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Banegas JrAuthorLoit H-MAuthorLopez-Garcia E.AuthorRobitaille CAuthor

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Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants

Publicated to:Lancet. 398 (10304): 957-980 - 2021-09-09 398(10304), DOI: 10.1016/S0140-6736(21)01330-1

Authors: Zhou, Bin; Carrillo-Larco, Rodrigo M; Danaei, Goodarz; Riley, Leanne M; Paciorek, Christopher J; Stevens, Gretchen A; Gregg, Edward W; Bennett, James E; Solomon, Bethlehem; Singleton, Rosie K; Sophiea, Marisa K; Iurilli, Maria L C; Lhoste, Victor P F; Cowan, Melanie J; Savin, Stefan; Woodward, Mark; Balanova, Yulia; Cifkova, Renata; Damasceno, Albertino; Elliott, Paul; Farzadfar, Farshad; He, Jiang; Ikeda, Nayu; Kengne, Andre P; Khang, Young-Ho; Kim, Hyeon Chang; Laxmaiah, Avula; Lin, Hsien-Ho; Margozzini Maira, Paula; Miranda, J Jaime; Neuhauser, Hannelore; Sundstrom, Johan; Varghese, Cherian; Widyahening, Indah S; Zdrojewski, Tomasz; Ezzati, Majid; Abarca-Gomez, Leandra; Abdeen, Ziad A; Rahim, Hanan F Abdul; Abu-Rmeileh, Niveen M; Acosta-Cazares, Benjamin; Adams, Robert J; Aekplakorn, Wichai; Afsana, Kaosar; Afzal, Shoaib; Agdeppa, Imelda A; Aghazadeh-Attari, Javad; Aguilar-Salinas, Carlos A; Agyemang, Charles; Ahmad, Noor Ani; Ahmadi, Ali; Ahmadi, Naser; Ahmadi, Nastaran; Ahmadizar, Fariba; Ahmed, Soheir H; Ahrens, Wolfgang; Ajlouni, Kamel; Al-Raddadi, Rajaa; Alarouj, Monira; AlBuhairan, Fadia; AlDhukair, Shahla; Ali, Mohamed M; Alkandari, Abdullah; Alkerwi, Ala'a; Allin, Kristine; Aly, Eman; Amarapurkar, Deepak N; Amougou, Norbert; Amouyel, Philippe; Andersen, Lars Bo; Anderssen, Sigmund A; Anjana, Ranjit Mohan; Ansari-Moghaddam, Alireza; Ansong, Daniel; Aounallah-Skhiri, Hajer; Araujo, Joana; Ariansen, Inger; Aris, Tahir; Arku, Raphael E; Arlappa, Nimmathota; Aryal, Krishna K; Aspelund, Thor; Assah, Felix K; Assuncao, Maria Cecilia F; Auvinen, Juha; Avdicova, Maria; Azevedo, Ana; Azimi-Nezhad, Mohsen; Azizi, Fereidoun; Azmin, Mehrdad; Babu, Bontha V; Bahijri, Suhad; Bamoshmoosh, Mohamed; Banach, Maciej; Banadinovic, Maja; Bandosz, Piotr; Banegas, Jose R; Baran, Joanna; Barbagallo, Carlo M; Barcelo, Alberto; Barkat, Amina; Barreto, Marta; Barros, Aluisio J D; Gomes Barros, Mauro Virgilio; Bartosiewicz, Anna; Basit, Abdul; Bastos, Joao Luiz D; Bata, Iqbal; Batieha, Anwar M; Batyrbek, Assembekov; Baur, Louise A; Beaglehole, Robert; Belavendra, Antonisamy; Ben Romdhane, Habiba; Benet, Mikhail; Benson, Lowell S; Berkinbayev, Salim; Bernabe-Ortiz, Antonio; Bettiol, Heloisa; Bezerra, Jorge; Bhagyalaxmi, Aroor; Bhargava, Santosh K; Bia, Daniel; Biasch, Katia; Lele, Elysee Claude Bika; Bikbov, Mukharram M; Bista, Bihungum; Bjerregaard, Peter; Bjertness, Espen; Bjertness, Marius B; Bjorkelund, Cecilia; Bloch, Katia V; Blokstra, Anneke; Bo, Simona; Bobak, Martin; Boeing, Heiner; Boggia, Jose G; Boissonnet, Carlos P; Bojesen, Stig E; Bongard, Vanina; Bonilla-Vargas, Alice; Bopp, Matthias; Borghs, Herman; Bovet, Pascal; Boyer, Christopher B; Braeckman, Lutgart; Brajkovich, Imperia; Branca, Francesco; Breckenkamp, Juergen; Brenner, Hermann; Brewster, Lizzy M; Briceno, Yajaira; Brito, Miguel; Bruno, Graziella; Bueno-de-Mesquita, H Bas; Bueno, Gloria; Bugge, Anna; Burns, Con; Bursztyn, Michael; Cabrera de Leon, Antonio; Cacciottolo, Joseph; Cameron, Christine; Can, Gunay; Candido, Ana Paula C; Capanzana, Mario V; Capkova, Nadezda; Capuano, Eduardo; Cardoso, Viviane C; Carlsson, Axel C; Casanueva, Felipe F; Censi, Laura; Cervantes-Loaiza, Marvin; Chadjigeorgiou, Charalambos A; Chamukuttan, Snehalatha; Chan, Angelique W; Chan, Queenie; Chaturvedi, Himanshu K; Chaturvedi, Nish; Chee, Miao Li; Chen, Chien-Jen; Chen, Fangfang; Chen, Huashuai; Chen, Shuohua; Chen, Zhengming; Cheng, Ching-Yu; Cheraghian, Bahman; Dekkaki, Imane Cherkaoui; Chetrit, Angela; Chien, Kuo-Liong; Chiolero, Arnaud; Chiou, Shu-Ti; Chirita-Emandi, Adela; Chirlaque, Maria-Dolores; Cho, Belong; Christofaro, Diego G; Chudek, Jerzy; Cinteza, Eliza; Claessens, Frank; Clarke, Janine; Clays, Els; Cohen, Emmanuel; Concin, Hans; Cooper, Cyrus; Coppinger, Tara C; Costanzo, Simona; Cottel, Dominique; Cowell, Chris; Craig, Cora L; Crampin, Amelia C; Crujeiras, Ana B; Cruz, Juan J; Csilla, Semanova; Cui, Liufu; Cureau, Felipe V; Cuschieri, Sarah; D'Arrigo, Graziella; d'Orsi, Eleonora; Dallongeville, Jean; Dantoft, Thomas M; Dauchet, Luc; Davletov, Kairat; De Backer, Guy; De Bacquer, Dirk; De Curtis, Amalia; de Gaetano, Giovanni; De Henauw, Stefaan; de Oliveira, Paula Duarte; De Ridder, David; De Smedt, Delphine; Deepa, Mohan; Deev, Alexander D; DeGennaro, Vincent Jr; Delisle, Helene; Demarest, Stefaan; Dennison, Elaine; Deschamps, Valerie; Dhimal, Meghnath; Di Castelnuovo, Augusto F; Dias-da-Costa, Juvenal Soares; Diaz, Alejandro; Dickerson, Ty T; Dika, Zivka; Djalalinia, Shirin; Do, Ha T P; Dobson, Annette J; Donfrancesco, Chiara; Donoso, Silvana P; Doering, Angela; Dorobantu, Maria; Doerr, Marcus; Doua, Kouamelan; Dragano, Nico; Drygas, Wojciech; Duante, Charmaine A; Duboz, Priscilla; Duda, Rosemary B; Dulskiene, Virginija; Dushpanova, Anar; Dzakula, Aleksandar; Dzerve, Vilnis; Dziankowska-Zaborszczyk, Elzbieta; Eddie, Ricky; Eftekhar, Ebrahim; Eggertsen, Robert; Eghtesad, Sareh; Eiben, Gabriele; Ekelund, Ulf; El-Khateeb, Mohammad; El Ati, Jalila; Eldemire-Shearer, Denise; Eliasen, Marie; Elosua, Roberto; Erasmus, Rajiv T; Erbel, Raimund; Erem, Cihangir; Eriksen, Louise; Eriksson, Johan G; Escobedo-de la Pena, Jorge; Eslami, Saeid; Esmaeili, Ali; Evans, Alun; Faeh, David; Fakhretdinova, Albina A; Faramarzi, Elnaz; Farjam, Mojtaba; Fattahi, Mohammad Reza; Fawwad, Asher; Felix-Redondo, Francisco J; Felix, Stephan B; Ferguson, Trevor S; Fernandes, Romulo A; Fernandez-Berges, Daniel; Ferrante, Daniel; Ferrao, Thomas; Ferrari, Marika; Ferrario, Marco M; Ferreccio, Catterina; Ferreira, Haroldo S; Ferrer, Eldridge; Ferrieres, Jean; Figueiro, Thamara Hubler; Fink, Gunther; Fischer, Krista; Foo, Leng Huat; Forsner, Maria; Fouad, Heba M; Francis, Damian K; Franco, Maria do Carmo; Frikke-Schmidt, Ruth; Frontera, Guillermo; Fuchs, Sandra C; Fujita, Yuki; Fumihiko, Matsuda; Furdela, Viktoriya; Furer, Ariel; Furusawa, Takuro; Gaciong, Zbigniew; Galbarczyk, Andrzej; Galenkamp, Henrike; Galvano, Fabio; Gao, Jingli; Gao, Pei; Garcia-de-la-Hera, Manoli; Garcia, Pablo; Gareta, Dickman; Garnett, Sarah P; Gaspoz, Jean-Michel; Gasull, Magda; Gazzinelli, Andrea; Gehring, Ulrike; Geleijnse, Johanna M; George, Ronnie; Ghanbari, Ali; Ghasemi, Erfan; Gheorghe-Fronea, Oana-Florentina; Ghimire, Anup; Gialluisi, Alessandro; Giampaoli, Simona; Gieger, Christian; Gill, Tiffany K; Giovannelli, Jonathan; Gironella, Glen; Giwercman, Aleksander; Gkiouras, Konstantinos; Goldberg, Marcel; Goldsmith, Rebecca A; Gomez, Luis F; Gomula, Aleksandra; Cordeiro da Silva, Bruna Goncalves; Goncalves, Helen; Goncalves, Mauer; Gonzalez-Chica, David A; Gonzalez-Gross, Marcela; Gonzalez-Rivas, Juan P; Gonzalez-Villalpando, Clicerio; Gonzalez-Villalpando, Maria-Elena; Gonzalez, Angel R; Bonet Gorbea, Mariano; Gottrand, Frederic; Graff-Iversen, Sidsel; Grafnetter, Dusan; Grajda, Aneta; Grammatikopoulou, Maria G; Gregor, Ronald D; Grodzicki, Tomasz; Grosso, Giuseppe; Gruden, Gabriella; Gu, Dongfeng; Guan, Ong Peng; Gudmundsson, Elias F; Gudnason, Vilmundur; Guerrero, Ramiro; Guessous, Idris; Guimaraes, Andre L; Gulliford, Martin C; Gunnlaugsdottir, Johanna; Gunter, Marc J; Gupta, Rajeev; Gureje, Oye; Gurzkowska, Beata; Gutierrez, Laura; Gutzwiller, Felix; Ha, Seongjun; Hadaegh, Farzad; Haghshenas, Rosa; Hakimi, Hamid; Halkjaer, Jytte; Hambleton, Ian R; Hamzeh, Behrooz; Hange, Dominique; Hanif, Abu A M; Hantunen, Sari; Hao, Jie; Hardman, Carla Meneses; Kumar, Rachakulla Hari; Hashemi-Shahri, Seyed Mohammad; Hata, Jun; Haugsgjerd, Teresa; Hayes, Alison J; He, Yuna; Heier, Margit; Hendriks, Marleen Elisabeth; Henrique, Rafael dos Santos; Henriques, Ana; Cadena, Leticia Hernandez; Herrala, Sauli; Heshmat, Ramin; Hill, Allan G; Ho, Sai Yin; Ho, Suzanne C; Hobbs, Michael; Holdsworth, Michelle; Homayounfar, Reza; Dinc, Gonul Horasan; Horimoto, Andrea R V R; Hormiga, Claudia M; Horta, Bernardo L; Houti, Leila; Howitt, Christina; Htet, Aung Soe; Htike, Maung Maung Than; Hu, Yonghua; Huerta, Jose Maria; Huhtaniemi, Ilpo Tapani; Huiart, Laetitia; Huisman, Martijn; Husseini, Abdullatif S; Huybrechts, Inge; Hwalla, Nahla; Iacoviello, Licia; Iannone, Anna G; Ibrahim, Mohsen M; Wong, Norazizah Ibrahim; Ikram, M Arfan; Iotova, Violeta; Irazola, Vilma E; Ishida, Takafumi; Isiguzo, Godsent C; Islam, Muhammad; Islam, Sheikh Mohammed Shariful; Iwasaki, Masanori; Jackson, Rod T; Jacobs, Jeremy M; Jaddou, Hashem Y; Jafar, Tazeen; James, Kenneth; Jamrozik, Konrad; Janszky, Imre; Janus, Edward; Jarvelin, Marjo-Riitta; Jasienska, Grazyna; Jelakovic, Ana; Jelakovic, Bojan; Jennings, Garry; Jha, Anjani Kumar; Jiang, Chao Qiang; Jimenez, Ramon O; Joeckel, Karl-Heinz; Joffres, Michel; Johansson, Mattias; Jokelainen, Jari J; Jonas, Jost B; Jorgensen, Torben; Joshi, Pradeep; Joukar, Farahnaz; Jozwiak, Jacek; Juolevi, Anne; Jurak, Gregor; Juresa, Vesna; Kaaks, Rudolf; Kafatos, Anthony; Kajantie, Eero O; Kalmatayeva, Zhanna; Kalpourtzi, Natasa; Kalter-Leibovici, Ofra; Kampmann, Freja B; Kannan, Srinivasan; Karhus, Line L; Karki, Khem B; Katibeh, Marzieh; Katz, Joanne; Kauhanen, Jussi; Kaur, Prabhdeep; Kavousi, Maryam; Kazakbaeva, Gyulli M; Keil, Ulrich; Boker, Lital Keinan; Keinanen-Kiukaanniemi, Sirkka; Kelishadi, Roya; Kemper, Han C G; Keramati, Maryam; Kerimkulova, Alina; Kersting, Mathilde; Key, Timothy; Khader, Yousef Saleh; Khalili, Davood; Khaw, Kay-Tee; Kheiri, Bahareh; Kheradmand, Motahareh; Khosravi, Alireza; Kiechl-Kohlendorfer, Ursula; Kiechl, Stefan; Killewo, Japhet; Kim, Dong Wook; Kim, Jeongseon; Klakk, Heidi; Klimek, Magdalena; Klumbiene, Jurate; Knoflach, Michael; Kolle, Elin; Kolsteren, Patrick; Kontto, Jukka P; Korpelainen, Raija; Korrovits, Paul; Kos, Jelena; Koskinen, Seppo; Kouda, Katsuyasu; Kowlessur, Sudhir; Koziel, Slawomir; Kratenova, Jana; Kriaucioniene, Vilma; Kristensen, Peter Lund; Krokstad, Steiner; Kromhout, Daan; Kruger, Herculina S; Kubinova, Ruzena; Kuciene, Renata; Kulaga, Zbigniew; Kumar, R Krishna; Kurjata, Pawel; Kusuma, Yadlapalli S; Kutsenko, Vladimir; Kuulasmaa, Kari; Kyobutungi, Catherine; Laatikainen, Tiina; Lachat, Carl; Laid, Youcef; Lam, Tai Hing; Landrove, Orlando; Lanska, Vera; Lappas, Georg; Larijani, Bagher; Latt, Tint Swe; Le Coroller, Gwenaelle; Khanh Le Nguyen Bao; Le, Tuyen D; Lee, Jeannette; Lee, Jeonghee; Lehmann, Nils; Lehtimaki, Terho; Lemogoum, Daniel; Levitt, Naomi S; Li, Yanping; Lilly, Christa L; Lim, Wei-Yen; Lima-Costa, M Fernanda; Lin, Xu; Lin, Yi-Ting; Lind, Lars; Lingam, Vijaya; Linneberg, Allan; Lissner, Lauren; Litwin, Mieczyslaw; Lo, Wei-Cheng; Loit, Helle-Mai; Lopez-Garcia, Esther; Lopez, Tania; Lotufo, Paulo A; Lozano, Jose Eugenio; Lovrencic, Iva Lukacevic; Lukrafka, Janice L; Luksiene, Dalia; Lundqvist, Annamari; Lundqvist, Robert; Lunet, Nuno; Lustigova, Michala; Luszczki, Edyta; Ma, Guansheng; Ma, Jun; Machado-Coelho, George L L; Machado-Rodrigues, Aristides M; Macia, Enguerran; Macieira, Luisa M; Madar, Ahmed A; Maggi, Stefania; Magliano, Dianna J; Magriplis, Emmanuella; Mahasampath, Gowri; Maire, Bernard; Majer, Marjeta; Makdisse, Marcia; Malekzadeh, Fatemeh; Malekzadeh, Reza; Malhotra, Rahul; Malyutina, Sofia K; Maniego, Lynell V; Manios, Yannis; Mann, Jim I; Mansour-Ghanaei, Fariborz; Manzato, Enzo; Marcil, Anie; Margozzini, Paula; Marild, Staffan B; Glavic, Mihalea Marinovic; Marques-Vidal, Pedro; Marques, Larissa Pruner; Marrugat, Jaume; Martorell, Reynaldo; Mascarenhas, Luis P; Matasin, Marija; Mathiesen, Ellisiv B; Mathur, Prashant; Matijasevich, Alicia; Matlosz, Piotr; Matsha, Tandi E; Mavrogianni, Christina; Mbanya, Jean Claude N; Mc Donald Posso, Anselmo J; McFarlane, Shelly R; McGarvey, Stephen T; McLachlan, Stela; McLean, Rachael M; McLean, Scott B; McNulty, Breige A; Benchekor, Sounnia Mediene; Medzioniene, Jurate; Mehdipour, Parinaz; Mehlig, Kirsten; Mehrparvar, Amir Houshang; Meirhaeghe, Aline; Meisinger, Christa; Mendoza Montano, Carlos; Menezes, Ana Maria B; Menon, Geetha R; Mereke, Alibek; Meshram, Indrapal I; Metspalu, Andres; Meyer, Haakon E; Mi, Jie; Michels, Nathalie; Mikkel, Kairit; Milkowska, Karolina; Miller, Jody C; Minderico, Claudia S; Mini, G K; Mirjalili, Mohammad Reza; Mirrakhimov, Erkin; Misigoj-Durakovic, Marjeta; Modesti, Pietro A; Moghaddam, Sahar Saeedi; Mohajer, Bahram; Mohamed, Mostafa K; Mohamed, Shukri F; Mohammad, Kazem; Mohammadi, Mohammad Reza; Mohammadi, Zahra; Mohammadifard, Noushin; Mohammadpourhodki, Reza; Mohan, Viswanathan; Mohanna, Salim; Yusoff, Muhammad Fadhli Mohd; Mohebbi, Iraj; Mohebi, Farnam; Moitry, Marie; Mollehave, Line T; Molnar, Denes; Momenan, Amirabbas; Mondo, Charles K; Monterrubio-Flores, Eric; Monyeki, Kotsedi Daniel K; Moon, Jin Soo; Moosazadeh, Mahmood; Moreira, Leila B; Morejon, Alain; Moreno, Luis A; Morgan, Karen; Moschonis, George; Mossakowska, Malgorzata; Mostafa, Aya; Mostafavi, Seyed-Ali; Mota, Jorge; Motlagh, Mohammad Esmaeel; Motta, Jorge; Andre Moura-dos-Santos, Marcos; Mridha, Malay K; Msyamboza, Kelias P; Mu, Thet Thet; Muhihi, Alfa J; Muiesan, Maria L; Muller-Nurasyid, Martina; Murphy, Neil; Mursu, Jaakko; Musa, Kamarul Imran; Milanovic, Sanja Music; Musil, Vera; Mustafa, Norlaila; Nabipour, Iraj; Naderimagham, Shohreh; Nagel, Gabriele; Naidu, Balkish M; Najafi, Farid; Nakamura, Harunobu; Namesna, Jana; Nang, Ei Ei K; Nangia, Vinay B; Narake, Sameer; Ndiaye, Ndeye Coumba; Neal, William A; Nejatizadeh, Azim; Nenko, Ilona; Neovius, Martin; Neuhauser, Hannelore K; Nguyen, Chung T; Nguyen, Nguyen D; Nguyen, Quang V; Quang Ngoc Nguyen; Nieto-Martinez, Ramfis E; Niiranen, Teemu J; Nikitin, Yury P; Ninomiya, Toshiharu; Nishtar, Sania; Njelekela, Marina A; Noale, Marianna; Noboa, Oscar A; Noorbala, Ahmad Ali; Norat, Teresa; Nordendahl, Maria; Nordestgaard, Borge G; Noto, Davide; Nowak-Szczepanska, Natalia; Al Nsour, Mohannad; Nunes, Baltazar; O'Neill, Terence W; O'Reilly, Dermot; Ochimana, Caleb; Oda, Eiji; Odili, Augustine N; Oh, Kyungwon; Ohara, Kumiko; Ohtsuka, Ryutaro; Olie, Valerie; Olinto, Maria Teresa A; Oliveira, Isabel O; Omar, Mohd Azahadi; Onat, Altan; Ong, Sok King; Ono, Lariane M; Ordunez, Pedro; Ornelas, Rui; Ortiz, Pedro J; Osmond, Clive; Ostojic, Sergej M; Ostovar, Afshin; Otero, Johanna A; Overvad, Kim; Owusu-Dabo, Ellis; Paccaud, Fred Michel; Padez, Cristina; Pahomova, Elena; de Paiva, Karina Mary; Pajak, Andrzej; Palli, Domenico; Palmieri, Luigi; Pan, Wen-Harn; Panda-Jonas, Songhomitra; Panza, Francesco; Paoli, Mariela; Papandreou, Dimitrios; Park, Soon-Woo; Park, Suyeon; Parnell, Winsome R; Parsaeian, Mahboubeh; Pasquet, Patrick; Patel, Nikhil D; Pavlyshyn, Halyna; Pecin, Ivan; Pednekar, Mangesh S; Pedro, Joao M; Peer, Nasheeta; Peixoto, Sergio Viana; Peltonen, Markku; Pereira, Alexandre C; Peres, Karen G D A; Peres, Marco A; Peters, Annette; Petkeviciene, Janina; Peykari, Niloofar; Son Thai Pham; Pichardo, Rafael N; Pigeot, Iris; Pikhart, Hynek; Pilav, Aida; Pilotto, Lorenza; Pitakaka, Freda; Piwonska, Aleksandra; Pizarro, Andreia N; Plans-Rubio, Pedro; Polasek, Ozren; Porta, Miquel; Poudyal, Anil; Pourfarzi, Farhad; Pourshams, Akram; Pradeepa, Rajendra; Price, Jacqueline F; Providencia, Rui; Puhakka, Soile E; Puiu, Maria; Punab, Margus; Qasrawi, Radwan F; Qorbani, Mostafa; Queiroz, Daniel; Tran Quoc Bao; Radic, Ivana; Radisauskas, Ricardas; Rahimikazerooni, Salar; Rahman, Mahfuzar; Raitakari, Olli; Raj, Manu; Rakhimova, Ellina M; Rao, Sudha Ramachandra; Ramachandran, Ambady; Ramos, Elisabete; Rampal, Lekhraj; Rampal, Sanjay; Rangel Reina, Daniel A; Rarra, Vayia; Rech, Cassiano Ricardo; Redon, Josep; Reganit, Paul Ferdinand M; Regecova, Valeria; Revilla, Luis; Rezaianzadeh, Abbas; Ribeiro, Robespierre; Riboli, Elio; Richter, Adrian; Rigo, Fernando; de Wit, Tobias F Rinke; Ritti-Dias, Raphael M; Robitaille, Cynthia; Rodriguez-Artalejo, Fernando; del Cristo Rodriguez-Perez, Maria; Rodriguez-Villamizar, Laura A; Roggenbuck, Ulla; Rojas-Martinez, Rosalba; Romaguera, Dora; Romeo, Elisabetta L; Rosengren, Annika; Roy, Joel G R; Rubinstein, Adolfo; Ruidavets, Jean-Bernard; Sandra Ruiz-Betancourt, Blanca; Ruiz-Castell, Maria; Rusakova, Iuliia A; Russo, Paola; Rutkowski, Marcin; Sabanayagam, Charumathi; Sabbaghi, Hamideh; Sachdev, Harshpal S; Sadjadi, Alireza; Safarpour, Ali Reza; Safi, Sare; Safiri, Saeid; Saidi, Olfa; Sakarya, Sibel; Saki, Nader; Salanave, Benoit; Salazar Martinez, Eduardo; Salmeron, Diego; Salomaa, Veikko; Salonen, Jukka T; Salvetti, Massimo; Sanchez-Abanto, Jose; Sans, Susana; Santos, Diana A; Santos, Ina S; Santos, Lelita C; Santos, Maria Paula; Santos, Rute; Saramies, Jouko L; Sardinha, Luis B; Sarganas, Giselle; Sarrafzadegan, Nizal; Sathish, Thirunavukkarasu; Saum, Kai-Uwe; Savva, Savvas; Sawada, Norie; Sbaraini, Mariana; Scazufca, Marcia; Schaan, Beatriz D; Schargrodsky, Herman; Schipf, Sabine; Schmidt, Carsten O; Schnohr, Peter; Schoettker, Ben; Schramm, Sara; Schultsz, Constance; Schutte, Aletta E; Sebert, Sylvain; Sein, Aye Aye; Sen, Abhijit; Senbanjo, Idowu O; Sepanlou, Sadaf G; Servais, Jennifer; Shalnova, Svetlana A; Shamah-Levy, Teresa; Shamshirgaran, Morteza; Shanthirani, Coimbatore Subramaniam; Sharafkhah, Maryam; Sharma, Sanjib K; Shaw, Jonathan E; Shayanrad, Amaneh; Shayesteh, Ali Akbar; Shi, Zumin; Shibuya, Kenji; Shimizu-Furusawa, Hana; Shin, Dong Wook; Shirani, Majid; Shiri, Rahman; Shrestha, Namuna; Si-Ramlee, Khairil; Siani, Alfonso; Siantar, Rosalynn; Sibai, Abla M; Santos Silva, Diego Augusto; Simon, Mary; Simons, Judith; Simons, Leon A; Sjostrom, Michael; Slowikowska-Hilczer, Jolanta; Slusarczyk, Przemyslaw; Smeeth, Liam; So, Hung-Kwan; Soares, Fernanda Cunha; Sobngwi, Eugene; Soderberg, Stefan; Soemantri, Agustinus; Sofat, Reecha; Solfrizzi, Vincenzo; Somi, Mohammad Hossein; Sonestedt, Emily; Song, Yi; Sorensen, Thorkild I A; Sorgjerd, Elin P; Soric, Maroje; Jerome, Charles Sossa; Soumare, Aicha; Sparboe-Nilsen, Bente; Sparrenberger, Karen; Staessen, Jan A; Starc, Gregor; Stavreski, Bill; Steene-Johannessen, Jostein; Stehle, Peter; Stein, Aryeh D; Stergiou, George S; Stessman, Jochanan; Stieber, Jutta; Stoeckl, Doris; Stocks, Tanja; Stokwiszewski, Jakub; Stronks, Karien; Strufaldi, Maria Wany; Suka, Machi; Sun, Chien-An; Sung, Yn-Tz; Suriyawongpaisal, Paibul; Sy, Rody G; Syddall, Holly E; Sylva, Rene Charles; Szklo, Moyses; Tai, E Shyong; Tammesoo, Mari-Liis; Tamosiunas, Abdonas; Tan, Eng Joo; Tang, Xun; Tanser, Frank; Tao, Yong; Tarawneh, Mohammed Rasoul; Taylor, Anne; Taylor, Julie; Tebar, William R; Tell, Grethe S; Tello, Tania; Tham, Yih Chung; Thankappan, K R; Theobald, Holger; Theodoridis, Xenophon; Thijs, Lutgarde; Thinggaard, Mikael; Thomas, Nihal; Thorand, Barbara; Thuesen, Betina H; Timmermans, Erik J; Tjandrarini, Dwi H; Tjonneland, Anne; Toft, Ulla; Tolonen, Hanna K; Tolstrup, Janne S; Topbas, Murat; Topor-Madry, Roman; Jose Tormo, Maria; Tornaritis, Michael J; Torrent, Maties; Torres-Collado, Laura; Touloumi, Giota; Traissac, Pierre; Triantafyllou, Areti; Trichopoulos, Dimitrios; Trichopoulou, Antonia; Trinh, Oanh T H; Trivedi, Atul; Tshepo, Lechaba; Tsugane, Shoichiro; Tuliakova, Azaliia M; Tulloch-Reid, Marshall K; Tullu, Fikru; Tuomainen, Tomi-Pekka; Tuomilehto, Jaakko; Turley, Maria L; Twig, Gilad; Tynelius, Per; Tzourio, Christophe; Ueda, Peter; Ugel, Eunice; Ulmer, Hanno; Uusitalo, Hannu M T; Valvi, Damaskini; van Dam, Rob M; van den Born, Bert-Jan; van der Schouw, Yvonne T; Van Herck, Koen; Hoang Van Minh; Van Schoor, Natasja M; van Valkengoed, Irene G M; van Zutphen, Elisabeth M; Vanderschueren, Dirk; Vanuzzo, Diego; Varbo, Anette; Vasan, Senthil K; Vega, Tomas; Veidebaum, Toomas; Velasquez-Melendez, Gustavo; Veronesi, Giovanni; Verschuren, W M Monique; Verstraeten, Roosmarijn; Victora, Cesar G; Viet, Lucie; Villalpando, Salvador; Vineis, Paolo; Vioque, Jesus; Virtanen, Jyrki K; Visvikis-Siest, Sophie; Viswanathan, Bharathi; Vlasoff, Tiina; Vollenweider, Peter; Voutilainen, Ari; Wade, Alisha N; Walton, Janette; Wambiya, Elvis O A; Bebakar, Wan Mohamad Wan; Mohamud, Wan Nazaimoon Wan; Wanderley Junior, Rildo de Souza; Wang, Ming-Dong; Wang, Ningli; Wang, Qian; Wang, Xiangjun; Wang, Ya Xing; Wang, Ying-Wei; Wannamethee, S Goya; Wareham, Nicholas; Wei, Wenbin; Weres, Aneta; Werner, Bo; Whincup, Peter H; Widhalm, Kurt; Wiecek, Andrzej; Wilks, Rainford J; Willeit, Johann; Willeit, Peter; Williams, Emmanuel A; 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Affiliations

Abstract

Background: Hypertension can be detected at the primary health-care level and low-cost treatments can effectively control hypertension. We aimed to measure the prevalence of hypertension and progress in its detection, treatment, and control from 1990 to 2019 for 200 countries and territories. Methods: We used data from 1990 to 2019 on people aged 30–79 years from population-representative studies with measurement of blood pressure and data on blood pressure treatment. We defined hypertension as having systolic blood pressure 140 mm Hg or greater, diastolic blood pressure 90 mm Hg or greater, or taking medication for hypertension. We applied a Bayesian hierarchical model to estimate the prevalence of hypertension and the proportion of people with hypertension who had a previous diagnosis (detection), who were taking medication for hypertension (treatment), and whose hypertension was controlled to below 140/90 mm Hg (control). The model allowed for trends over time to be non-linear and to vary by age. Findings: The number of people aged 30–79 years with hypertension doubled from 1990 to 2019, from 331 (95% credible interval 306–359) million women and 317 (292–344) million men in 1990 to 626 (584–668) million women and 652 (604–698) million men in 2019, despite stable global age-standardised prevalence. In 2019, age-standardised hypertension prevalence was lowest in Canada and Peru for both men and women; in Taiwan, South Korea, Japan, and some countries in western Europe including Switzerland, Spain, and the UK for women; and in several low-income and middle-income countries such as Eritrea, Bangladesh, Ethiopia, and Solomon Islands for men. Hypertension prevalence surpassed 50% for women in two countries and men in nine countries, in central and eastern Europe, central Asia, Oceania, and Latin America. Globally, 59% (55–62) of women and 49% (46–52) of men with hypertension reported a previous diagnosis of hypertension in 2019, and 47% (43–51) of women and 38% (35–41) of men were treated. Control rates among people with hypertension in 2019 were 23% (20–27) for women and 18% (16–21) for men. In 2019, treatment and control rates were highest in South Korea, Canada, and Iceland (treatment >70%; control >50%), followed by the USA, Costa Rica, Germany, Portugal, and Taiwan. Treatment rates were less than 25% for women and less than 20% for men in Nepal, Indonesia, and some countries in sub-Saharan Africa and Oceania. Control rates were below 10% for women and men in these countries and for men in some countries in north Africa, central and south Asia, and eastern Europe. Treatment and control rates have improved in most countries since 1990, but we found little change in most countries in sub-Saharan Africa and Oceania. Improvements were largest in high-income countries, central Europe, and some upper-middle-income and recently high-income countries including Costa Rica, Taiwan, Kazakhstan, South Africa, Brazil, Chile, Turkey, and Iran. Interpretation: Improvements in the detection, treatment, and control of hypertension have varied substantially across countries, with some middle-income countries now outperforming most high-income nations. The dual approach of reducing hypertension prevalence through primary prevention and enhancing its treatment and control is achievable not only in high-income countries but also in low-income and middle-income settings. Funding: WHO. © 2021 World Health Organization

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