标准人口（2000 - 2025年）计算了患病率。
结果
在180,335名参与者中（33.2%为女性），平均年龄为40.6±14.9岁（男性和女性分别为41.1±15.0岁和39.7±14.7岁）。其中，18 - 19岁、20 - 44岁、45 - 54岁、55 - 64岁、65 - 74岁和≥75岁年龄组的参与者分别有8,898名（4.9%）、99,791名（55.3%）、35,694名（11.9%）、23,084名（12.8%）、9,989名（5.5%）和2,878名（1.6%）。根据JNC8和2017年ACC/AHA指南，高血压患病率分别为29.7%和63.8%，增加了115%。按照2011年印度人口普查数据，这表明目前根据2017年ACC/AHA指南，有4.86亿印度成年人患有高血压，比JNC8指南增加了2.6亿。
结论
根据2017年ACC/AHA指南，每5名印度成年人中就有3人患有高血压。
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