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The healthcare burden of hypertension in Asia
Chun-Na Jin1, Cheuk-Man Yu1, Jing-Ping Sun1
1Division of Cardiology, Department of Medicine and Therapeutics , Prince of Wales Hospital, The Chinese University of Hong Kong , Shatin, NT , Hong Kong.
Insights
Hypertension (HT) is a major global mortality risk, growing with aging populations. This review examines HT epidemiology and control in Asia to improve future prevention and management strategies.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Hypertension (HT) is the leading global risk factor for mortality and a significant contributor to cardiovascular disease.
- Increasing global populations, obesity, and diabetes rates are projected to escalate HT prevalence in the coming decades.
- Inadequate awareness, treatment, and blood pressure control in HT contribute to severe cardiovascular complications and socioeconomic burdens, particularly in developing nations.
Purpose of the Study:
- To comprehensively review the epidemiology of hypertension across diverse Asian countries.
- To summarize current hypertension treatment practices and control status within Asia.
- To provide insights for future hypertension prevention and management strategies tailored to the Asian population.
Main Methods:
- Systematic literature review of epidemiological data on hypertension in Asia.
- Analysis of treatment guidelines and clinical practice variations across Asian nations.
- Assessment of blood pressure control rates and influencing factors in Asian populations.
Main Results:
- Hypertension prevalence varies significantly across different ethnic groups, cultures, and environments within Asia.
- Treatment accessibility and adherence to guidelines differ notably among Asian countries.
- Suboptimal blood pressure control remains a critical issue, impacting cardiovascular health outcomes across the continent.
Conclusions:
- Addressing the growing burden of hypertension in Asia requires context-specific strategies considering regional diversity.
- Improving public awareness, treatment efficacy, and blood pressure control rates are crucial for mitigating cardiovascular risks in Asia.
- Future research should focus on culturally sensitive interventions and policy development for effective hypertension management in Asia.
Abstract:
As the leading global risk for mortality, hypertension (HT) is a common healthcare problem in the world. The total number of patients with HT is likely to grow in the next few decades as the population age and the prevalence of obesity and diabetes increase. HT, as a major modifiable risk factor for cardiovascular disease, results in more deaths than any other risk factors, including diabetes and cigarette smoking. High prevalence, inadequate awareness, suboptimal treatment and low rate of achieving guideline-recommended target blood pressure control are key factors leading to severe cardiovascular complications that impose a heavy socioeconomic burden, especially in developing countries. Asia is the world's largest and most populous continent with approximately 4.3 billion people, hosting 60% of the world's current human population, and has a high growth rate. Asia differs very widely from the West with regard to ethnic groups, cultures, environments, economics, historical ties and government systems. Therefore, the purpose of this review is to comprehensively summarise the epidemiology, treatment practice and the status of control of HT in different Asian countries in order to guide the future prevention and management in this part of the world.
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