Prevalence and incidence of arterial hypertension in Peru: a systematic review and meta-analysis
File(s)
Published version
Author(s)
Ruiz Alejos, Andrea
Carrillo Larco, Rodrigo M
Bernabe-Ortiz, Antonio
Type
Journal Article
Abstract
OBJECTIVE: . To determine the prevalence and incidence of arterial hypertension, as well as the prevalence of previous diagnosis of arterial hypertension (self-reported) among the adult population of Peru. MATERIALS AND METHODS.: Systematic review and meta-analysis of epidemiological studies available in LILACS, EMBASE, MEDLINE and Global Health. Studies were included if they followed a random sampling approach in adult population. Screening and assessment of manuscripts was carried out independently by two researchers. A random-effects meta-analysis was conducted to quantify the overall prevalence and incidence of hypertension. The Newcastle-Ottawa scale was used to assess the risk of bias in the manuscripts. RESULTS.: A total of 903 papers were screened, and only 15 were included in the estimation of hypertension prevalence, 8 in the assessment of previous hypertension diagnosis, and 4 for incidence estimations. The pooled prevalence of hypertension was 22.0% (95% CI: 20.0% - 25.0%; I2=99.2%). This estimate was lower in national studies [20.0% (95% CI: 17.0% - 22.0%; I2=99.4%] than in sub-national studies [24.0% (95% CI: 17.0% - 30.0%; I2=99.2%]. The pooled prevalence of previous hypertension diagnosis was 51.0% (95% CI: 43.0% - 59.0%; I2=99.9%). The pooled incidence of hypertension was 4.2 (95% CI: 2.0 - 6.4; I2=98.6%) per 100 person-years. The included studies did not present high risk of bias. CONCLUSIONS.: Our findings show that one in five Peruvians has hypertension, and that four new cases appear per 100 persons per year; in addition, only half of the subjects with hypertension are previously diagnosed.
Date Issued
2021-12-22
Date Acceptance
2021-12-09
Citation
Rev Peru Med Exp Salud Publica, 2021, 38 (4), pp.521-529
Start Page
521
End Page
529
Journal / Book Title
Rev Peru Med Exp Salud Publica
Volume
38
Issue
4
Copyright Statement
© 2021 Revista Peruana de Medicina Experimental y Salud Pública.
Sponsor
Wellcome Trust
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/35385004
Grant Number
214185/Z/18/Z
Subjects
Humans
Hypertension
Incidence
Peru
Prevalence
Research Design
Publication Status
Published
Coverage Spatial
Peru