17 May 2012

1 in 3 people worldwide has high blood pressure

Data shows one in three adults has raised blood pressure, the cause of half of all deaths from stroke and heart disease and affects about half the adult population in Africa.


Health data released provides the clearest evidence to date of the spread of chronic diseases like diabetes and heart disease from developed nations to poorer regions such as Africa, as lifestyles and diets there change.

The United Nations data showed one in three adults worldwide has raised blood pressure (hypertension)  - the cause of around half of all deaths from stroke and heart disease - and the condition affects almost half the adult population in some countries in Africa.

In its annual report on global health, the Geneva-based World Health Organisation (WHO) also said one in 10 adults worldwide has diabetes, an illness that costs billions of dollars to treat and puts sufferers at risk of heart disease, kidney failure and blindness.

Most deaths occur in middle income countries

While the average global prevalence of diabetes is around 10%, the report said, up to a third of the population in some Pacific Island countries have the condition.

Chronic diseases like diabetes, heart disease and cancer are often thought of as illnesses which primarily affect people in wealthy nations, where high fat diets, alcohol consumption and smoking are major health risks.

But the WHO says almost 80% of deaths from such diseases now occur in low- and middle-income countries.

In Africa, rising smoking rates, a shift towards Western- style diets and less exercise mean chronic or so-called non-communicable diseases are rising rapidly and are expected to surpass other diseases as the most common killers by 2020.

Increase in conditions that trigger heart disease

"This report is further evidence of the dramatic increase in the conditions that trigger heart disease and other chronic illnesses, particularly in low- and middle-income countries," the WHO's director general Margaret Chan said in a statement with the report.

"In some African countries, as much as half the adult population has high blood pressure."

This year's WHO statistical report was the first to include data from all 194 member countries on the percentage of men and women with high blood pressure, or hypertension, and with raised blood sugar levels, a symptom of diabetes.

This report does not examine the causes behind the rising or falling numbers, but seeks to give a snapshot of major diseases and health risks affecting the global population.

Blood pressure average reduced

In wealthy countries, widespread diagnosis and treatment with low-cost drugs have significantly reduced average blood pressure readings across populations - and this has contributed to a reduction in deaths from heart disease, the WHO said.

But in Africa, more than 40% - and in some places up to 50% - of adults in many countries are estimated to have high blood pressure.

Most of these people remain undiagnosed, the report said, and yet many could be treated with inexpensive medicines - an intervention that would cut the risk of death and disability from heart disease and stroke.

Obesity is another major issue, the WHO said, with data showing rates of obesity doubling in every region of the world between 1980 and 2008.

Highest obesity levels in US

"Today, half a billion people - or 12% of the world's population - are considered obese," said Ties Boerma, the WHO's director of health Statistics and information systems.

The highest obesity levels are in the Americas, where 26% of adults are obese, and the lowest are in south East Asia, at 3% of adults.

The report found that women in all parts of the world are more likely to be obese than men, and are therefore at greater risk of diabetes, heart disease and some cancers.

The WHO's World Health Statistics report is published annually and contains data from 194 countries on a range of health indicators including life expectancy, illnesses and deaths from various diseases, health services, treatments, and risk factors or behaviours that affect health.

(Reuters Health, May 2012) 

Read more:

Hypertension: the silent killer
8 important facts about hypertension
Types of blood pressure
List of chronic diseases



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Dr Jacomien de Villiers qualified as a specialist physician at the University of Pretoria in 1995. She worked at various clinics at the Department of Internal Medicine, Steve Biko Hospital, these include General Internal Medicine, Hypertension, Diabetes and Cardiology. She has run a private practice since 2001, as well as a consultant post at the Endocrine Clinic of Steve Biko Hospital.

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