Impact of the 2017 ACC/AHA guidelines on the prevalence of hypertension among Indian adults: Results from a cross-sectional survey.
Gupta Kartik, Ramakrishnan Sivasubramanian, Zachariah Geevar, Rao J Shivkumar, Mohanan P P, Venugopal K, Sateesh Santosh, Sethi Rishi, Jain Dharmendra, Bardolei Neil, Mani Kalaivani, Kakar Tanya Singh, Jain Vardhmaan, Gupta Prakash, Gupta Rajeev, Bansal Sandeep, Nath Ranjit K, Tyagi Sanjay, Wander G S, Gupta Satish, Mandal Subroto, Senguttuvan Nagendra Boopathy, Subramanyam Geetha, Roy Debabatra, Datta Sibananda, Ganguly Kajal, Routray S N, Mishra S S, Singh B P, Bharti B B, Das Mrinal Kanti, Deb P K, Deedwania Prakash, Seth Ashok, CSI-Great India BP Campaign Investigators
International Journal of Cardiology. Hypertension · 2020 · PMID 33465185 · 인용 14
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.