Impact of the 2017 ACC/AHA guidelines on the prevalence of hypertension among Indian adults: Results from a cross-sectional survey
oleh: Kartik Gupta, Sivasubramanian Ramakrishnan, Geevar Zachariah, J. Shivkumar Rao, P.P. Mohanan, K. Venugopal, Santosh Sateesh, Rishi Sethi, Dharmendra Jain, Neil Bardolei, Kalaivani Mani, Tanya Singh Kakar, Vardhmaan Jain, Prakash Gupta, Rajeev Gupta, Sandeep Bansal, Ranjit K. Nath, Sanjay Tyagi, G.S. Wander, Satish Gupta, Subroto Mandal, Nagendra Boopathy Senguttuvan, Geetha Subramanyam, Debabatra Roy, Sibananda Datta, Kajal Ganguly, S.N. Routray, S.S. Mishra, B.P. Singh, B.B. Bharti, Mrinal Kanti Das, P.K. Deb, Prakash Deedwania, Ashok Seth, J. Shivkumar Rao, B.P. Singh, B.B. Bharti, A.K. Sinha, Kartik Gupta, Sivasubramanian Ramakrishnan, Sudha Bhushan, Sunil K. Verma, Balram Bhargava, Ambuj Roy, Sandeep Bansal, Sanjay Sood, H.S. Isser, Neeraj Pandit, Ranjit K. Nath, Sanjay Tyagi, Vijay Trehan, Mohit D. Gupta, M.P. Girish, Ramandeep Ahuja, S.C. Manchanda, Arun Mohanty, Peeyush Jain, Sameer Shrivastava, I.P.S. Kalra, B.S. Sarang, H.S. Ratti, G. Bala Sahib, Rakesh Gupta, S K Agarwal Amit, K.C. Goswami, V.K. Bahl, H.K. Chopra, Ashok Seth, Geevar Zachariah, P.P. Mohanan, K. Venugopal, George Koshy, Tiny Nair, N. Shyam, Anil Roby, Raju George, Sudhaya Kumar, Abdul Kader, Mathew Abraham, Sunitha Viswanathan, A. Jabir, Jaideep Menon, Govindan Unni, Cibu Mathew, P.B. Jayagopal, Sajeev, P.K. Ashokan, Asharaf, Subroto Mandal, A.K. Pancholia, Neil Bardolei, A.K. Gupta, Neil Bardolei, Rupam Das, Dinesh Aggarwal, Amit Malviya, S.N. Routray, S.S. Mishra, Syed Manzor Ali, Parag Barward, Navreet Singh, Yashbir S. Tomar, Davinder Chaddha, Sameer Dani, Chirayu Vyas, Kinjal Bhatt, Shrenik Doshi, G.S. Wander, Satish Gupta, Chandra Bhan Meena, Santosh Sateesh, Nagendra Boopathy Senguttuvan, Geetha Subramanyam, Subramanyam, Ajit Mullasari Muruganandam, Rishi Sethi, Varun Narain, R.K. Saran, Dharmendra Jain, Praveen Jain, Sudeep Kumar, P.K. Goel, Debabatra Roy, Sibananda Datta, Kajal Ganguly, M.K. Das, Soumitra Kumar, Sarat Chandra, Amal Banerjee, Santanu Guha, P.K. Deb
| Format: | Article |
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| Diterbitkan: | Elsevier 2020-12-01 |
Deskripsi
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.