Epidemiology of hypertension in Japan: Where are we now?

Katsuyuki Miura, Masato Nagai, Takayoshi Ohkubo

Research output: Contribution to journalReview articlepeer-review

137 Citations (Scopus)


Analyses of data from national surveys of the Japanese population have shown a clear decreasing tendency in mean systolic blood pressure (BP) level over the past 50 years in all age groups of men and women; however, mean diastolic BP level clearly did not decrease in men. Hypertension prevalence is high among older people and may increase in the future, especially in men aged ≥50 years. The treatment and control rates of hypertension are not sufficiently high, although they have been continuously improving. Recent epidemiological studies also showed that the burden of cardiovascular diseases and total mortality because of the adverse BP level of the nation is still the highest among other preventable risk factors. To overcome this epidemic, the first priority should be primary prevention of a lifetime increase in BP through lifestyle improvement. Lowering the distribution of BP in the whole population and maintaining BP at optimal levels contributes to the achievement of this goal.

Original languageEnglish
Pages (from-to)2226-2231
Number of pages6
JournalCirculation Journal
Issue number9
Publication statusPublished - 2013
Externally publishedYes


  • Blood pressure
  • Epidemiology
  • Hypertension
  • Japan
  • Prevalence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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