000136772 001__ 136772 000136772 005__ 20240229105058.0 000136772 0247_ $$2doi$$a10.1093/ije/dyy016 000136772 0247_ $$2pmid$$apmid:29579276 000136772 0247_ $$2pmc$$apmc:PMC6005056 000136772 0247_ $$2ISSN$$a0300-5771 000136772 0247_ $$2ISSN$$a1464-3685 000136772 0247_ $$2altmetric$$aaltmetric:34765672 000136772 037__ $$aDKFZ-2018-01210 000136772 041__ $$aeng 000136772 082__ $$a610 000136772 1001_ $$aNCD Risk Factor Collaboration$$b0$$eCollaboration Author 000136772 245__ $$aContributions of mean and shape of blood pressure distribution to worldwide trends and variations in raised blood pressure: a pooled analysis of 1018 population-based measurement studies with 88.6 million participants. 000136772 260__ $$aOxford$$bOxford Univ. Press$$c2018 000136772 3367_ $$2DRIVER$$aarticle 000136772 3367_ $$2DataCite$$aOutput Types/Journal article 000136772 3367_ $$0PUB:(DE-HGF)16$$2PUB:(DE-HGF)$$aJournal Article$$bjournal$$mjournal$$s1536312451_14297 000136772 3367_ $$2BibTeX$$aARTICLE 000136772 3367_ $$2ORCID$$aJOURNAL_ARTICLE 000136772 3367_ $$00$$2EndNote$$aJournal Article 000136772 500__ $$aNCD Risk Factors Collaboration (NCD-RisC)* * Collaborator from DKFZ: Brenner H 000136772 520__ $$aChange 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.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.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.Change in mean blood pressure is the main driver of the worldwide change in the prevalence of raised blood pressure, but change in the high-blood-pressure tail of the distribution has also contributed to the change in prevalence, especially in older age groups. 000136772 536__ $$0G:(DE-HGF)POF3-313$$a313 - Cancer risk factors and prevention (POF3-313)$$cPOF3-313$$fPOF III$$x0 000136772 588__ $$aDataset connected to CrossRef, PubMed, 000136772 7001_ $$aZhou, Bin$$b1 000136772 7001_ $$aBentham, James$$b2 000136772 7001_ $$aDi Cesare, Mariachiara$$b3 000136772 7001_ $$aBixby, Honor$$b4 000136772 7001_ $$aDanaei, Goodarz$$b5 000136772 7001_ $$aHajifathalian, Kaveh$$b6 000136772 7001_ $$aTaddei, Cristina$$b7 000136772 7001_ $$aCarrillo-Larco, Rodrigo M$$b8 000136772 7001_ $$aDjalalinia, Shirin$$b9 000136772 7001_ $$aKhatibzadeh, Shahab$$b10 000136772 7001_ $$aLugero, Charles$$b11 000136772 7001_ $$aPeykari, Niloofar$$b12 000136772 7001_ $$aZhang, Wan Zhu$$b13 000136772 7001_ $$aBennett, James$$b14 000136772 7001_ $$aBilano, Ver$$b15 000136772 7001_ $$aStevens, Gretchen A$$b16 000136772 7001_ $$aCowan, Melanie J$$b17 000136772 7001_ $$aRiley, Leanne M$$b18 000136772 7001_ $$aChen, Zhengming$$b19 000136772 7001_ $$aHambleton, Ian R$$b20 000136772 7001_ $$aJackson, Rod T$$b21 000136772 7001_ $$aKengne, Andre Pascal$$b22 000136772 7001_ $$aKhang, Young-Ho$$b23 000136772 7001_ $$aLaxmaiah, Avula$$b24 000136772 7001_ $$aLiu, Jing$$b25 000136772 7001_ $$aMalekzadeh, Reza$$b26 000136772 7001_ $$aNeuhauser, Hannelore K$$b27 000136772 7001_ $$aSorić, Maroje$$b28 000136772 7001_ $$aStarc, Gregor$$b29 000136772 7001_ $$aSundström, Johan$$b30 000136772 7001_ $$aWoodward, Mark$$b31 000136772 7001_ $$aEzzati, Majid$$b32 000136772 7001_ $$aAbarca-Gómez, Leandra$$b33 000136772 7001_ $$aAbdeen, Ziad A$$b34 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000136772 7001_ $$aDamasceno, Albertino$$b177 000136772 7001_ $$aDanaei, Goodarz$$b178 000136772 7001_ $$aDankner, Rachel$$b179 000136772 7001_ $$aDantoft, Thomas M$$b180 000136772 7001_ $$aDauchet, Luc$$b181 000136772 7001_ $$aDavletov, Kairat$$b182 000136772 7001_ $$aDe Backer, Guy$$b183 000136772 7001_ $$aDe Bacquer, Dirk$$b184 000136772 7001_ $$ade Gaetano, Giovanni$$b185 000136772 7001_ $$aDe Henauw, Stefaan$$b186 000136772 7001_ $$ade Oliveira, Paula Duarte$$b187 000136772 7001_ $$aDe Smedt, Delphine$$b188 000136772 7001_ $$aDeepa, Mohan$$b189 000136772 7001_ $$aDehghan, Abbas$$b190 000136772 7001_ $$aDelisle, Hélène$$b191 000136772 7001_ $$aDeschamps, Valérie$$b192 000136772 7001_ $$aDhana, Klodian$$b193 000136772 7001_ $$aDi Castelnuovo, Augusto F$$b194 000136772 7001_ $$aDias-da-Costa, Juvenal Soares$$b195 000136772 7001_ $$aDiaz, Alejandro$$b196 000136772 7001_ $$aDickerson, Ty T$$b197 000136772 7001_ $$aDjalalinia, Shirin$$b198 000136772 7001_ $$aDo, Ha T P$$b199 000136772 7001_ $$aDonfrancesco, Chiara$$b200 000136772 7001_ $$aDonoso, Silvana P$$b201 000136772 7001_ $$aDöring, Angela$$b202 000136772 7001_ $$aDorobantu, Maria$$b203 000136772 7001_ $$aDoua, Kouamelan$$b204 000136772 7001_ $$aDrygas, Wojciech$$b205 000136772 7001_ $$aDulskiene, Virginija$$b206 000136772 7001_ $$aDžakula, Aleksandar$$b207 000136772 7001_ $$aDzerve, Vilnis$$b208 000136772 7001_ $$aDziankowska-Zaborszczyk, Elzbieta$$b209 000136772 7001_ $$aEggertsen, Robert$$b210 000136772 7001_ $$aEkelund, Ulf$$b211 000136772 7001_ $$aEl Ati, Jalila$$b212 000136772 7001_ $$aElliott, Paul$$b213 000136772 7001_ $$aElosua, Roberto$$b214 000136772 7001_ $$aErasmus, Rajiv T$$b215 000136772 7001_ $$aErem, Cihangir$$b216 000136772 7001_ $$aEriksen, Louise$$b217 000136772 7001_ $$aEriksson, Johan G$$b218 000136772 7001_ $$aEscobedo-de la Peña, Jorge$$b219 000136772 7001_ $$aEvans, Alun$$b220 000136772 7001_ $$aFaeh, David$$b221 000136772 7001_ $$aFall, Caroline H$$b222 000136772 7001_ $$aFarzadfar, Farshad$$b223 000136772 7001_ $$aFelix-Redondo, Francisco J$$b224 000136772 7001_ $$aFerguson, Trevor S$$b225 000136772 7001_ $$aFernandes, Romulo A$$b226 000136772 7001_ $$aFernández-Bergés, Daniel$$b227 000136772 7001_ $$aFerrante, Daniel$$b228 000136772 7001_ $$aFerrari, Marika$$b229 000136772 7001_ $$aFerreccio, Catterina$$b230 000136772 7001_ $$aFerrieres, Jean$$b231 000136772 7001_ $$aFinn, Joseph D$$b232 000136772 7001_ $$aFischer, Krista$$b233 000136772 7001_ $$aFöger, Bernhard$$b234 000136772 7001_ $$aFoo, Leng Huat$$b235 000136772 7001_ $$aForslund, Ann-Sofie$$b236 000136772 7001_ $$aForsner, Maria$$b237 000136772 7001_ $$aFouad, Heba M$$b238 000136772 7001_ $$aFrancis, Damian K$$b239 000136772 7001_ $$ado Carmo Franco, Maria$$b240 000136772 7001_ $$aFranco, Oscar H$$b241 000136772 7001_ $$aFrontera, Guillermo$$b242 000136772 7001_ $$aFuchs, Flavio D$$b243 000136772 7001_ $$aFuchs, Sandra C$$b244 000136772 7001_ $$aFujita, Yuki$$b245 000136772 7001_ $$aFurusawa, Takuro$$b246 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Dušan$$b269 000136772 7001_ $$aGrajda, Aneta$$b270 000136772 7001_ $$aGrammatikopoulou, Maria G$$b271 000136772 7001_ $$aGregor, Ronald D$$b272 000136772 7001_ $$aGrodzicki, Tomasz$$b273 000136772 7001_ $$aGrøntved, Anders$$b274 000136772 7001_ $$aGrosso, Giuseppe$$b275 000136772 7001_ $$aGruden, Gabriella$$b276 000136772 7001_ $$aGrujic, Vera$$b277 000136772 7001_ $$aGu, Dongfeng$$b278 000136772 7001_ $$aGuan, Ong Peng$$b279 000136772 7001_ $$aGudmundsson, Elias F$$b280 000136772 7001_ $$aGudnason, Vilmundur$$b281 000136772 7001_ $$aGuerrero, Ramiro$$b282 000136772 7001_ $$aGuessous, Idris$$b283 000136772 7001_ $$aGuimaraes, Andre L$$b284 000136772 7001_ $$aGulliford, Martin C$$b285 000136772 7001_ $$aGunnlaugsdottir, Johanna$$b286 000136772 7001_ $$aGunter, Marc$$b287 000136772 7001_ $$aGupta, Prakash C$$b288 000136772 7001_ $$aGupta, Rajeev$$b289 000136772 7001_ $$aGureje, Oye$$b290 000136772 7001_ $$aGurzkowska, Beata$$b291 000136772 7001_ $$aGutierrez, Laura$$b292 000136772 7001_ $$aGutzwiller, Felix$$b293 000136772 7001_ $$aHadaegh, Farzad$$b294 000136772 7001_ $$aHalkjær, Jytte$$b295 000136772 7001_ $$aHambleton, Ian R$$b296 000136772 7001_ $$aHardy, Rebecca$$b297 000136772 7001_ $$aHari Kumar, Rachakulla$$b298 000136772 7001_ $$aHata, Jun$$b299 000136772 7001_ $$aHayes, Alison J$$b300 000136772 7001_ $$aHe, Jiang$$b301 000136772 7001_ $$aHe, Yuna$$b302 000136772 7001_ $$aElisabeth, Marleen$$b303 000136772 7001_ $$aHenriques, Ana$$b304 000136772 7001_ $$aCadena, Leticia Hernandez$$b305 000136772 7001_ $$aHerrala, Sauli$$b306 000136772 7001_ $$aHeshmat, Ramin$$b307 000136772 7001_ $$aHihtaniemi, Ilpo Tapani$$b308 000136772 7001_ $$aHo, Sai Yin$$b309 000136772 7001_ $$aHo, Suzanne C$$b310 000136772 7001_ $$aHobbs, Michael$$b311 000136772 7001_ $$aHofman, Albert$$b312 000136772 7001_ $$aDinc, Gonul Horasan$$b313 000136772 7001_ $$aHorimoto, Andrea R V R$$b314 000136772 7001_ $$aHormiga, Claudia M$$b315 000136772 7001_ $$aHorta, Bernardo L$$b316 000136772 7001_ 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