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Contributions of mean and shape of blood pressure distribution to worldwide trends and variations in raised blood pressure: a pooled analysis of 1018 population-based measurement studies with 88.6 million participants

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  • Additional Information
    • Contributors:
      The State Key Laboratory of Cell Biology Shanghai, China (CAS Center for Excellence in Molecular Cell Science); University of Chinese Academy of Sciences Beijing (UCAS); Chinese Academy of Sciences Beijing (CAS)-Chinese Academy of Sciences Beijing (CAS)-Shanghai Institute of Biochemistry and Cell Biology Shanghai, China; Imperial College London; University of Kentucky (UK); Middlesex University; Cleveland Clinic; Universidad Peruana Cayetano Heredia (UPCH); Brandeis University; Mulago Hospital Kampala, Ouganda; Department of Epidemiology and Public Health; Organisation Mondiale de la Santé / World Health Organization Office Genève, Suisse (OMS / WHO); Al-Quds University; Discipline of Medicine; University of South Australia Adelaide; Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán - National Institute of Medical Science and Nutrition Salvador Zubiran Mexico (INCMNSZ); Leibniz Institute for Prevention Research and Epidemiology - BIPS; Leibniz Association; Centre for Industrial Management; Catholic University of Leuven = Katholieke Universiteit Leuven (KU Leuven); Facteurs de Risque et Déterminants Moléculaires des Maladies liées au Vieillissement - U 1167 (RID-AGE); Institut Pasteur de Lille; Pasteur Network (Réseau International des Instituts Pasteur)-Pasteur Network (Réseau International des Instituts Pasteur)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Centre Hospitalier Régional Universitaire CHU Lille (CHRU Lille); Institute of Preventive Medicine; Copenhagen University Hospitals Copenhague; School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi; Dept. Atherosclerose; University of Iceland Reykjavik; Institute for Biotechnology and Bioengineering (IBB); Technical University of Lisbon; Medical University of Łódź (MUL); Department of Preventive Medicine and Public Health; Universidad Autónoma de Madrid (UAM); Faculté de Médecine de Tunis; Tunis El Manar University University of Tunis El Manar Tunisia = Université de Tunis El Manar Tunisie = جامعة تونس المنار (ar) (UTM); Sunder Lal Jain Hospital; Ufa Eye Research Institute Bashkortostan; National Institute of Public Health; Department of Epidemiology; Deutsches Institut für Ernährungsforschung Potsdam-Rehbrücke (DifE); Leibniz Association-Leibniz Association; Centre Hospitalier Universitaire de Toulouse (CHU Toulouse); Institute of Social and Preventive Medicine; Centre Hospitalier Universitaire Vaudois = Lausanne University Hospital Lausanne (CHUV); Division of Clinical Epidemiology and Aging Research; German Cancer Research Center - Deutsches Krebsforschungszentrum Heidelberg (DKFZ); Department of Medical Sciences Turin, Italy (DMS); Università degli studi di Torino = University of Turin (UNITO); ASU - School for Engineering of Matter, Transport and Energy; Arizona State University Tempe (ASU); Universidade do Porto = University of Porto; University of Oxford; Cancer & Radiation Epidemiology Unit, Gertner Institute; Chaim Sheba Medical Center; Consorcio de Investigación Biomédica en Red especializado en Epidemiología y Salud Pública (CIBERESP); Los Centros de Investigación Biomédica en Red (CIBER); 2nd Department of Internal Medicine; Molecular Medicine; Catholic University of Leuven = Katholieke Universiteit Leuven (KU Leuven)-IRC KULAK; Department of Public Health; State University of Ghent; MRC Lifecourse Epidemiology Unit Southampton, UK; University of Southampton; Pasteur Network (Réseau International des Instituts Pasteur); Institute of Epidemiology Neuherberg (EPI); Helmholtz Zentrum München = German Research Center for Environmental Health (HMGU); Sahlgrenska University Hospital Gothenburg; Institute of Metabolic Science; MRC; Institut National de Nutrition et de Technologie Alimentaire (INNTA); University of Huddersfield; IMIM-Hospital del Mar; Generalitat de Catalunya = Generalidad de Cataluña = Government of Catalonia = Généralité de Catalogne; Medstar Research Institute; Queen's University Belfast (QUB); Medical Research Council; Applied Sciences; National Research Institute on Food and Nutrition; Epidémiologie et analyses en santé publique : risques, maladies chroniques et handicaps (LEASP); Université Toulouse III - Paul Sabatier (UT3); Université de Toulouse (UT)-Université de Toulouse (UT)-Institut National de la Santé et de la Recherche Médicale (INSERM); Infectious diseases division, Department of internal medicine; Washington University in Saint Louis (WUSTL); Innsbruck Medical University = Medizinische Universität Innsbruck (IMU); Department of Epidemiology Rotterdam; Erasmus University Medical Center Rotterdam (Erasmus MC); Laboratoire d'Etude des Mammifères Marins (LEMM); Océanopolis Brest; Faculté de Médecine Henri Warembourg - Université de Lille; Institute of Sport Science and Clinical Biomechanics
    • Publication Information:
      CCSD
      Oxford University Press (OUP)
    • Publication Date:
      2018
    • Collection:
      Université de Montpellier: HAL
    • Abstract:
      International audience ; BACKGROUND:Change in the prevalence of raised blood pressure could be due to both shifts in the entire distribution of blood pressure (representing the combined effects of public health interventions and secular trends) and changes in its high-blood-pressure tail (representing successful clinical interventions to control blood pressure in the hypertensive population). Our aim was to quantify the contributions of these two phenomena to the worldwide trends in the prevalence of raised blood pressure.METHODS:We pooled 1018 population-based studies with blood pressure measurements on 88.6 million participants from 1985 to 2016. We first calculated mean systolic blood pressure (SBP), mean diastolic blood pressure (DBP) and prevalence of raised blood pressure by sex and 10-year age group from 20-29 years to 70-79 years in each study, taking into account complex survey design and survey sample weights, where relevant. We used a linear mixed effect model to quantify the association between (probit-transformed) prevalence of raised blood pressure and age-group- and sex-specific mean blood pressure. We calculated the contributions of change in mean SBP and DBP, and of change in the prevalence-mean association, to the change in prevalence of raised blood pressure.RESULTS:In 2005-16, at the same level of population mean SBP and DBP, men and women in South Asia and in Central Asia, the Middle East and North Africa would have the highest prevalence of raised blood pressure, and men and women in the high-income Asia Pacific and high-income Western regions would have the lowest. In most region-sex-age groups where the prevalence of raised blood pressure declined, one half or more of the decline was due to the decline in mean blood pressure. Where prevalence of raised blood pressure has increased, the change was entirely driven by increasing mean blood pressure, offset partly by the change in the prevalence-mean association.CONCLUSIONS:Change in mean blood pressure is the main driver of the worldwide ...
    • Relation:
      info:eu-repo/semantics/altIdentifier/pmid/29579276; PUBMED: 29579276; PUBMEDCENTRAL: PMC6005056
    • Accession Number:
      10.1093/ije/dyy016
    • Online Access:
      https://hal.univ-lorraine.fr/hal-02524868
      https://hal.univ-lorraine.fr/hal-02524868v1/document
      https://hal.univ-lorraine.fr/hal-02524868v1/file/dyy016.pdf
      https://doi.org/10.1093/ije/dyy016
    • Rights:
      http://creativecommons.org/licenses/by/ ; info:eu-repo/semantics/OpenAccess
    • Accession Number:
      edsbas.943A6CCF