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Burden of Hypertensive Heart Disease and Its Risk Factors in East Asia, 1990–2021: Findings From the Global Burden of Disease Study 2021 Cover

Burden of Hypertensive Heart Disease and Its Risk Factors in East Asia, 1990–2021: Findings From the Global Burden of Disease Study 2021

Open Access
|Sep 2025

Figures & Tables

Table 1

Number and ASR of prevalence, mortality, and DALYs of HHD per 100,000 people in East Asia between 1990 and 2021.

199020211990–2021
NUMBER (95% UI)ASR (95% UI)NUMBER (95% UI)ASR (95% UI)AAPC(95%CI)
Prevalence
China1,503,019 (1,161,178–1,916,382)218.24 (169.31,274.83)3,912,158 (2,989,417–5,056,002)192.47 (146.68,245.02)–0.44 (–0.46,–0.42)
Japan75,062 (51,652–100,265)48.72 (34.43,64.72)195,613 (140,989–264,657)44.91 (33.64,58.26)–0.41 (–0.49,–0.32)
South Korea28,327 (21,349–36,057)107.71 (78.22,142.23)91,856 (71,867–116,578)103.01 (81.11,129.99)–0.19 (–0.23,–0.15)
China-Taiwan26,792 (20,270–35,311)196.57 (147.5,260.35)99,331 (76,001–129,684)230.62 (178.4,301.01)0.51 (0.46,0.56)
North Korea20,489 (15,857–26,581)160.25 (121.53,211)54,979 (42,119–71,899)181.41 (139.98,237.86)0.39 (0.39,0.40)
Mongolia522 (354–728)53.59 (35.77,75.28)962 (662–1362)51.94 (34.09,75.66)–0.10 (–0.11,–0.08)
Death
China232,479 (155,806–275,584)42.64 (30.32,49.56)328,119 (224,717–425,288)18.85 (12.89,24.47)–0.80 (–0.83,–0.77)
Japan13,658 (11,918–14,608)9.58 (8.21,10.32)15,943 (11,809–18,385)2.56 (2.02,2.88)–2.61 (–2.70,–2.55)
South Korea3,215 (2,109–3,826)18.08 (12.81,21.49)4,888 (3,500–7,596)5.63 (4,8.66)–4.10 (–4.36,–3.87)
China-Taiwan2,685 (2,537–2,813)23.78 (21.72,25.18)4,921 (4,180–5,406)10.91 (9.36,11.99)–3.77 (–3.92,–3.65)
North Korea3,247 (2,033–4,546)29.48 (18.79,43.56)7,460 (5,358–10,092)26.83 (19.35,36.15)–0.31 (–0.32,–0.29)
Mongolia126 (79–185)13.8 (8.63,20.25)152 (102–216)9.01 (6,12.88)–1.40 (–1.51,–1.25)
DALYs
China4,971,332 (3,273,139–5,916,486)716.02 (488.69,841.36)5,589,287 (3,973,271–7,160,215)292.54 (208.19,374.2)–0.95 (–0.97,–0.92)
Japan210,802 (190,712–222,341)137.7 (123.13,145.91)193,598 (156,853–218,427)40.95 (35.52,44.6)–2.90 (–3.00,–2.83)
South Korea68,498 (42,624–79,448)284.17 (192.22,332.66)66,592 (51,734–107,310)75.36 (58.54,119.53)–3.89 (–4.12,–3.71)
China-Taiwan55,225 (52,722–57,861)404.91 (381.23,424.23)84,569 (75,170–91,762)198.02 (177.78,214.35)–4.27 (–4.35,–4.19)
North Korea68,064 (40,911–97,438)504.5 (315.76,705.23)142,229 (101,840–187,748)465.32 (336.69,611.31)–0.26 (–0.27,–0.25)
Mongolia2,744 (1,715–4,033)273.93 (170.81,401.72)3,505 (2,406–4,943)167.89 (114.29,236.21)–1.58 (–1.74,–1.45)

[i] AAPC average annual percent change, ASR age-standardized rates, CI confidence interval, DALYs disability-adjusted life years, UI uncertainty interval.

Figure 1

Temporal trends in ASR of HHD in East Asia from 1990 to 2021. (A) Age standardized prevalence rate. (B) Age standardized death rate. (C) Age standardized DALYs rate. HHD, hypertensive heart disease. DALYs, disability-adjusted life-years.

Figure 2

East Asian HHD prevalence cases in 2021, by age and sex. The crude prevalence rates and their 95% uncertainty intervals are shown in the line graphs. The male and female prevalence composition by age group are displayed in pie charts.

Figure 3

(A) DALYs for risk factors at level 1 for each age group. (B) The PAF of DALYs for HHD in East Asia in 2021. (C) AAPC in PAF of DALYs for Non-level 1 Risk Factors for HHD in East Asia from 1990 to 2021. PAF, population attributable fraction. AAPC, average annual percentage changes.

DOI: https://doi.org/10.5334/gh.1472 | Journal eISSN: 2211-8179
Language: English
Submitted on: Mar 29, 2025
Accepted on: Sep 9, 2025
Published on: Sep 22, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Zhongqing Zhou, Zixiang Ji, Jiazhe Hou, Jing Yang, Hengjing Wu, Lijuan Zhang, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.