HypertensionMeta-analysis

Elevated blood pressure levels among 533 167 adults living in Sub-Saharan Africa: a systematic review and meta-analysis

Eur J Prev CardiolPublished

  • Systematic review and meta-analysis
  • random-effects model

Authors' conclusion

Our findings suggest a steep age-related pattern of increasing BP levels in the region that will adversely affect millions of people within the next 10-20 years without urgent intervention.

Study context

Population
Adults living in sub-Saharan Africa (studies published 2010–2021)
Participants
533,167 adults · 170 studies · 26 countries
Outcome
Pooled prevalence of hypertension and mean SBP/DBP

Pooled result

As reported in the abstract

Pooled prevalence of hypertension

30.5% (95% CI 28.4-32.6%)

Overall mean SBP

128 (95% CI 127-129) mmHg

Overall mean DBP

80 (95% CI 79-80) mmHg

Further pooled results

Outcomedifference (mmHg) (95% CI)
Mean BP, males vs females — Males vs Females · systolic3.10 (2.30–3.90)
Mean BP, males vs females — Males vs Females · diastolic0.69 (0.10–1.29)

Hypertension prevalence by age

Aged 21-30
10.6% [95% CI 8.2-13.0%]
Aged 41-50
30.9% [95% CI 27.8-34.0%]
Aged 71-80
66.4% (95% CI 64.2-68.7%)

Hypertension prevalence by weight

Healthy weight
28.4% (95% CI 26.1-30.6%)
Overweight
35.8% (95% CI 31.4-40.1%)

Hypertension prevalence by region

Lowest in Eastern Africa
27.2% (95% CI 24.8-29.7%)

Original publication

Elevated blood pressure levels among 533 167 adults living in Sub-Saharan Africa: a systematic review and meta-analysis. Eur J Prev Cardiol. Published 14 November 2025. doi:10.1093/eurjpc/zwaf706

Summarised from the published abstract; every number is checked against it