Prevalence of hypertension in Indian tribes: a systematic review and meta-analysis of observational studies
In India there is an increasing trend in hypertension prevalence among the general population. Studies have shown that tribal populations in India are also experiencing this burden. The aim was to estimate the pooled prevalence of primary hypertension among adult tribal populations of India. A syste...
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| Veröffentlicht in: | PloS one 2014-05, Vol.9 (5), p.e95896-e95896 |
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| description | In India there is an increasing trend in hypertension prevalence among the general population. Studies have shown that tribal populations in India are also experiencing this burden.
The aim was to estimate the pooled prevalence of primary hypertension among adult tribal populations of India.
A systematic search was conducted in MEDLINE, IndMed, Web of Science, Google Scholar and major journals for studies published between 1981 and 2011. Two authors independently reviewed the studies, did quality assessment and extracted data in pre-coded spread-sheets. Pooled estimates of prevalence of hypertension were calculated using DerSimonian-Laird random effects model. Subgroup and sensitivity analyses and meta-regression were performed.
Twenty studies or 53 subpopulations with 64 674 subjects were included in final review. The pooled estimate of hypertension prevalence was 16.1% (95% CI: 13.5, 19.2). There was significant heterogeneity among the studies (I2 = 99% and Q = 4624.0, df = 53, p |
| doi_str_mv | 10.1371/journal.pone.0095896 |
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The aim was to estimate the pooled prevalence of primary hypertension among adult tribal populations of India.
A systematic search was conducted in MEDLINE, IndMed, Web of Science, Google Scholar and major journals for studies published between 1981 and 2011. Two authors independently reviewed the studies, did quality assessment and extracted data in pre-coded spread-sheets. Pooled estimates of prevalence of hypertension were calculated using DerSimonian-Laird random effects model. Subgroup and sensitivity analyses and meta-regression were performed.
Twenty studies or 53 subpopulations with 64 674 subjects were included in final review. The pooled estimate of hypertension prevalence was 16.1% (95% CI: 13.5, 19.2). There was significant heterogeneity among the studies (I2 = 99% and Q = 4624.0, df = 53, p<0.001). Subgroup analyses showed that year of study, acculturation status, special features, and BP measurement techniques significantly influenced prevalence, but after meta-regression analyses, 'decade of study' remained the only covariate that significantly and independently influenced prevalence (R2 = 0.57, Q = 119.2, df = 49, p value <0.001).
An increasing trend was found in the prevalence of hypertension in adult tribal populations across three decades. Although acculturation was probably the underlying agent that caused this increase, other unmeasured factors that need further research were also important. Concerned policy makers should focus on the changing health needs of tribal communities.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0095896</identifier><identifier>PMID: 24797244</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Analysis ; Biology and Life Sciences ; Cardiovascular disease ; Cultural factors ; Epidemiology ; Female ; Humans ; Hypertension ; Hypertension - ethnology ; Hypertension - metabolism ; India - epidemiology ; India - ethnology ; Male ; Measurement techniques ; Medical ethics ; Medicine and Health Sciences ; MEDLINE ; Meta-analysis ; Models, Biological ; Native Americans ; Observational studies ; Population studies ; Populations ; Prevalence ; Prevalence studies (Epidemiology) ; Quality assessment ; Quality control ; Regression analysis ; Research and Analysis Methods ; Reviews ; Scientific papers ; Search engines ; Sensitivity analysis ; Social Sciences ; Studies ; Subpopulations ; Systematic review ; Trends</subject><ispartof>PloS one, 2014-05, Vol.9 (5), p.e95896-e95896</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Rizwan et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Rizwan et al 2014 Rizwan et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-da4205cba8b3203c1a9fdb52241f59a916cbab32cdb78a4d2e711de39948a3213</citedby><cites>FETCH-LOGICAL-c692t-da4205cba8b3203c1a9fdb52241f59a916cbab32cdb78a4d2e711de39948a3213</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4010404/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4010404/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2919,23857,27915,27916,53782,53784,79361,79362</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24797244$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Pizzi, Carmine</contributor><creatorcontrib>Rizwan, S A</creatorcontrib><creatorcontrib>Kumar, Rakesh</creatorcontrib><creatorcontrib>Singh, Arvind Kumar</creatorcontrib><creatorcontrib>Kusuma, Y S</creatorcontrib><creatorcontrib>Yadav, Kapil</creatorcontrib><creatorcontrib>Pandav, Chandrakant S</creatorcontrib><title>Prevalence of hypertension in Indian tribes: a systematic review and meta-analysis of observational studies</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>In India there is an increasing trend in hypertension prevalence among the general population. Studies have shown that tribal populations in India are also experiencing this burden.
The aim was to estimate the pooled prevalence of primary hypertension among adult tribal populations of India.
A systematic search was conducted in MEDLINE, IndMed, Web of Science, Google Scholar and major journals for studies published between 1981 and 2011. Two authors independently reviewed the studies, did quality assessment and extracted data in pre-coded spread-sheets. Pooled estimates of prevalence of hypertension were calculated using DerSimonian-Laird random effects model. Subgroup and sensitivity analyses and meta-regression were performed.
Twenty studies or 53 subpopulations with 64 674 subjects were included in final review. The pooled estimate of hypertension prevalence was 16.1% (95% CI: 13.5, 19.2). There was significant heterogeneity among the studies (I2 = 99% and Q = 4624.0, df = 53, p<0.001). Subgroup analyses showed that year of study, acculturation status, special features, and BP measurement techniques significantly influenced prevalence, but after meta-regression analyses, 'decade of study' remained the only covariate that significantly and independently influenced prevalence (R2 = 0.57, Q = 119.2, df = 49, p value <0.001).
An increasing trend was found in the prevalence of hypertension in adult tribal populations across three decades. Although acculturation was probably the underlying agent that caused this increase, other unmeasured factors that need further research were also important. Concerned policy makers should focus on the changing health needs of tribal communities.</description><subject>Adult</subject><subject>Analysis</subject><subject>Biology and Life Sciences</subject><subject>Cardiovascular disease</subject><subject>Cultural factors</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - ethnology</subject><subject>Hypertension - metabolism</subject><subject>India - epidemiology</subject><subject>India - ethnology</subject><subject>Male</subject><subject>Measurement techniques</subject><subject>Medical ethics</subject><subject>Medicine and Health Sciences</subject><subject>MEDLINE</subject><subject>Meta-analysis</subject><subject>Models, Biological</subject><subject>Native Americans</subject><subject>Observational studies</subject><subject>Population studies</subject><subject>Populations</subject><subject>Prevalence</subject><subject>Prevalence studies 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Kapil</au><au>Pandav, Chandrakant S</au><au>Pizzi, Carmine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of hypertension in Indian tribes: a systematic review and meta-analysis of observational studies</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-05-05</date><risdate>2014</risdate><volume>9</volume><issue>5</issue><spage>e95896</spage><epage>e95896</epage><pages>e95896-e95896</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>In India there is an increasing trend in hypertension prevalence among the general population. Studies have shown that tribal populations in India are also experiencing this burden.
The aim was to estimate the pooled prevalence of primary hypertension among adult tribal populations of India.
A systematic search was conducted in MEDLINE, IndMed, Web of Science, Google Scholar and major journals for studies published between 1981 and 2011. Two authors independently reviewed the studies, did quality assessment and extracted data in pre-coded spread-sheets. Pooled estimates of prevalence of hypertension were calculated using DerSimonian-Laird random effects model. Subgroup and sensitivity analyses and meta-regression were performed.
Twenty studies or 53 subpopulations with 64 674 subjects were included in final review. The pooled estimate of hypertension prevalence was 16.1% (95% CI: 13.5, 19.2). There was significant heterogeneity among the studies (I2 = 99% and Q = 4624.0, df = 53, p<0.001). Subgroup analyses showed that year of study, acculturation status, special features, and BP measurement techniques significantly influenced prevalence, but after meta-regression analyses, 'decade of study' remained the only covariate that significantly and independently influenced prevalence (R2 = 0.57, Q = 119.2, df = 49, p value <0.001).
An increasing trend was found in the prevalence of hypertension in adult tribal populations across three decades. Although acculturation was probably the underlying agent that caused this increase, other unmeasured factors that need further research were also important. Concerned policy makers should focus on the changing health needs of tribal communities.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24797244</pmid><doi>10.1371/journal.pone.0095896</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Analysis Biology and Life Sciences Cardiovascular disease Cultural factors Epidemiology Female Humans Hypertension Hypertension - ethnology Hypertension - metabolism India - epidemiology India - ethnology Male Measurement techniques Medical ethics Medicine and Health Sciences MEDLINE Meta-analysis Models, Biological Native Americans Observational studies Population studies Populations Prevalence Prevalence studies (Epidemiology) Quality assessment Quality control Regression analysis Research and Analysis Methods Reviews Scientific papers Search engines Sensitivity analysis Social Sciences Studies Subpopulations Systematic review Trends |
| title | Prevalence of hypertension in Indian tribes: a systematic review and meta-analysis of observational studies |
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