Generic placeholder image

Current Diabetes Reviews

Editor-in-Chief

ISSN (Print): 1573-3998
ISSN (Online): 1875-6417

Systematic Review Article

Trends in the Prevalence of Hypertension and Type 2 Diabetes in Bangladesh (2010-2020): A Systematic Review and Meta-Analysis

Author(s): Mohammad Injamul Hoq, Mohotasin Hossain, Shamima Jahan, Hasan Mahmud, Farjana Akter, Faisal Mahmud, Main Uddin, Shafayet Ahmed Siddiqui and M.D. Jakaria*

Volume 19, Issue 6, 2023

Published on: 29 December, 2022

Article ID: e290422204250 Pages: 17

DOI: 10.2174/1573399818666220429092805

Price: $65

Abstract

Background: The prevalence of cardiovascular diseases (CVDs) and type 2 diabetes mellitus (T2DM) has increased in Bangladesh. This paper has reviewed published studies on hypertension and T2DM from 2010 to 2020 in Bangladesh and conducted a meta-analysis.

Methods: The PubMed database was used for systematic search. Hypertension and T2DM were considered for measuring pooled prevalence by meta-analysis. The random-effects model was used to calculate the pooled prevalence of hypertension (n = 30) and T2DM (n = 21) in relevant studies. The quality of the reviewed studies was determined by sampling strategy, sample size, and outcome assessment. The meta-analysis protocol was registered at PROSPERO (CRD42020206315).

Results: The pooled hypertension and T2DM prevalence was 21.6% (95% CI: 18.8%-24.4%) and 13.6% (95% CI: 10.8%-16.5%), respectively. Females were more hypertensive than males (M vs. F: 18.6% vs. 24.8%), and T2DM was higher in females (M vs. F: 12.4% vs. 13.3%). Urban dwellers were more hypertensive and diabetic than rural people (urban vs. rural: 28.5% vs. 20.3% and 18.8% vs. 14.2%, respectively). An 8% increase in the prevalence of hypertension and T2DM became more than double compared to the 1995-2010 period.

Conclusion: Future research should focus on the underlying factors that increase the prevalence of these diseases and prevention strategies to reduce the trend of increasing prevalence.

Keywords: Hypertension, type 2 diabetes mellitus, cardiovascular diseases, sampling strategy, NCD, pathogenesis.

[1]
WHO. Noncommunicable diseases. 2021. Available from: https://www.who.int/news-room/factsheets/ detail/noncommunicable-diseases (Accessed on 2021 Oct 15).
[2]
Coates MM, Kintu A, Gupta N, et al. Burden of non-communicable diseases from infectious causes in 2017: A modelling study. Lancet Glob Health 2020; 8(12): e1489-98.
[http://dx.doi.org/10.1016/S2214-109X(20)30358-2] [PMID: 33098769]
[3]
Allen L. Are we facing a noncommunicable disease pandemic? J Epidemiol Glob Health 2017; 7: 5-9.
[4]
Singh RB, Suh IL, Singh VP, et al. Gender differences in prevalence and socioeconomic determinants of hypertension: findings from the WHO STEPs survey in a rural community of Vietnam. J Hum Hypertens 2006; 20(2): 109-5.
[5]
Minh HV, Byass P, Chuc NTK, Wall S. Gender differences in prevalence and socioeconomic determinants of hypertension: Findings from the WHO STEPs survey in a rural community of Vietnam. J Hum Hypertens 2006; 20(2): 109-15.
[http://dx.doi.org/10.1038/sj.jhh.1001942] [PMID: 16195706]
[6]
Neupane D, McLachlan CS, Sharma R, et al. Prevalence of hypertension in member countries of South Asian Association for Regional Cooperation (SAARC): Systematic review and meta-analysis. Med (United States) 2014; 93(13): e74.
[7]
Islam AKMM, Majumder AAS. Hypertension in Bangladesh: A review. Indian Heart J 2012; 64(3): 319-23.
[http://dx.doi.org/10.1016/S0019-4832(12)60096-0] [PMID: 22664819]
[8]
World Health Organization. Bangladesh WHO NCD Fact Sheet 2018. Available from: https://www.who.int/nmh/countries/bgd_en.pdf

[9]
Saquib N, Saquib J, Ahmed T, Khanam MA, Cullen MR. Cardiovascular diseases and type 2 diabetes in Bangladesh: A systematic review and meta-analysis of studies between 1995 and 2010. BMC Public Health 2012; 12(1): 434.
[http://dx.doi.org/10.1186/1471-2458-12-434] [PMID: 22694854]
[10]
Akter S, Rahman MM, Abe SK, Sultana P. Prevalence of diabetes and prediabetes and their risk factors among Bangladeshi adults: A nationwide survey. Bull World Health Organ 2014; 92(3): 204-13.
[http://dx.doi.org/10.2471/BLT.13.128371] [PMID: 24700980]
[11]
ICDDRB. Non-Communicable Diseases. Available from: https://www.icddrb.org/news-and-events/press-corner/media-resources/non-communicable-diseases (Accessed on 2021 Oct 15).
[12]
Sarker AR, Sultana M. Health and economic burden of diabetes in Bangladesh: Priorities for attention and control. J Diabetes 2017; 9(12): 1118-9.
[13]
Vanderlee L, Ahmed S, Ferdous F, et al. Self-care practices and barriers to compliance among patients with diabetes in a community in rural Bangladesh. Int J Diabetes Dev Ctries 2016; 36(3): 320-6.
[http://dx.doi.org/10.1007/s13410-015-0460-7]
[14]
World Bank.. Hypertension and type-2 diabetes in Bangladesh: Continuum of care assessment and opportunities for action. Washington DC 2019. Available from: https://documents1.worldbank.org/curated/en/91475152827129376 2/pdf/Hypertension-and-Type-2-Diabetes-in-Bangladesh- Continuum-of-Care-Assessment-and-Opportunities-for-Action.pdf
[15]
Biswas T, Garnett SP, Pervin S, Rawal LB. The prevalence of underweight, overweight and obesity in Bangladeshi adults: Data from a national survey. PLoS One 2017; 12(5): e0177395.
[http://dx.doi.org/10.1371/journal.pone.0177395] [PMID: 28510585]
[16]
Chowdhury MAB, Adnan MM, Hassan MZ. Trends, prevalence and risk factors of overweight and obesity among women of reproductive age in Bangladesh: A pooled analysis of five national cross-sectional surveys. BMJ Open 2018; 8(7): e018468.
[http://dx.doi.org/10.1136/bmjopen-2017-018468] [PMID: 30030307]
[17]
Akter J, Shahjahan M, Hossain S, et al. Determinants of overweight and obesity among Bangladeshi diabetic women of reproductive age. BMC Res Notes 2014; 7(1): 513.
[http://dx.doi.org/10.1186/1756-0500-7-513] [PMID: 25113234]
[18]
Bipasha MS, Goon S. Fast food preferences and food habits among students of private universities in Bangladesh. South East Asia J Public Health 2014; 3(1): 61-4.
[http://dx.doi.org/10.3329/seajph.v3i1.17713]
[19]
Chowdhury MZI, Anik AM, Farhana Z, et al. Prevalence of metabolic syndrome in Bangladesh: A systematic review and meta-analysis of the studies. BMC Public Health 2018; 18(1): 308.
[http://dx.doi.org/10.1186/s12889-018-5209-z] [PMID: 29499672]
[20]
WHO. Global Action Plan for the Prevention and Control of NCDs 2013-2020. 2013. Available from: https://www.who.int/publications/i/item/9789241506236 (Accessed on 2021 Oct 15).
[21]
Online P, Ezzati PM. NCD Countdown 2030: Pathways to achieving Sustainable Development Goal target 3.4. Lancet 2020; 396(10255): 918-34.
[http://dx.doi.org/10.1016/S0140-6736(20)31761-X] [PMID: 32891217]
[22]
Hoq MI. The trending of cardiovascular diseases and type 2 diabetes prevalence in Bangladesh: A systematic review and meta-analysis of studies between 2010-2020 Prospero 2020. Available from: https://www.crd.york.ac.uk/prospero/#recordDetails
[23]
Barman N, Haque MA, Rahman AKMF, Khalequzzaman M, Mashreky SR. Association of biomass fuel smoke exposure and hypertension among rural women of Bangladesh: A cross-sectional study. Indian J Public Health 2019; 63(3): 258-60.
[http://dx.doi.org/10.4103/ijph.IJPH_462_18] [PMID: 31552859]
[24]
Afroz A, Zhang W, Wei Loh AJ, Jie Lee DX, Billah B. Macro- and micro-vascular complications and their determinants among people with type 2 diabetes in Bangladesh. Diabetes Metab Syndr 2019; 13(5): 2939-46.
[http://dx.doi.org/10.1016/j.dsx.2019.07.046] [PMID: 31425960]
[25]
Islam JY, Zaman MM, Haq SA, Ahmed S, Al-Quadir Z. Epidemiology of hypertension among Bangladeshi adults using the 2017 ACC/AHA Hypertension Clinical Practice Guidelines and Joint National Committee 7 Guidelines. J Hum Hypertens 2018; 32(10): 668-80.
[http://dx.doi.org/10.1038/s41371-018-0087-5] [PMID: 30026561]
[26]
Kibria GMA, Swasey K, Choudhury A, et al. The new 2017 ACC/AHA guideline for classification of hypertension: Changes in prevalence of hypertension among adults in Bangladesh. J Hum Hypertens 2018; 32(8-9): 608-16.
[http://dx.doi.org/10.1038/s41371-018-0080-z] [PMID: 29899377]
[27]
Barua L, Faruque M, Banik PC, Ali L. Atherogenic index of plasma and its association with cardiovascular disease risk factors among postmenopausal rural women of Bangladesh. Indian Heart J 2019; 71(2): 155-60.
[http://dx.doi.org/10.1016/j.ihj.2019.04.012] [PMID: 31280829]
[28]
Saha UK, Alam MB, Rahman AKMF, et al. Epidemiology of stroke: Findings from a community-based survey in rural Bangladesh. Public Health 2018; 160: 26-32.
[http://dx.doi.org/10.1016/j.puhe.2018.03.024] [PMID: 29709700]
[29]
Rahman M, Zaman MM, Islam JY, et al. Prevalence, treatment patterns, and risk factors of hypertension and pre-hypertension among Bangladeshi adults. J Hum Hypertens 2018; 32(5): 334-48.
[http://dx.doi.org/10.1038/s41371-017-0018-x] [PMID: 29230005]
[30]
Khalequzzaman M, Chiang C, Choudhury SR, et al. Prevalence of non-communicable disease risk factors among poor shantytown residents in Dhaka, Bangladesh: A community-based cross-sectional survey. BMJ Open 2017; 7: e014710.
[31]
Fatema K, Zwar NA, Milton AH, Rahman B, Ali L. Application of two versions of the WHO/international society of hypertension absolute cardiovascular risk assessment tools in a rural Bangladeshi population. BMJ Open 2015; 5(10): e008140.
[http://dx.doi.org/10.1136/bmjopen-2015-008140] [PMID: 26463220]
[32]
Fatema K, Zwar NA, Milton AH, Rahman B, Awal ASMN, Ali L. Cardiovascular risk assessment among rural population: Findings from a cohort study in a peripheral region of Bangladesh. Public Health 2016; 137: 73-80.
[http://dx.doi.org/10.1016/j.puhe.2016.02.016] [PMID: 27036981]
[33]
Chowdhury MAB, Uddin MJ, Haque MR, Ibrahimou B. Hypertension among adults in Bangladesh: Evidence from a national cross-sectional survey. BMC Cardiovasc Disord 2016; 16(1): 22.
[http://dx.doi.org/10.1186/s12872-016-0197-3] [PMID: 26809175]
[34]
Chowdhury MAB, Uddin MJ, Khan HMR, Haque MR. Type 2 diabetes and its correlates among adults in Bangladesh: A population based study. BMC Public Health 2015; 15(1): 1070.
[http://dx.doi.org/10.1186/s12889-015-2413-y] [PMID: 26483053]
[35]
Biswas RK, Kabir E. Influence of distance between residence and health facilities on non-communicable diseases: An assessment over hypertension and diabetes in Bangladesh. PLoS One 2017; 12(5): e0177027.
[36]
Bhowmik B, Afsana F, Ahmed T, et al. Obesity and associated type 2 diabetes and hypertension in factory workers of Bangladesh Public Health. BMC Res Notes 2015; 8(1): 460.
[http://dx.doi.org/10.1186/s13104-015-1377-4]
[37]
Islam FMA, Bhuiyan A, Chakrabarti R, Rahman MA, Kanagasingam Y, Hiller JE. Undiagnosed hypertension in a rural district in Bangladesh: The Bangladesh Population-based Diabetes and Eye Study (BPDES). J Hum Hypertens 2016; 30(4): 252-9.
[http://dx.doi.org/10.1038/jhh.2015.65] [PMID: 26108363]
[38]
Zaman MM, Bhuiyan MR, Karim MN, et al. Clustering of non-communicable diseases risk factors in Bangladeshi adults: An analysis of STEPS survey 2013. BMC Public Health 2015; 15(1): 659.
[http://dx.doi.org/10.1186/s12889-015-1938-4] [PMID: 26169788]
[39]
Barua L, Faruque M, Chandra Banik P, Ali L. Physical activity levels and associated cardiovascular disease risk factors among postmenopausal rural women of Bangladesh. Indian Heart J 2018; 70 (Suppl. 3): S161-6.
[http://dx.doi.org/10.1016/j.ihj.2018.09.002] [PMID: 30595250]
[40]
Khanam MA, Lindeboom W, Razzaque A, Niessen L, Milton AH. Prevalence and determinants of pre-hypertension and hypertension among the adults in rural Bangladesh: Findings from a community-based study. BMC Public Health 2015; 15(1): 203.
[http://dx.doi.org/10.1186/s12889-015-1520-0] [PMID: 25880433]
[41]
Islam MR, Khan I, Attia J, et al. Association between hypertension and chronic arsenic exposure in drinking water: A cross-sectional study in Bangladesh. Int J Environ Res Public Health 2012; 9(12): 4522-36.
[http://dx.doi.org/10.3390/ijerph9124522] [PMID: 23222207]
[42]
Khanam MA, Streatfield PK, Kabir ZN, Qiu C, Cornelius C, Wahlin Å. Prevalence and patterns of multimorbidity among elderly people in rural Bangladesh: A cross-sectional study. J Health Popul Nutr 2011; 29(4): 406-14.
[http://dx.doi.org/10.3329/jhpn.v29i4.8458] [PMID: 21957680]
[43]
Jesmin S, Islam MR, Islam AM, et al. Comprehensive assessment of metabolic syndrome among rural Bangladeshi women. BMC Public Health 2012; 12(1): 49.
[http://dx.doi.org/10.1186/1471-2458-12-49] [PMID: 22257743]
[44]
Islam SMS, Alam DS, Wahiduzzaman M, et al. Clinical characteristics and complications of patients with type 2 diabetes attending an urban hospital in Bangladesh. Diabetes Metab Syndr 2015; 9(1): 7-13.
[http://dx.doi.org/10.1016/j.dsx.2014.09.014] [PMID: 25450814]
[45]
Alam DS, Chowdhury MAH, Siddiquee AT, Ahmed S, Niessen LW. Awareness and control of hypertension in Bangladesh: Follow-up of a hypertensive cohort. BMJ Open 2014; 4(12): e004983.
[http://dx.doi.org/10.1136/bmjopen-2014-004983] [PMID: 25537780]
[46]
Rahman M, Williams G, Mamun AA. Hypertension and diabetes prevalence among adults with moderately increased BMI (23•0-24•9 kg/m2): Findings from a nationwide survey in Bangladesh. Public Health Nutr 2017; 20(8): 1343-50.
[http://dx.doi.org/10.1017/S1368980016003566] [PMID: 28112066]
[47]
Parr JD, Lindeboom W, Khanam MA, Pérez Koehlmoos TL. Diagnosis of chronic conditions with modifiable lifestyle risk factors in selected urban and rural areas of Bangladesh and sociodemographic variability therein. BMC Health Serv Res 2011; 11(1): 309.
[http://dx.doi.org/10.1186/1472-6963-11-309] [PMID: 22078128]
[48]
Harshfield E, Chowdhury R, et al. MH-I journal, 2015 U. Association of hypertension and hyperglycaemia with socioeconomic contexts in resource-poor settings: The Bangladesh Demographic and Health Survey. academic.oup.com2015.
[49]
Selim S. Frequency and pattern of chronic complications of diabetes and their association with glycemic control. Diabetes Metab Syndr 2017; 11 (Suppl. 1): S311-4.
[http://dx.doi.org/10.1016/j.dsx.2017.03.007] [PMID: 28336385]
[50]
Solinap G, Wawrzynski J, et al. NC-I, 2019 undefined A disease burden analysis of garment factory workers in Bangladesh: Proposal for annual health screening Available from: academic.oup.com
[51]
Tareque MI, Koshio A, Tiedt AD, Hasegawa T. Are the rates of hypertension and diabetes higher in people from lower socioeconomic status in Bangladesh? Results from a nationally representative survey. PLoS One 2015; 10(5): e0127954.
[http://dx.doi.org/10.1371/journal.pone.0127954] [PMID: 26017066]
[52]
Jafar TH, Gandhi M, Jehan I, et al. Determinants of uncontrolled hypertension in rural communities in South Asia-Bangladesh, Pakistan, and Sri Lanka. Am J Hypertens 2018; 31(11): 1205-14.
[http://dx.doi.org/10.1093/ajh/hpy071] [PMID: 29701801]
[53]
Zaman MM, Rahman MM, Rahman MR, Bhuiyan MR, Karim MN, Chowdhury MAJ. Prevalence of risk factors for non-communicable diseases in Bangladesh: Results from STEPS survey 2010. Indian J Public Health 2016; 60(1): 17-25.
[http://dx.doi.org/10.4103/0019-557X.177290] [PMID: 26911213]
[54]
Ahmed S, Tariqujjaman M, Rahman MA, Hasan MZ, Hasan MM. Inequalities in the prevalence of undiagnosed hypertension among Bangladeshi adults: Evidence from a nationwide survey. Int J Equity Health 2019; 18(1): 33.
[http://dx.doi.org/10.1186/s12939-019-0930-5] [PMID: 30770739]
[55]
Jesmin S, Islam AS, Akter S, et al. Metabolic syndrome among pre- and post-menopausal rural women in Bangladesh: Result from a population-based study. BMC Res Notes 2013; 6: 157.
[56]
Ali N, Mahmood S, Manirujjaman M, et al. Hypertension prevalence and influence of basal metabolic rate on blood pressure among adult students in Bangladesh. BMC Public Health 2017; 18(1): 58.
[http://dx.doi.org/10.1186/s12889-017-4617-9] [PMID: 28743284]
[57]
Bishwajit G, Yaya S, Seydou I. Diabetes mellitus and high blood pressure in relation to BMI among adult non-pregnant women in Bangladesh. Diabetes Metab Syndr 2017; 11 (Suppl. 1): S217-21.
[http://dx.doi.org/10.1016/j.dsx.2016.12.034] [PMID: 27993540]
[58]
Biswas T, Islam MS, Linton N, Rawal LB. Socio-economic inequality of chronic non-communicable diseases in Bangladesh. PLoS One 2016; 11(11): e0167140.
[http://dx.doi.org/10.1371/journal.pone.0167140]
[59]
Akter S, Jesmin S, Iwashima Y, et al. Higher circulatory level of endothelin-1 in hypertensive subjects screened through a cross-sectional study of rural Bangladeshi women. Hypertens Res 2015; 38(3): 208-12.
[http://dx.doi.org/10.1038/hr.2014.160] [PMID: 25391457]
[60]
Rahman MM, Gilmour S, Akter S, Abe SK, Saito E, Shibuya K. Prevalence and control of hypertension in Bangladesh: A multilevel analysis of a nationwide population-based survey. J Hypertens 2015; 33(3): 465-72.
[http://dx.doi.org/10.1097/HJH.0000000000000421] [PMID: 25380166]
[61]
Khanam MA, Lindeboom W, Koehlmoos TLP, Alam DS, Niessen L, Milton AH. Hypertension: Adherence to treatment in rural Bangladesh-findings from a population-based study. Glob Health Action 2014; 7(1): 25028.
[http://dx.doi.org/10.3402/gha.v7.25028] [PMID: 25361723]
[62]
Hoque ME, Khokan MR, Bari W. "Impact of stature on non-communicable diseases: Evidence based on Bangladesh Demographic and Health Survey, 2011 data". BMC Public Health 2014; 14(1): 1007.
[http://dx.doi.org/10.1186/1471-2458-14-1007] [PMID: 25261299]
[63]
Neyeloff JL, Fuchs SC, Moreira LB. Meta-analyses and Forest plots using a Microsoft excel spreadsheet: Step-by-step guide focusing on descriptive data analysis. BMC Res Notes 2012; 5(1): 52.
[http://dx.doi.org/10.1186/1756-0500-5-52] [PMID: 22264277]
[64]
WHO. Hypertension. 2021. Available from: https://www.who.int/news-room/fact-sheets/detail/hypertension (Accessed on 2021 Oct 19).
[65]
Moniruzzaman M, Mostafa Zaman M, Islalm MS, Ahasan HAMN, Kabir H, Yasmin R. Physical activity levels in Bangladeshi adults: Results from STEPS survey 2010. Public Health 2016; 137: 131-8.
[http://dx.doi.org/10.1016/j.puhe.2016.02.028] [PMID: 27063947]
[66]
Anchala R, Kannuri NK, Pant H, et al. Hypertension in India: A systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertens 2014; 32: 1170-7.
[http://dx.doi.org/10.1097/HJH.0000000000000146]
[67]
Jeemon P, Reddy KS. Social determinants of cardiovascular disease outcomes in Indians. Indian J Med Res 2010; 132: 617-22.
[68]
Kamalakannan S, Gudlavalleti ASV, Murthy Gudlavalleti VS, Goenka S, Kuper H. Incidence & prevalence of stroke in India: A systematic review. Indian J Med Res 2017; 146: 175-85.
[http://dx.doi.org/10.4103/ijmr.IJMR_516_15]
[69]
Government survey found 11.8% prevalence of diabetes in India 2019. Available from https://www.livemint.com/science/health/government-survey-found-11-8-prevalence-of-diabetes-in-india-11570702665713.html (Accessed on 2021 Oct 21)
[70]
Meo SA, Zia I, Bukhari IA, Arain SA. Type 2 diabetes mellitus in Pakistan: Current prevalence and future forecast. J Pak Med Assoc 2016; 66: 1637-42.
[71]
Biswas T, Pervin S, Tanim MIA, Niessen L, Islam A. Bangladesh policy on prevention and control of non-communicable diseases: A policy analysis. BMC Public Health 2017; 17(1): 582.
[http://dx.doi.org/10.1186/s12889-017-4494-2] [PMID: 28629430]
[72]
León-Muñoz LM, García-Esquinas E, Soler-Vila H, Guallar-Castillón P, Banegas JR, Rodríguez-Artalejo F. Unhealthy eating behaviors and weight gain: A prospective study in young and middle-age adults. Obesity (Silver Spring) 2016; 24(5): 1178-84.
[http://dx.doi.org/10.1002/oby.21477] [PMID: 27030406]
[73]
Pietiläinen KH, Kaprio J, Borg P, et al. Physical inactivity and obesity: A vicious circle. Obesity (Silver Spring) 2008; 16(2): 409-14.
[http://dx.doi.org/10.1038/oby.2007.72] [PMID: 18239652]
[74]
Nirmala PV, Gudivada M, Lashmi C. Comparative study of the prevalence of type-2 diabetes mellitus in various demographic regions of Andhra Pradesh, India: A population based study. Int J MCH AIDS 2016; 5(2): 103-11.
[http://dx.doi.org/10.21106/ijma.91] [PMID: 28058197]
[75]
Nanditha A, Snehalatha C, Satheesh K, et al. Secular trends in diabetes in India (STRIDE-I): Change in prevalence in 10 years among urban and rural populations in Tamil Nadu. Diabetes Care 2019; 42(3): 476-85.
[http://dx.doi.org/10.2337/dc18-1559] [PMID: 30659076]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy