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Moreover, the pooled estimate of subjects with BMI ≥ 30 kg/m2 (57.7%, CIs 45.6-69.8) was markedly higher than those with BMI less then 30 kg/m2 (30.4%, CI 23.3-38.4). Although limited, available data reported higher rates of hypertension in Afro-Ecuadorians than other ethnicities. This study underlines a high prevalence of hypertension in adults nationwide, but mostly in elderly and obese individuals. The magnitude of this burden emphasizes the need for robust and targeted interventions to control hypertension, and ultimately reverse t