Title:Trends in the Prevalence of Hypertension and Type 2 Diabetes in Bangladesh
(2010-2020): A Systematic Review and Meta-Analysis
Volume: 19
Issue: 6
Author(s): Mohammad Injamul Hoq, Mohotasin Hossain, Shamima Jahan, Hasan Mahmud, Farjana Akter, Faisal Mahmud, Main Uddin, Shafayet Ahmed Siddiqui and M.D. Jakaria*
Affiliation:
- Melbourne Dementia
Research Centre, The Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Parkville,
VIC 3052, Australia
Keywords:
Hypertension, type 2 diabetes mellitus, cardiovascular diseases, sampling strategy, NCD, pathogenesis.
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.