Key result
The 2017 ACC/AHA guideline increases hypertension prevalence by ~23% absolute versus JNC 7.
Why the study?
Does the 2017 ACC/AHA guideline definition of hypertension increase the estimated prevalence compared to the JNC 7 guideline in adults in Nepal?
Population
13,519 adults aged 15 years or older in Nepal from the 2016 Nepal Demographic and Health Survey
Comparison
2017 ACC/AHA guideline definition of hypertension vs JNC 7 guideline definition of hypertension
Design
Cross-sectional
Authors
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May more than double hypertension prevalence estimates in Nepal; extends guideline comparisons to South Asia but leaves optimal thresholds unresolved.
Cross-Sectional (n=13,519)
Yes
Does the 2017 ACC/AHA guideline definition of hypertension increase the estimated prevalence compared to the JNC 7 guideline in adults in Nepal?
Effect estimate: Absolute increase 23.0% (95% CI 22.3-23.7)
Absolute Event Rate: 44.2% vs 21.2%
The application of the 2017 ACC/AHA guideline definition of hypertension more than doubles the estimated prevalence in Nepal compared to the JNC 7 guideline, highlighting a significant public health burden.
Kibria et al. (2018) conducted a cross-sectional in Hypertension (n=13,519). 2017 ACC/AHA guideline definition of hypertension (≥130/80 mm Hg) vs. JNC 7 guideline definition of hypertension (≥140/90 mm Hg) was evaluated on prevalence of hypertension (Absolute increase 23.0%, 95% CI 22.3-23.7). Application of the 2017 ACC/AHA guideline in Nepal resulted in a hypertension prevalence of 44.2%, an absolute increase of 23.0% (95% CI, 22.3%-23.7%) compared with the JNC 7 guideline.
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