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Hypertension in the Developing World

Epidemiologic Transition and Health Statistics in Developing Countries

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Book cover Pediatric Hypertension

Abstract

Hypertension is a major global chronic noncommunicable disease (NCD). Due to epidemiologic shifts, the absolute numbers of patients affected by hypertension in low- and middle-income countries are likely to grow, as increased globalization and economic improvement lead to urbanization and longer life expectancy. Increasing longevity provides longer periods of exposure to the risk factors of cardiovascular disease (CVD), resulting in a greater probability of clinically manifesting CVD events. Compounding this high burden of hypertension is a lack of awareness and insufficient treatment in those with hypertension. Additionally, survivors of an economic transition period are more likely to present the phenotype of lower birth weight coupled with either stunting or a higher body mass index in childhood or adulthood, which appears to be associated with the highest risks of morbid cardiovascular, renal, and metabolic outcomes into adulthood. The combination of population-wide and individual interventions may save millions of lives and considerably reduce human suffering from NCDs.

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Authors and Affiliations

  1. Department of Pediatrics, Pediatric Nephrology Unit Instituto da Criança Hospital das Clinicas, University of São Paulo Medical School, Av. Dr Eneas de Carvalho Aguiar 647, São Paulo, 05403-000, Brazil

    Vera H. Koch

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  1. Vera H. Koch
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Correspondence to Vera H. Koch .

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Editors and Affiliations

  1. University of Washington School of Medicine, Department of Pediatrics and Seattle Children’s Hospital Division of Nephrology, Seattle, WA, USA

    Joseph T. Flynn

  2. Division of Nephrology MassGeneral for Children at Massachusetts General Hospital, Harvard Medical School Department of Pediatrics, Boston, MA, USA

    Julie R. Ingelfinger

  3. St. Luke’s Health System, Children’s Nephrology and Hypertension, Boise, ID, USA

    Karen M. Redwine

Section Editor information

  1. Division of Nephrology, Seattle Children’s Hospital, 4800 Sand Point Way NE, 98105, Seattle, WA, USA

    Joseph T. Flynn MD, MS

  2. Department of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA

    Joseph T. Flynn MD, MS

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Koch, V.H. (2018). Hypertension in the Developing World. In: Flynn, J., Ingelfinger, J., Redwine, K. (eds) Pediatric Hypertension. Springer, Cham. https://doi.org/10.1007/978-3-319-31107-4_31

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