Prevalence,awareness and control of hypertension in Malaysia from 1980-2018:A systematic review and meta-analysis

Ai Theng Cheong; Chun Han Tan; Dhashani Sivaratnam; Fan Kee Hoo; Hani Syahida Salim; Kai Wei Lee; Man Jun Soo; Navin Kumar Devaraj; Poh Ying Lim; Siew Mooi Ching; Vasudevan Ramachandran; Yook Chin Chia; Zhen Yee Chow

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Prevalence,awareness and control of hypertension in Malaysia from 1980-2018:A systematic review and meta-analysis

Prevalence,awareness and control of hypertension in Malaysia from 1980-2018:A systematic review and meta-analysis

作者：

Ai Theng Cheong Chun Han Tan Dhashani Sivaratnam Fan Kee Hoo Hani Syahida Salim Kai Wei Lee Man Jun Soo Navin Kumar Devaraj Poh Ying Lim Siew Mooi Ching Vasudevan Ramachandran Yook Chin Chia Zhen Yee Chow

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PREVALENCE

AWARENESS

Control

HYPERTENSION

Blood

pressure

MALAYSIA

Systematic

review

META-ANALYSIS

摘要：

BACKGROUND Hypertension is a common public health problem worldwide and is a well-known risk factor for increased risk of cardiovascular diseases,contributing to high morbidity and mortality.However,there has been no systematic review and meta-analysis of a multiethnic population such as that of Malaysia.AIM To determine the trend in prevalence,awareness and control rate of hypertension in Malaysia.METHODS Systematic searches were conducted in six databases(PubMed,Scopus,Ovid,CINAHL,Malaysian Medical Repository and Malaysia Citation Index)for articles published between 1980 and 2018.Two authors reviewed the studies and performed quality assessment and data extraction independently.Pooled estimates of hypertension prevalence,awareness and control rate were calculated using the DerSimonian-Laird random-effects model.Subgroup and sensitivity analyses were performed.RESULTS We included 56 studies involving a total of 241796 participants.The overall pooled prevalence of hypertension aged≥18 years was 29.7%.The prevalence of hypertension was the lowest in the 1980s(16.2%,95%confidence interval(CI):13.4,19.0),increasing up to 36.8%(95%CI:6.1,67.5)in the 1990s,then decreasing to 28.7%(95%CI:21.7,35.8)in the 2000s and 26.8%(95%CI:21.3,32.3)in the 2010s.The prevalence of awareness was 51.4%(95%CI:46.6,56.3),while 33.3%(95%CI:28.4,38.2)of those on treatment had achieved control of their blood pressure.CONCLUSION In Malaysia,three in ten adults aged≥18 years have hypertension,while four in ten adults aged≥30 years have hypertension.Five out of ten people are aware of their hypertension status and only one-third of those under treatment achieved control of their hypertension.Concerted efforts by policymakers and healthcare professionals to improve awareness and control of hypertension should be of high priority.

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篇名	Prevalence,awareness and control of hypertension in Malaysia from 1980-2018:A systematic review and meta-analysis
来源期刊	世界荟萃分析杂志	学科	医学
关键词	PREVALENCE AWARENESS Control HYPERTENSION Blood pressure MALAYSIA Systematic review META-ANALYSIS
年，卷（期）	2020,（4）	所属期刊栏目
研究方向		页码范围	320-344
页数	25页	分类号	R54
字数		语种
DOI