Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

The coming epidemic: hypertension in rural Kyrgyzstan, Central Asia

Abstract

Eastern Europe is experiencing an epidemic of cardiovascular disease far outpacing rates in Western Europe. This epidemic was heralded by a precipitous rise in hypertension prevalence. The former Soviet states of Central Asia may be facing a similar epidemic. In order to access this threat, we performed a retrospective analysis of data generated during humanitarian medical visits to two villages in Kyrgyzstan, Central Asia. The age-adjusted prevalence of hypertension was 39%. Hypertension was much more common among men than women (46 vs 33%, respectively). In addition, the rise in blood pressure with age was striking, surpassing the experience in Western countries. This epidemic of hypertension may herald a coming epidemic of cardiovascular disease in Central Asia.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3

Similar content being viewed by others

References

  1. United Nations. In Afghanistan, a population in crisis [press release] http://www.un.org/News/Press/docs/2001/afg145.doc.htm.

  2. United Nations Children's Fund. State of the World's Children. Oxford University Press, New York, NY, 2001.

  3. World Bank. World Development Indicators Database. The World Bank Group 2001.

  4. Murray CJL, Lopez AD . Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet 1997; 349: 1269–1276.

    Article  CAS  PubMed  Google Scholar 

  5. Strasser T . Hypertension: The East European Experience. Am J Hypertens 1998; 11: 756–758.

    Article  CAS  PubMed  Google Scholar 

  6. National Statistical Committee. First National Population Census of the Krygyz Republic of 1999. Bishkek City, Kyrgyz Republic, 1999.

  7. World Health Organization. WHO World Standard Population. 2000.

  8. Burt VL et al. Prevalence of hypertension in the US adult population Results from the Third National Health and Nutrition Examination Survey 1988–1991. Hypertension 1995; 25: 305–313.

    Article  CAS  Google Scholar 

  9. Labarthe D . Epidemiology and Prevention of Cardiovascular Diseases: A Global Challenge. Aspen: Gaithersburg, MD, 1998.

    Google Scholar 

  10. Omron AR . Epidemiolgoic transition in the United States: the health factor in population change. Popul Bull 1977; 32: 1–42.

    Google Scholar 

  11. Sacks FM et al. Effects on blood pressure of reduced dietary sodium and the dietary approaches to stop hypertension (DASH) diet. N Eng J Med 2001; 344: 3–10.

    Article  CAS  Google Scholar 

  12. Vasan RS et al. Residual lifetime risk for developing hypertension in middle-aged women and men: The Framingham Heart Study. JAMA 2002; 287: 1003–1010.

    Article  PubMed  Google Scholar 

  13. Elliott P et al. The INTERSALT study: main results, conclusions and some implications. Clin Exp Hypertens [A] 1989; 11: 1025–1034.

    CAS  Google Scholar 

  14. He J et al. Migration, blood pressure pattern, and hypertension: the Yi Migrant Study. Am J Epidemiol 1991; 134: 1085–1101.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

Dr Young was supported by NIH NCRR K23 RR16056 and Dr Klag by NIH-NIDDK K-24 DK02856.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J H Young.

Additional information

Conflicts of interest: none.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Young, J., Parler, P., Bristol, B. et al. The coming epidemic: hypertension in rural Kyrgyzstan, Central Asia. J Hum Hypertens 19, 145–148 (2005). https://doi.org/10.1038/sj.jhh.1001791

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.jhh.1001791

Keywords

This article is cited by

Search

Quick links