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. 2017 May 4;3:1. doi: 10.1186/s40695-017-0020-z

Table 1.

Hypertension prevalence by gender and age group in the Arab World (> = 18 years), 2000-2015

Country First Author
(Year of publication)
Sample size a Age group (years) b Prevalence of Hypertension (%)
By age group Midlife c Total sample
Male Female Ratio M/F 95% CI Male Female Ratio M/F 95% CI Male Female Ratio M/F 95% CI
Self-reported hypertension
 Egypt Abolfotouh, M.A. (2008) [23] 1800 18–24 0.7 2.1 0.33 [0.04-2.59] 16.6 31.6 0.53*** [0.36-0.78] 7.3 10.5 0.70 * [0.51-0.94]
25–44 4.2 7.6 0.55 * [0.32-0.97]
45–64 16.6 31.6 0.53*** [0.36-0.78]
> = 65 20.0 43.8 0.46 [0.19-1.09]
 Jordan Kulwicki, A. D. (2001) [25] 209 17-34 2.3 1.6 1.44 e e 11.1 11.4 0.97 e e 7.1 9.6 0.74 [0.29-1.91]
35-54 11.1 11.4 0.97 e
55-93 14.3 35.3 0.41 e
 Kuwait Shah, N.M. (2010) [28] 2487 50-59 30.7 32.0 0.96 [0.77-1.20] 30.7 32.0 0.96 [0.77-1.20] 52.3 49.5 1.06 [0.98-1.14]
60-69 50.8 55.1 0.92 [0.81-1.05]
> = 70 67.0 69.3 0.97 [0.88-1.06]
 Lebanon Tohme, R. A. (2005) [30] 2010a 30-40 5.7 5.8 0.98 [0.52-1.86] 22.0 23.1 0.95 [0.75-1.21] 22.1 24.4 0.91 [0.78-1.09]
41-50 13.7 15.5 0.88 [0.58-1.34]
51-60 31.3 32.6 0.96 [0.73-1.26]
61-70 41.0 60.6 0.68 ** [0.53-0.87]
>70 53.4 64.6 0.83 [0.63-1.09]
Diagnosed hypertension based on BP measurements d
 Algeria Hamida, F. (2013) [21] 722 40-49 21.1 20.6 1.02 [0.59-1.77] 29.2 33.3 0.88 [0.63-1.21] 51.3 49.7 1.03 [0.90-1.21]
50-59 40.8 48.1 0.85 [0.58-1.24]
60-69 71.4 67.6 1.06 [0.85-1.32]
> = 70 75.7 80.6 0.94 [0.80-1.11]
 Jordan Khader, Y. (2007) [24] 1121 25-44 33.0 32.2 1.02 [0.79-1.32] g 49.5 52.0 0.95 [0.84-1.08]
45-85 63.7 73.2 0.87 * [0.77-0.98]
 KSA Al-Daghri, N.M. (2011) [26] 9149 18 - 45 16.8 12.2 1.38 *** [1.18-1.61] 41.6 39.9 1.04 [0.93-1.17] 31.5 23.8 1.32 *** [1.21-1.42]
46 - 60 41.6 39.9 1.04 [0.93-1.17]
61 - 80 57.2 61.1 0.94 [0.84-1.04]
Al-Nozha, M. M. (2007) [27] 17230a 30-39 14.1 10.4 1.36 *** [1.18-1.57] 28.6 29.6 0.97 [0.90-1.03] 28.6 23.9 1.20 *** [ 1.14-1.26]
40-49 23.0 24.1 0.95 [0.86-1.06]
50-59 34.9 39.5 0.88 ** [0.81-0.96]
60-70 44.6 50.4 0.88 ** [0.82-0.96]
 Lebanon Matar, D. (2015) [29] 1697 21-34 20.0 9.0 2.22*** [1.43-3.39] 49.9 37.4 1.33 *** [1.14-1.56] 42.7 29.5 1.45**f [1.28-1.68]
35-49 42.0 24.0 1.75 *** [1.33-2.28]
50-64 60.0 54.0 1.11 [0.94-1.32]
> = 65 76.0 68.0 1.12 [0.92-1.37]
 Oman Al-Riyami A. (2002) [31] 6414a 20-39 23.9 16.8 1.42 e e 46.5 50.7 0.92 e 35.3 31.3 1.13***f [1.06-1.22]
40-59 46.5 50.7 0.92 e
> = 60 60.9 68.1 0.89 e
 Palestine Khdour, M. R. (2013) [32] 2077 25-44 17.0 16.7 1.02 [0.75-1.38] 34.3 27.6 1.24 * [1.03-1.51] 29.2 26.4 1.11** [0.96-1.27]
45-64 34.3 27.6 1.24 * [1.03-1.51]
> = 65 52.3 48.3 1.08 [0.86-1.37]
 Tunisia Ben Romdhane, H. (2012) [34] 8007a 35-44 16.0 14.5 1.10 [0.94-1.30] 24.3 29.4 0.83*** [0.76-0.89] 27.3 33.1 0.82f [0.77-0.88]
45-54 26.3 33.6 0.78*** [0.69-0.89]
55-64 40.3 53.5 0.75*** [0.67-0.85]
65-74 51.1 66.0 0.77*** [0.69-0.87]
Ben Romdhane, H. (2005) [35] 1837 40-49 21.4 30.4 0.70 e e g 38.7 48.2 0.80*** [0.72-0.90]
50-59 40.5 54.4 0.74 e
60-69 56.0 73.0 0.77 e
Bouguerra, R. (2006) [36] 3857a 20-29 31.3 22.2 1.41 ** [1.10-1.82] 41.3 52.6 0.79*** [0.69-0.89] 45.2 44.0 1.03 [0.96-1.11]
30-39 28.9 29.5 0.98 [0.78-1.22]
40-49 34.4 45.5 0.76 ** [0.62-0.91]
50-59 52.4 63.1 0.83 * [0.71-0.98]
60-69 65.6 75.3 0.87 * [0.78-0.97]
> = 70 76.1 82.5 0.92 [0.82-1.03]
Elasmi, M. (2009) [37] 2483 35-44 9.0 17.0 0.53*** [0.39-0.75] 22.9 33.0 0.69*** [0.61-0.79] 25.0 36.0 0.69*** [0.62-0.78]
45-54 30.0 43.0 0.70*** [0.59-0.84]
55-64 37.0 63.0 0.59*** [0.49-0.71]
65-69 51.0 78.0 0.65*** [0.51-0.81]
 UAE Baynouna, L. M. (2008) [39] 817 20-29 5.1 1.7 3.00 [0.32-28.01] 26.2 29.4 0.89 [0.65-1.22] 21.8 19.8 1.10 [0.84-1.44]
30-39 11.1 7.0 1.59 [0.65-4.00]
40-49 17.0 23.0 0.74 [0.42-1.30]
50-59 33.6 38.8 0.87 [0.59-1.26]
> = 60 36.8 36.7 1.00 [0.57-1.76]

BP blood pressure, CI Confidence interval, F Female, M Male, SBP systolic blood pressure, DBP diastolic blood pressure

*p <0.05 ** p ≤ 0.01; *** p ≤ 0.001: significant difference between genders. For the age groups and the midlife age categories, p-values were calculated based on chi-square tests assessing the significance of differences in sample proportion. For the total sample, p-values were presented either as reported in the original publications [21, 24, 2632, 3437], or calculated based on chi-square tests [23, 25, 39]

aNationally representative studies

bThe age groups that were selected for each study in order to generate midlife prevalence of hypertension are highlighted in bold.

cPrevalence of midlife hypertension by gender was compiled by selecting the age groups falling between 35 to 65 years in the original publications

dHypertension was assessed by actual BP measurements [26, 27, 39], or by either BP measurements or self-report of previous diagnosis [21, 24, 29, 31, 32, 3437]. For BP measurements, hypertension was identified when SBP > =140 and/or DBP > =90 mmHg for all studies except for Khader et al., 2007 [24] and Bouguerra et al., 2006 [36], where the cut-offs used were SBP > =130 and/or DBP > =85 mmHg

eSignificance between genders and 95% confidence intervals could not be calculated due to insufficient data [25, 31, 35]

fThe significant difference between genders for the total sample, reported from the original publications, was adjusted in three studies [29, 31, 34]

gPrevalence of midlife hypertension could not be determined due to overlapping age ranges [24], or insufficient data to generate pooled prevalence [35]