The DOI matches its Crossref record; 60 of the 60 references it cites were found in a registry or an index.
Overview of hypertension in Saudi Arabia: A systematic review and meta-analysis
Open accessAbstract
Objectives: To assess the prevalence, awareness, treatment, and control of hypertension in Saudi Arabia. Methods: We searched electronic databases and the references lists of found publications between 1990 and 2022. Original cross-sectional studies in English were included using PubMed, Google Scholar, and the Saudi Digital Library. A meta-analysis was performed to assess the combined prevalence, awareness, treatment, and control rates of hypertension. Results: Twenty-nine studies with 278873 individuals aged 14-100 were considered. The pooled prevalence of hypertension was 22.66% (95% CI:18.95-26.60), Cochran’s Q=6221.98, dff=22, p<0.0001; I2=99.65%, Egger’s test (p=0.0033) across 23 studies with 272378 people. The pooled hypertension awareness rate was 42.8% from 6 studies with 36046 participants (95% CI:35.66-50.01), Cochran’s Q=781.86, dff=5, p<0.0001; I2=99.4% and Egger’s test p=0.3772. The pooled proportion of hypertension patients treated in 6 studies involving 46075 samples was 59.4% (95% CI=38.14-79.02), Cochran’s Q=9793.79 dff=5, p<0.0001; I2=99.95%, Egger’s test p=0.8284. The pooled proportion of hypertension-controlled participants across 15 studies comprising 264817 subjects was 34.97% (95% CI: 27.62-42.68), Cochran’s Q=11048.28, dff=14, p<0.0001; I2=99.87% and Egger’s test p=0.9760. Conclusion: The prevalence of hypertension was high, with low awareness, treatment, and control rates among Saudis. Therefore, policymakers and healthcare providers must work harmoniously to promote health and to prevent, detect, and control hypertension early. PROSPERO Reg. No.: CRD42023407978
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Figures






Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The cited source says what the claim attributes to it.
In the citing paper
“Sample size calculation was based on an estimated hypertension prevalence of 25% among Saudi adults [3,4], with 95% confidence level and 3% margin of error, accounting for design effect. The minimum required sample was approximately 3000 participants”
From The Dynamic Interplay of Lifestyle, Dietary Factors, and Cardiometabolic Risk in Hypertension: A Cross-Sectional Investigation Among Saudi Adults (2025) · cites this paper as [3]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
The global epidemiology of hypertension
Mills, K. T., Stefanescu, A., & He, J. (2020) · Nature Reviews Nephrology · doi:10.1038/s41581-019-0244-2 · Cited by 4,133
Zhou, B., Carrillo-Larco, R. M., Danaei, G., Riley, L. M., Paciorek, C. J., Stevens, G. A., Gregg, E. W., Bennett, J. E., Solomon, B., Singleton, R. K., et al. (2021) · The Lancet · doi:10.1016/s0140-6736(21)01330-1 · Cited by 3,902
Haddaway, N. R., Page, M. J., Pritchard, C. C., & McGuinness, L. A. (2022) · Campbell Systematic Reviews · doi:10.1002/cl2.1230 · Cited by 3,486
Zhou, B., Danaei, G., Stevens, G. A., Bixby, H., Taddei, C., Carrillo-Larco, R. M., Solomon, B., Riley, L. M., Di Cesare, M., Iurilli, M. L. C., et al. (2019) · The Lancet · doi:10.1016/s0140-6736(19)31145-6 · Cited by 544
Treatment of hypertension: a review
Carey, R. M., Moran, A. E., & Whelton, P. K. (2022) · JAMA · doi:10.1001/jama.2022.19590 · Cited by 455
Lifestyle interventions for the prevention and treatment of hypertension
Valenzuela, P. L., Carrera-Bastos, P., Gálvez, B. G., Ruiz-Hurtado, G., Ordovas, J. M., Ruilope, L. M., & Lucia, A. (2021) · Nature Reviews Cardiology · doi:10.1038/s41569-020-00437-9 · Cited by 354
Al-Daghri, N. M., Al-Attas, O. S., Alokail, M. S., Alkharfy, K. M., Yousef, M., Sabico, S. L., & Chrousos, G. P. (2011) · BMC Medicine · doi:10.1186/1741-7015-9-76 · Cited by 282
(2012) · Cited by 244
The household economic burden of non-communicable diseases in 18 countries
Murphy, A., Palafox, B., Walli-Attaei, M., Powell‐Jackson, T., Rangarajan, S., AlHabib, K. F., Avezum, Á., Tümerdem, B. Ç., Chifamba, J., Choudhury, T., et al. (2020) · BMJ Global Health · doi:10.1136/bmjgh-2019-002040 · Cited by 244
Al-Nozha, M. M., Abdullah, M., Arafah, M., Khalil, M. Z., Khan, N. B., Al-Mazrou, Y. Y., Al-Maatouq, M. A., Al-Marzouki, K., Al-Khadra, A. H., Nouh, M. S., et al. (2007) · Saudi Medical Journal · doi:10.15537/1658-3175.3743 · Cited by 223
Hypertension and Its Associated Risk Factors in the Kingdom of Saudi Arabia, 2013: A National Survey
Bcheraoui, C. E., Memish, Z., Tuffaha, M., Daoud, F., Robinson, M., Jaber, S., Mikhitarian, S., Saeedi, M. A., Almazroa, M., Mokdad, A., et al. (2014) · International Journal of Hypertension · doi:10.1155/2014/564679 · Cited by 215
Blood Pressure Control Among US Adults, 2009 to 2012 Through 2017 to 2020
Muntner, P., Miles, M. A., Jaeger, B. C., Hannon, L., Hardy, S. T., Ostchega, Y., Wozniak, G., & Schwartz, J. E. (2022) · Hypertension · doi:10.1161/hypertensionaha.122.19222 · Cited by 196
Saeed, A. A., Al-Hamdan, N. A., Bahnassy, A., Abdalla, A. M., Kofi, M. A., & Abuzaid, L. Z. (2011) · International Journal of Hypertension · doi:10.4061/2011/174135 · Cited by 167
Aktaş, G., Khalid, A., Kurtkulağı, Ö., Duman, T. T., Bilgin, S., Kahveci, G. B., Tel, B. M. A., Sıncer, İ., & Güneş, Y. (2022) · Postgraduate Medicine · doi:10.1080/00325481.2022.2039007 · Cited by 161
Odili, A. N., Chori, B. S., Danladi, B., Nwakile, P. C., Okoye, I. C., Abdullah, U., Nwegbu, M. M., Zawaya, K., Essien, I., Sada, K. B., et al. (2020) · Global Heart · doi:10.5334/gh.848 · Cited by 158
Lamelas, P. M., Díaz, R., Orlandini, A., Avezum, Á., Oliveira, G. B. F., Mattos, A. J. C., Lanas, F. T., Pamela Serón, S., Oliveros, M. J., López-Jaramillo, P. A., et al. (2019) · Journal of Hypertension · doi:10.1097/hjh.0000000000002108 · Cited by 128
Hypertension in Jordan: Prevalence, Awareness, Control, and Its Associated Factors
Khader, Y. S., Batieha, A. M., Jaddou, H. Y., Rawashdeh, S., El-Khateeb, M. S., Hyassat, D., Khader, A., & Ajlouni, K. M. (2019) · International Journal of Hypertension · doi:10.1155/2019/3210617 · Cited by 95
Khoja, A. T., Aljawadi, M. H., Alshammari, S. A., Mohamed, A. G., Al‐Manaa, H. A., Morlock, L., Ahmed, S., & Khoja, T. A. M. (2017) · Saudi Pharmaceutical Journal · doi:10.1016/j.jsps.2017.11.008 · Cited by 87
Self-citationPrevalence, Awareness, Treatment, and Control of Hypertension in Korea
Kang, S., Kim, S., Cho, J. H., Yoon, C., Hwang, S.-S., Lee, H., Youn, T., Chae, I., & Kim, C. (2019) · Scientific Reports · doi:10.1038/s41598-019-46965-4 · Cited by 77
Majid, N. L. A., Omar, M. A., Khoo, Y. Y., Naidu, B. M., Ling, M. Y. J., Hasani, W. S. R., Rifin, H. M., Hamid, H. A. A., Lourdes, T. G. R., & Yusoff, M. F. M. (2018) · Journal of Human Hypertension · doi:10.1038/s41371-018-0082-x · Cited by 69
Gutierrez, J., Alloubani, A., Mari, M., & Alzaatreh, M. (2018) · The Open Cardiovascular Medicine Journal · doi:10.2174/1874192401812010041 · Cited by 62
Baig, M., Gazzaz, Z. J., Gari, M. A., Alattallah, H. G., AlJedaani, K. S., Mesawa, A. T., & Alhazmi, A. A. (2015) · Pakistan Journal of Medical Sciences · doi:10.12669/pjms.314.7953 · Cited by 60
Mamdouh, H. M., Alnakhi, W. K., Hussain, H. Y., Ibrahim, G. M., Hussein, A., Mahmoud, I., Alawadi, F., Hassanein, M., Abdullatif, M., Alabady, K., et al. (2022) · BMC Cardiovascular Disorders · doi:10.1186/s12872-022-02457-4 · Cited by 57
Al‐Jawaldeh, A., Taktouk, M., Chatila, A., Naalbandian, S., Al-Thani, A.-A. M., Alkhalaf, M. M., Almamary, S., Barham, R., Baqadir, N. M., Binsunaid, F. F., et al. (2021) · Nutrients · doi:10.3390/nu13082676 · Cited by 49
Risk factors of coronary artery disease in different regions of Saudi Arabia
Osman, A. K., & Nozha, M. M. A. (2000) · Eastern Mediterranean Health Journal · doi:10.26719/2000.6.2-3.465 · Cited by 47
Association between age at onset of overweight and risk of hypertension across adulthood
Li, W., Fang, W., Huang, Z., Wang, X., Cai, Z., Chen, G., Wu, W., Chen, Z., Wu, S., & Chen, Y. (2022) · Heart · doi:10.1136/heartjnl-2021-320278 · Cited by 45
Factors Which Influence Incident Hypertension on Pre-Elderly
Siregar, R. J. (2022) · International Journal of Public Health Excellence (IJPHE) · doi:10.55299/ijphe.v1i2.66 · Cited by 45
Chronic disease prevalence among elderly Saudi men.
Saquib, N., Saquib, J., Alhadlag, A., Albakour, M. A., Aljumah, B., Sughayyir, M., Alhomidan, Z., Alminderej, O., Aljaser, M., & Almazrou, A. (2017) · PubMed Central · Cited by 44
Hypertension among attendants of primary health care centers in Al-Qassim region, Saudi Arabia
Kalantan, K. A., Mohamed, A. G., & Al-Taweel, A. (2001) · Saudi Medical Journal · doi:10.15537/1658-3175.1534 · Cited by 40
Alquaiz, A. M., Kazi, A., Alodhayani, A. A., Almeneessier, A. S., AlHabeeb, K. M., & Siddiqui, A. (2021) · Saudi Medical Journal · doi:10.15537/smj.2021.42.5.20200684 · Cited by 38
Dietary salt intake in Japan - past, present, and future
Tsuchihashi, T. (2022) · Hypertension Research · doi:10.1038/s41440-022-00888-2 · Cited by 37
Li, Y., Geng, X.-G., Wang, H., Cheng, G., & Xu, S. (2016) · Journal of Cardiovascular Pharmacology · doi:10.1097/fjc.0000000000000364 · Cited by 36
Khonsari, N. M., Shahrestanaki, E., Ejtahed, H., Djalalinia, S., Sheidaei, A., Hakak‐Zargar, B., Heshmati, J., Mahdavi‐Gorabi, A., & Qorbani, M. (2021) · Current Hypertension Reports · doi:10.1007/s11906-021-01159-0 · Cited by 35
Hahad, O., Schmitt, V. H., Arnold, N., Keller, K., Prochaska, J. H., Wild, P. S., Schulz, A., Lackner, K. J., Pfeiffer, N., Schmidtmann, I. M., et al. (2022) · Clinical Research in Cardiology · doi:10.1007/s00392-022-02092-1 · Cited by 35
Mouhtadi, B. B., Kanaan, R. M. N., Iskandarani, M., Rahal, M. K., & Halat, D. H. (2018) · Global Cardiology Science and Practice · doi:10.21542/gcsp.2018.6 · Cited by 31
Treatment of Hypertension: A Review
Goit, L. N., & Yang, S. (2019) · Yangtze Medicine · doi:10.4236/ym.2019.32011 · Cited by 27
Kurtkulağı, Ö., Aktaş, G., Duman, T. T., Bilgin, S., Tel, B. M. A., & Kahveci, G. B. (2022) · Precision Medical Sciences · doi:10.1002/prm2.12080 · Cited by 27
Hypertension control and co-morbidities in primary health care centers in Riyadh
Al-Tuwijri, A. A., & Al-Rukban, M. O. (2006) · Annals of Saudi Medicine · doi:10.5144/0256-4947.2006.266 · Cited by 25
Chia, Y. C., Ching, S. M., Chew, B. N., Devaraj, N. K., Yusoff, S. S. M., Tay, C. L., Kang, P. S., Lee, K. M. V., Kong, S. Z., Teoh, S. W., et al. (2019) · European Heart Journal Supplements · doi:10.1093/eurheartj/suz061 · Cited by 25
Prevalence of Hypertension in a Population of Healthy Individuals
Elkhalifa, A. M., Kinsara, A. J., & Almadani, D. A. (2011) · Medical Principles and Practice · doi:10.1159/000321217 · Cited by 19
Gender Disparities in the Awareness and Control of Hypertension
Alsuwaida, A., & Alghonaim, M. (2011) · Clinical and Experimental Hypertension · doi:10.3109/10641963.2010.531857 · Cited by 19
Analysis Of The Factors Related To The Blood Pressure Control In Hypertension
Atík, F., Aktaş, G., Koçak, M. Z., Erkuş, E., & Şavlı, H. (2018) · Journal of College of Physicians And Surgeons Pakistan · doi:10.29271/jcpsp.2018.06.423 · Cited by 19
Management of hypertensive patients in primary health care setting, auditing the practice
Al-Rukban, M. O., Al-Sughair, A. M., Al‐Bader, B., & Al-Tolaihi, B. A. (2007) · Saudi Medical Journal · doi:10.15537/1658-3175.3744 · Cited by 18
Population-based health survey in Eastern region of Saudi Arabia
Rehmani, R. S., Elzubair, A. G., Maani, M. A., Chaudary, I. Y., Qarni, A. A. A., Khasshogi, T., & Shuaibi, A. A. (2013) · Eastern Mediterranean Health Journal · doi:10.26719/2013.19.5.417 · Cited by 12
Alyabsi, M. S., Gaid, R. M., Alqunaibet, A., Alaskar, A. S., Mahmud, A., & Alghamdi, J. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-041973 · Cited by 10
Control of hypertension in eastern Saudi Arabia: Results of screening campaign
Al-Baghli, N. A., Al-Turki, K. A., Al-Ghamdi, A. J., El-Zubaier, A. G., Al-Baghli, F. A., & Bohlaiqa, N. H. (2009) · Journal of Family and Community Medicine · doi:10.4103/2230-8229.97012 · Cited by 10
Distribution of CKD and Hypertension in 13 Towns in Hail Region, KSA
Ahmed, H. G., Ginawi, I., Haridi, H. K., Eltom, F. M., & Al-hazimi, A. M. (2014) · Egyptian Academic Journal of Biological Sciences. C, Physiology and Molecular Biology/Egyptian Academic Journal of Biological Sciences. C, Physiology and Molecular Biology · doi:10.21608/eajbsc.2014.16028 · Cited by 9
Combined antihypertensive treatment is better than mono-therapy in hypertensive patients.
Kurtkulağı, Ö., Aktaş, G., Bilgin, S., Atak, B. M., Duman, T. T., & Demirkol, M. E. (2020) · PubMed · Cited by 9
Alanazi, A. M., Alenezi, Y. M., & Alanazi, T. H. (2018) · The Egyptian Journal of Hospital Medicine · doi:10.12816/0042959 · Cited by 8
Al‐Qahtani, A. M. (2018) · Biomedical & Pharmacology Journal · doi:10.13005/bpj/1437 · Cited by 8
Mirza, A. A., & Elmorsy, S. A. (2016) · High Blood Pressure & Cardiovascular Prevention · doi:10.1007/s40292-016-0145-4 · Cited by 7
Chow, Z. Y., Jun, S. M., Ching, S. M., Tan, C. H., Lee, K. W., Devaraj, N. K., Syahida, H., Ramachandran, V., Hoo, F. K., Cheong, A. T., et al. (2019) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/625004 · Cited by 6
Yusufali, A., Bazargani, N., Belaila, B. A. B., Suhail, A. M., Shuri, H. H., Agrawal, A., Muhammed, K. O., Gabroun, A., Albawab, A. A., Vazir, Z., et al. (2020) · European Heart Journal Supplements · doi:10.1093/eurheartj/suaa046 · Cited by 5
Al-Hariri, M. T., & Alkahtani, S. (2016) · Saudi Journal for Health Sciences · doi:10.4103/2278-0521.192999 · Cited by 5
Ahmed, M. E. K., & El-Awad, I. B. (2001) · Eastern Mediterranean Health Journal · doi:10.26719/2001.7.4-5.689 · Cited by 4
Al‐Mohaissen, M. A., Al-Obaid, Q. Y., AlGhamdi, W. A., Al-Alyani, H., Dahman, S. M., Al-Wahhabi, N. A., Al-Awaji, N. M., & Lee, T. (2019) · Eastern Mediterranean Health Journal · doi:10.26719/emhj.19.080 · Cited by 4
Safdar, O. Y., AlJehani, R., Aljuhani, M., Alghamdi, H., Asiri, A., AlGhofaily, O., Hisan, F. M., & Altabsh, G. Z. (2020) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_214_20 · Cited by 4
Al-Shahri, M. A., & Elzubier, A. (1997) · Journal of Family and Community Medicine · doi:10.4103/2230-8229.98432 · Cited by 3
Mamdouh, H. M., Alnakhi, W. K., Hussain, H. Y., Ibrahim, G. M., Hussein, A., Mahmoud, I., Sulaiman, N. D., Alawadi, F., Hassanein, M. M., Abdullatif, M., et al. (2022) · Journal of Hypertension · doi:10.1097/01.hjh.0000837816.80236.53 · Cited by 2
The importance of using automatic blood pressure measuring devices in hypertension patients
Civil, C., Balci, B., & Aktas, G. (2022) · Journal of Bionic Memory · doi:10.53545/jbm.2022.20 · Cited by 1
Research works printed but not linked: 1
- [37]Abolfotouh MA, Abu-Zeid HAH, Aziz MA, Alakija W, Mahfouz AA, Bassuni WA. Prevalence of hypertension in south-western Saudi Arabia. East Mediterr Health J 1996; 2: 211– 218.
Cited by
Jareebi, M. A. (2025) · Diagnostics · doi:10.3390/diagnostics15162097 · Cited by 5
Metadata
- Authors
- Alshammari, S. A., Alshammari, A. S., Alshammari, H. S., & Ahamed, S. S.
- Affiliations
- King Saud Medical City (SA)
- Corresponding author
- Alshammari, Sulaiman A.
- Venue
- Saudi Medical Journal
- Publisher
- Armed Forces Medical Services
- Published
- 2023-09-30
- Volume
- 44
- Issue
- 10
- Pages
- 951-964
- ISSN
- 0379-5284 (ISSN-L)
- 1658-3175
- PMC
- PMC10541986
- OpenAlex
- W4387212618
- Cited by
- 45
- References
- 60
- Citations by year
- 2026: 16 · 2025: 16 · 2024: 13
- FWCI
- 2.38
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Saudi Medical Journal (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- King Saud University
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- hypertension, hypertension prevalence, hypertension awareness, antihypertensive therapy, blood pressure control, Saudi Arabia, primary care, health policy, early detection and prevention, socioeconomic status, urban-rural differences, gender differences, age differences, ethnic differences, diabetes comorbidity, cardiovascular risk factors, lifestyle risk factors
- MeSH terms
- Cross-Sectional Studies, Health Promotion, Humans, Hypertension, Saudi Arabia, Prevalence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.