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Prevalence and risk factors of hypertension among Hui population in China: A systematic review and meta-analysis based on 30,565 study participants
Hypertension (HTN) has been considered as a health concern in developing countries. And Hui is a minority group with a large population in China. Its genetic background, inadequate access to health services, eating habits, religious belief, ethnic customs, and other factors differ from that of other...
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| Published in: | Medicine (Baltimore) 2021-05, Vol.100 (18), p.e25192-e25192 |
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| creator | Zhang, Yuanyuan Fan, Xiangping Li, Sijun Wang, Yutan Shi, Sujie Lu, Huilan Yan, Fanghong Ma, Yuxia |
| description | Hypertension (HTN) has been considered as a health concern in developing countries. And Hui is a minority group with a large population in China. Its genetic background, inadequate access to health services, eating habits, religious belief, ethnic customs, and other factors differ from that of other ethnic groups, which may influence the prevalence of HTN. However, there is no current meta-analysis on the prevalence and risk factors of HTN among Hui population. Thus we conducted a systematic review aiming to estimate the pooled prevalence and risk factors of HTN among Hui population.
PubMed, The Cochrane library, Web of science, CINAHL Complete, Weipu Database (VIP), China Knowledge Resource Integrated Database (CNKI), Wanfang Database, and SinoMed were systematically searched from inception to February 28, 2020 with publication language restricted to English and Chinese. We included cross-sectional, case-control, or cohort studies that focused on prevalence and risk factors of HTN among Hui population. Two investigators independently assessed the risk of bias of the studies included in the review using tools developed by JBI. Meta-analysis was conducted using Stata 12.0 software package.
Twenty-three studies were identified with a total of 30,565 study participants. The overall pooled prevalence of HTN was 28% (95% confidence interval [CI]: 24%-32%, I2 = 98.8%, P |
| doi_str_mv | 10.1097/MD.0000000000025192 |
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PubMed, The Cochrane library, Web of science, CINAHL Complete, Weipu Database (VIP), China Knowledge Resource Integrated Database (CNKI), Wanfang Database, and SinoMed were systematically searched from inception to February 28, 2020 with publication language restricted to English and Chinese. We included cross-sectional, case-control, or cohort studies that focused on prevalence and risk factors of HTN among Hui population. Two investigators independently assessed the risk of bias of the studies included in the review using tools developed by JBI. Meta-analysis was conducted using Stata 12.0 software package.
Twenty-three studies were identified with a total of 30,565 study participants. The overall pooled prevalence of HTN was 28% (95% confidence interval [CI]: 24%-32%, I2 = 98.8%, P < .001). Stratified by gender, the pooled prevalence of HTN in Hui was 26% (95%CI: 20%-33%, I2 = 97.6%, P < .001) for males and 30% (95%CI: 23%-37%, I2 = 98.3%, P < .001) for females. Pooled prevalence of HTN in Hui was 2% (95%CI: 2%-6%, I2 = 70.6%, P = .065), 10% (95%CI: 3%-17%, I2 = 83.7%, P < .001), 22% (95%CI: 12%-32%, I2 = 87.9%, P < .001), 37% (95%CI: 20%-53%, I2 = 94.0%, P < .001), 39% (95%CI: 24%-54%, I2 = 97.7%, P < .001) and 42% (95%CI: 29%-56%, I2 = 95.6%, P < .001) for those aged 18 to 29, 30 to 39, 40 to 49, 50 to 59, 60 to 69, and ≥70 years, respectively. Pooled prevalence of HTN in Hui was 22% (95%CI: 14%-29%, I2 = 97.9%, P < .001) in urban areas and 23% (95%CI: 16%-30%, I2 = 95.8%, P < .001) in rural areas. Daily salt intake (odd ratio [OR] = 3.94, 95%CI: 3.03-5.13, I2 = 90.2%, P < 001), family history (OR = 3.50, 95%CI: 2.60-4.71, I2 = 95.3%, P < .001), smoking (OR = 1.84, 95%CI: 1.61-2.09, I2 = 59.6%, P < .001), drinking (OR = 1.74, 95%CI: 1.26-2.39, I2 = 95.3%, P = .001), weekly meat intake (OR = 1.92, 95%CI: 1.04-3.54, I2 = 96.5%, P = .036), body mass index (OR = 2.20, 95%CI: 1.81-2.66, I2 = 91.3%, P < .001), and areas (OR = 1.29, 95%CI: 1.10-1.51, I2 = 81.5%, P = .001) were risk factors of HTN in Hui, while physical exercise (OR = 0.76, 95%CI: 0.66-0.88, I2 = 62.7%, P < .001) was protective factor.
The pooled prevalence of HTN among Hui people was 28%, daily salt intake, family history, drinking, smoking, weekly meat intake, body mass index, areas, and physical exercise were all risk factors for HTN among Hui population. Early screening and treatment of HTN among Hui population should be given due attention.]]></description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000025192</identifier><identifier>PMID: 33950917</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins</publisher><subject>Alcohol Drinking - epidemiology ; Asian People - statistics & numerical data ; Body Mass Index ; China - epidemiology ; Feeding Behavior ; Humans ; Hypertension - epidemiology ; Hypertension - prevention & control ; Meat - adverse effects ; Medical History Taking ; Minority Groups - statistics & numerical data ; Prevalence ; Risk Factors ; Smoking - epidemiology ; Sodium Chloride, Dietary - adverse effects ; Systematic Review and Meta-Analysis</subject><ispartof>Medicine (Baltimore), 2021-05, Vol.100 (18), p.e25192-e25192</ispartof><rights>Lippincott Williams & Wilkins</rights><rights>Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.</rights><rights>Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3555-b5924c34c3a4a945a70d1265107e126f0b61aaae84015bbc9b2eac2b1c81cf9e3</cites><orcidid>0000-0002-1229-7556</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8104273/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8104273/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27915,27916,53782,53784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33950917$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Yuanyuan</creatorcontrib><creatorcontrib>Fan, Xiangping</creatorcontrib><creatorcontrib>Li, Sijun</creatorcontrib><creatorcontrib>Wang, Yutan</creatorcontrib><creatorcontrib>Shi, Sujie</creatorcontrib><creatorcontrib>Lu, Huilan</creatorcontrib><creatorcontrib>Yan, Fanghong</creatorcontrib><creatorcontrib>Ma, Yuxia</creatorcontrib><title>Prevalence and risk factors of hypertension among Hui population in China: A systematic review and meta-analysis based on 30,565 study participants</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description><![CDATA[Hypertension (HTN) has been considered as a health concern in developing countries. And Hui is a minority group with a large population in China. Its genetic background, inadequate access to health services, eating habits, religious belief, ethnic customs, and other factors differ from that of other ethnic groups, which may influence the prevalence of HTN. However, there is no current meta-analysis on the prevalence and risk factors of HTN among Hui population. Thus we conducted a systematic review aiming to estimate the pooled prevalence and risk factors of HTN among Hui population.
PubMed, The Cochrane library, Web of science, CINAHL Complete, Weipu Database (VIP), China Knowledge Resource Integrated Database (CNKI), Wanfang Database, and SinoMed were systematically searched from inception to February 28, 2020 with publication language restricted to English and Chinese. We included cross-sectional, case-control, or cohort studies that focused on prevalence and risk factors of HTN among Hui population. Two investigators independently assessed the risk of bias of the studies included in the review using tools developed by JBI. Meta-analysis was conducted using Stata 12.0 software package.
Twenty-three studies were identified with a total of 30,565 study participants. The overall pooled prevalence of HTN was 28% (95% confidence interval [CI]: 24%-32%, I2 = 98.8%, P < .001). Stratified by gender, the pooled prevalence of HTN in Hui was 26% (95%CI: 20%-33%, I2 = 97.6%, P < .001) for males and 30% (95%CI: 23%-37%, I2 = 98.3%, P < .001) for females. Pooled prevalence of HTN in Hui was 2% (95%CI: 2%-6%, I2 = 70.6%, P = .065), 10% (95%CI: 3%-17%, I2 = 83.7%, P < .001), 22% (95%CI: 12%-32%, I2 = 87.9%, P < .001), 37% (95%CI: 20%-53%, I2 = 94.0%, P < .001), 39% (95%CI: 24%-54%, I2 = 97.7%, P < .001) and 42% (95%CI: 29%-56%, I2 = 95.6%, P < .001) for those aged 18 to 29, 30 to 39, 40 to 49, 50 to 59, 60 to 69, and ≥70 years, respectively. Pooled prevalence of HTN in Hui was 22% (95%CI: 14%-29%, I2 = 97.9%, P < .001) in urban areas and 23% (95%CI: 16%-30%, I2 = 95.8%, P < .001) in rural areas. Daily salt intake (odd ratio [OR] = 3.94, 95%CI: 3.03-5.13, I2 = 90.2%, P < 001), family history (OR = 3.50, 95%CI: 2.60-4.71, I2 = 95.3%, P < .001), smoking (OR = 1.84, 95%CI: 1.61-2.09, I2 = 59.6%, P < .001), drinking (OR = 1.74, 95%CI: 1.26-2.39, I2 = 95.3%, P = .001), weekly meat intake (OR = 1.92, 95%CI: 1.04-3.54, I2 = 96.5%, P = .036), body mass index (OR = 2.20, 95%CI: 1.81-2.66, I2 = 91.3%, P < .001), and areas (OR = 1.29, 95%CI: 1.10-1.51, I2 = 81.5%, P = .001) were risk factors of HTN in Hui, while physical exercise (OR = 0.76, 95%CI: 0.66-0.88, I2 = 62.7%, P < .001) was protective factor.
The pooled prevalence of HTN among Hui people was 28%, daily salt intake, family history, drinking, smoking, weekly meat intake, body mass index, areas, and physical exercise were all risk factors for HTN among Hui population. Early screening and treatment of HTN among Hui population should be given due attention.]]></description><subject>Alcohol Drinking - epidemiology</subject><subject>Asian People - statistics & numerical data</subject><subject>Body Mass Index</subject><subject>China - epidemiology</subject><subject>Feeding Behavior</subject><subject>Humans</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - prevention & control</subject><subject>Meat - adverse effects</subject><subject>Medical History Taking</subject><subject>Minority Groups - statistics & numerical data</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Smoking - epidemiology</subject><subject>Sodium Chloride, Dietary - adverse effects</subject><subject>Systematic Review and Meta-Analysis</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNpdkd1u1DAQRi0EokvhCZCQH4C0_onjNRdI1RZopVblAq6jiTNpTBMnsp2u8hy8MNnd0kItSyN9nnN88RHynrMTzow-vT4_YU9HKG7EC7LiShaZMkX-kqx2aaaNzo_Imxh_McalFvlrciSlUcxwvSK_vwe8hw69RQq-psHFO9qATUOIdGhoO48YEvroBk-hH_wtvZgcHYdx6iDtQufppnUePtEzGueYsF9ySxetw-3e2WOCDDx0c3SRVhCxpgso2UdVKBrTVM90hLBQbgSf4lvyqoEu4ruHeUx-fv3yY3ORXd18u9ycXWVWKqWyShmRW7lcyMHkCjSruSgUZxqX2bCq4ACA65xxVVXWVALBiorbNbeNQXlMPh-841T1WFv0KUBXjsH1EOZyAFf-_-JdW94O9-Was1xouQjkQWDDEGPA5pHlrNx1VF6fl887WqgP_377yPwtZVnIDwvboUsY4l03bTGULUKX2r1PaSMywQRnimmW7SP5Bw53n3g</recordid><startdate>20210507</startdate><enddate>20210507</enddate><creator>Zhang, Yuanyuan</creator><creator>Fan, Xiangping</creator><creator>Li, Sijun</creator><creator>Wang, Yutan</creator><creator>Shi, Sujie</creator><creator>Lu, Huilan</creator><creator>Yan, Fanghong</creator><creator>Ma, Yuxia</creator><general>Lippincott Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1229-7556</orcidid></search><sort><creationdate>20210507</creationdate><title>Prevalence and risk factors of hypertension among Hui population in China: A systematic review and meta-analysis based on 30,565 study participants</title><author>Zhang, Yuanyuan ; Fan, Xiangping ; Li, Sijun ; Wang, Yutan ; Shi, Sujie ; Lu, Huilan ; Yan, Fanghong ; Ma, Yuxia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3555-b5924c34c3a4a945a70d1265107e126f0b61aaae84015bbc9b2eac2b1c81cf9e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Alcohol Drinking - epidemiology</topic><topic>Asian People - statistics & numerical data</topic><topic>Body Mass Index</topic><topic>China - epidemiology</topic><topic>Feeding Behavior</topic><topic>Humans</topic><topic>Hypertension - epidemiology</topic><topic>Hypertension - prevention & control</topic><topic>Meat - adverse effects</topic><topic>Medical History Taking</topic><topic>Minority Groups - statistics & numerical data</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Smoking - epidemiology</topic><topic>Sodium Chloride, Dietary - adverse effects</topic><topic>Systematic Review and Meta-Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Yuanyuan</creatorcontrib><creatorcontrib>Fan, Xiangping</creatorcontrib><creatorcontrib>Li, Sijun</creatorcontrib><creatorcontrib>Wang, Yutan</creatorcontrib><creatorcontrib>Shi, Sujie</creatorcontrib><creatorcontrib>Lu, Huilan</creatorcontrib><creatorcontrib>Yan, Fanghong</creatorcontrib><creatorcontrib>Ma, Yuxia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Yuanyuan</au><au>Fan, Xiangping</au><au>Li, Sijun</au><au>Wang, Yutan</au><au>Shi, Sujie</au><au>Lu, Huilan</au><au>Yan, Fanghong</au><au>Ma, Yuxia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and risk factors of hypertension among Hui population in China: A systematic review and meta-analysis based on 30,565 study participants</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2021-05-07</date><risdate>2021</risdate><volume>100</volume><issue>18</issue><spage>e25192</spage><epage>e25192</epage><pages>e25192-e25192</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract><![CDATA[Hypertension (HTN) has been considered as a health concern in developing countries. And Hui is a minority group with a large population in China. Its genetic background, inadequate access to health services, eating habits, religious belief, ethnic customs, and other factors differ from that of other ethnic groups, which may influence the prevalence of HTN. However, there is no current meta-analysis on the prevalence and risk factors of HTN among Hui population. Thus we conducted a systematic review aiming to estimate the pooled prevalence and risk factors of HTN among Hui population.
PubMed, The Cochrane library, Web of science, CINAHL Complete, Weipu Database (VIP), China Knowledge Resource Integrated Database (CNKI), Wanfang Database, and SinoMed were systematically searched from inception to February 28, 2020 with publication language restricted to English and Chinese. We included cross-sectional, case-control, or cohort studies that focused on prevalence and risk factors of HTN among Hui population. Two investigators independently assessed the risk of bias of the studies included in the review using tools developed by JBI. Meta-analysis was conducted using Stata 12.0 software package.
Twenty-three studies were identified with a total of 30,565 study participants. The overall pooled prevalence of HTN was 28% (95% confidence interval [CI]: 24%-32%, I2 = 98.8%, P < .001). Stratified by gender, the pooled prevalence of HTN in Hui was 26% (95%CI: 20%-33%, I2 = 97.6%, P < .001) for males and 30% (95%CI: 23%-37%, I2 = 98.3%, P < .001) for females. Pooled prevalence of HTN in Hui was 2% (95%CI: 2%-6%, I2 = 70.6%, P = .065), 10% (95%CI: 3%-17%, I2 = 83.7%, P < .001), 22% (95%CI: 12%-32%, I2 = 87.9%, P < .001), 37% (95%CI: 20%-53%, I2 = 94.0%, P < .001), 39% (95%CI: 24%-54%, I2 = 97.7%, P < .001) and 42% (95%CI: 29%-56%, I2 = 95.6%, P < .001) for those aged 18 to 29, 30 to 39, 40 to 49, 50 to 59, 60 to 69, and ≥70 years, respectively. Pooled prevalence of HTN in Hui was 22% (95%CI: 14%-29%, I2 = 97.9%, P < .001) in urban areas and 23% (95%CI: 16%-30%, I2 = 95.8%, P < .001) in rural areas. Daily salt intake (odd ratio [OR] = 3.94, 95%CI: 3.03-5.13, I2 = 90.2%, P < 001), family history (OR = 3.50, 95%CI: 2.60-4.71, I2 = 95.3%, P < .001), smoking (OR = 1.84, 95%CI: 1.61-2.09, I2 = 59.6%, P < .001), drinking (OR = 1.74, 95%CI: 1.26-2.39, I2 = 95.3%, P = .001), weekly meat intake (OR = 1.92, 95%CI: 1.04-3.54, I2 = 96.5%, P = .036), body mass index (OR = 2.20, 95%CI: 1.81-2.66, I2 = 91.3%, P < .001), and areas (OR = 1.29, 95%CI: 1.10-1.51, I2 = 81.5%, P = .001) were risk factors of HTN in Hui, while physical exercise (OR = 0.76, 95%CI: 0.66-0.88, I2 = 62.7%, P < .001) was protective factor.
The pooled prevalence of HTN among Hui people was 28%, daily salt intake, family history, drinking, smoking, weekly meat intake, body mass index, areas, and physical exercise were all risk factors for HTN among Hui population. Early screening and treatment of HTN among Hui population should be given due attention.]]></abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins</pub><pmid>33950917</pmid><doi>10.1097/MD.0000000000025192</doi><orcidid>https://orcid.org/0000-0002-1229-7556</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0025-7974 |
| ispartof | Medicine (Baltimore), 2021-05, Vol.100 (18), p.e25192-e25192 |
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| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8104273 |
| source | LWW_医学期刊; IngentaConnect Journals; PubMed Central |
| subjects | Alcohol Drinking - epidemiology Asian People - statistics & numerical data Body Mass Index China - epidemiology Feeding Behavior Humans Hypertension - epidemiology Hypertension - prevention & control Meat - adverse effects Medical History Taking Minority Groups - statistics & numerical data Prevalence Risk Factors Smoking - epidemiology Sodium Chloride, Dietary - adverse effects Systematic Review and Meta-Analysis |
| title | Prevalence and risk factors of hypertension among Hui population in China: A systematic review and meta-analysis based on 30,565 study participants |
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