Trends in Blood Pressure Among Adults With Hypertension United States, 2003 to 2012

Details

• Alternative Title:
  Hypertension
• Personal Author:
  Yoon, Sung Sug ; Gu, Qiuping ; Nwankwo, Tatiana ; Wright, Jacqueline D. ; Hong, Yuling ; Burt, Vicki
• Description:
  The aim of this study is to describe trends in the awareness, treatment, and control of hypertension; mean blood pressure; and the classification of blood pressure among US adults 2003 to 2012. Using data from the National Health and Nutrition Examination Survey 2003 to 2012, a total of 9255 adult participants aged ≥18 years were identified as having hypertension, defined as measured blood pressure ≥140/90 mm Hg or taking prescription medication for hypertension. Awareness and treatment among hypertensive adults were ascertained via an interviewer administered questionnaire. Controlled hypertension among hypertensive adults was defined as systolic blood pressure <140 mm Hg and diastolic blood pressure <90 mm Hg. Blood pressure was categorized as optimal blood pressure, prehypertension, and stage I and stage II hypertension. Between 2003 and 2012, the percentage of adults with controlled hypertension increased (P-trend <0.01). Hypertensive adults with optimal blood pressure and with prehypertension increased from 13% to 19% and 27% to 33%, respectively (P-trend <0.01 for both groups). Among hypertensive adults who were taking antihypertensive medication, uncontrolled hypertension decreased from 38% to 30% (P-trend <0.01). Similarly, a decrease in mean systolic blood pressure was observed (P-trend <0.01); however, mean diastolic blood pressure remained unchanged. The trend in the control of blood pressure has improved among hypertensive adults resulting in a higher percentage with blood pressure at the optimal or prehypertension level and a lower percentage in stage I and stage II hypertension. Overall, mean systolic blood pressure decreased as did the prevalence of uncontrolled hypertension among the treated hypertensive population.
• Subjects:
  Adolescent Adult Blood Pressure Cross-Sectional Studies Disease Progression Female Follow-Up Studies Forecasting Humans Hypertension Male Middle Aged Prevalence Retrospective Studies Surveys And Questionnaires Time Factors United States Young Adult

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• Keywords:
  Blood Pressure Epidemiology Hypertension Prevention And Control Therapeutics
• Source:
  Hypertension. 65(1):54-61
• Pubmed ID:
  25399687
• Pubmed Central ID:
  PMC11262548
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  65
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:e463f893ed6a99b38fa9a5ec7739e7232276eef8b7f10d8dbd676c760dd559b3c77483ded4677bd49f3efe0650dfce27b6b970e745f11ad620061db89e03aae9
• Download URL:
  https://stacks.cdc.gov/view/cdc/159342/cdc_159342_DS1.pdf
• File Type:
  [PDF - 521.04 KB ]