Imperial College London

ProfessorMajidEzzati

Faculty of MedicineSchool of Public Health

Chair in Global Environmental Health
 
 
 
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Contact

 

+44 (0)20 7594 0767majid.ezzati Website

 
 
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Location

 

Norfolk PlaceSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Zhou:2019:10.1016/S0140-6736(19)31145-6,
author = {Zhou, B and Danaei, G and Stevens, GA and Bixby, H and Taddei, C and Carrillo, Larco R and Solomon, B and Riley, LM and Di, Cesare M and Iurilli, N and Rodriguez, Martinez A and Zhu, A and Hajifathalian, K and Amuzu, A and Banegas, JR and Bennett, JE and Cameron, C and Cho, Y and Clarke, J and Craig, CL and Cruz, JJ and Gates, L and Giampaoli, S and Gregg, EW and Hardy, R and Hayes, AJ and Ikeda, N and Jackson, RT and Jennings, G and Joffres, M and Khang, Y-H and Koskinen, S and Kuh, D and Kujala, UM and Laatikainen, T and Lehtimaki, T and Lopez-Garcia, E and Lundqvist, A and Maggi, S and Magliano, DJ and Mann, JI and McLean, RM and McLean, SB and Miller, JC and Morgan, K and Neuhauser, HK and Niiranen, TJ and Noale, M and Oh, K and Palmieri, L and Panza, F and Parnell, WR and Peltonen, M and Raitakari, O and Rodriguez-Artalejo, F and Roy, JGR and Salomaa, V and Sarganas, G and Servais, J and Shaw, JE and Shibuya, K and Solfrizzi, V and Stavreski, B and Tan, EJ and Turley, ML and Vanuz},
doi = {10.1016/S0140-6736(19)31145-6},
journal = {Lancet},
pages = {639--651},
title = {Long-term and recent trends in hypertension awareness, treatment, and control in 12 high-income countries: an analysis of 123 nationally representative surveys},
url = {http://dx.doi.org/10.1016/S0140-6736(19)31145-6},
volume = {394},
year = {2019}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - Background: Antihypertensive medicines are effective in reducing adverse cardiovascular events. Our aim was to compare hypertension awareness, treatment and control, and how they have changed over time, in high-income countries. Methods: We used data on 526,336 participants aged 40-79 years in 123 national health examination surveys from 1976 to 2017 in twelve high-income countries: Australia, Canada, Finland, Germany, Ireland, Italy, Japan, New Zealand, South Korea, Spain, the UK, and the USA. We calculated the percent of participants with hypertension – defined as systolic blood pressure ≥140mmHg or diastolic blood pressure ≥90mmHg or being on pharmacological treatment for hypertension – who were aware of their condition, who were treated, and whose hypertension was controlled (i.e. lower than 140/90 mmHg). Findings: Canada, South Korea, Australia and the UK have the lowest prevalence of hypertension, and Finland the highest. In the 1980s and early 1990s, treatment rates were at most 40% and control rates were below 25% in most countries and age-sex groups. Over time, hypertension awareness and treatment increased and control rate improved in all twelve countries, with South Korea and Germany experiencing the largest improvements. Most of the increase occurred in the 1990s and early-mid 2000s, having plateaued since in most countries.Canada, Germany, South Korea and the USA have the highest rates of awareness, treatment and control, while Finland, Ireland, Japan and Spain the lowest. Even in the best performing countries, treatment coverage was at most 80% and control rates were below 70%. Interpretation: Hypertension awareness, treatment and control have improved substantially in high-income countries since the 1980s and 1990s. However, control rates have plateaued in the past decade, at levels lower than those in high-quality hypertension
AU - Zhou,B
AU - Danaei,G
AU - Stevens,GA
AU - Bixby,H
AU - Taddei,C
AU - Carrillo,Larco R
AU - Solomon,B
AU - Riley,LM
AU - Di,Cesare M
AU - Iurilli,N
AU - Rodriguez,Martinez A
AU - Zhu,A
AU - Hajifathalian,K
AU - Amuzu,A
AU - Banegas,JR
AU - Bennett,JE
AU - Cameron,C
AU - Cho,Y
AU - Clarke,J
AU - Craig,CL
AU - Cruz,JJ
AU - Gates,L
AU - Giampaoli,S
AU - Gregg,EW
AU - Hardy,R
AU - Hayes,AJ
AU - Ikeda,N
AU - Jackson,RT
AU - Jennings,G
AU - Joffres,M
AU - Khang,Y-H
AU - Koskinen,S
AU - Kuh,D
AU - Kujala,UM
AU - Laatikainen,T
AU - Lehtimaki,T
AU - Lopez-Garcia,E
AU - Lundqvist,A
AU - Maggi,S
AU - Magliano,DJ
AU - Mann,JI
AU - McLean,RM
AU - McLean,SB
AU - Miller,JC
AU - Morgan,K
AU - Neuhauser,HK
AU - Niiranen,TJ
AU - Noale,M
AU - Oh,K
AU - Palmieri,L
AU - Panza,F
AU - Parnell,WR
AU - Peltonen,M
AU - Raitakari,O
AU - Rodriguez-Artalejo,F
AU - Roy,JGR
AU - Salomaa,V
AU - Sarganas,G
AU - Servais,J
AU - Shaw,JE
AU - Shibuya,K
AU - Solfrizzi,V
AU - Stavreski,B
AU - Tan,EJ
AU - Turley,ML
AU - Vanuzzo,D
AU - Viikari-Juntura,E
AU - Weerasekera,D
AU - Ezzati,M
DO - 10.1016/S0140-6736(19)31145-6
EP - 651
PY - 2019///
SN - 0140-6736
SP - 639
TI - Long-term and recent trends in hypertension awareness, treatment, and control in 12 high-income countries: an analysis of 123 nationally representative surveys
T2 - Lancet
UR - http://dx.doi.org/10.1016/S0140-6736(19)31145-6
UR - http://hdl.handle.net/10044/1/70337
VL - 394
ER -