Prevalence of hypertension and controlled hypertension among United States adults: Evidence from NHANES 2017-18 survey

Rana, Juwel; Oldroyd, John; Islam, Md. Momin; Tarazona-Meza, Carla; Islam, Rakibul M

doi:10.1016/j.ijchy.2020.100061

Cited by 32 publications

(28 citation statements)

References 21 publications

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“…Regarding the prevalence of HTN, the present data also revealed that it affects about one-third (32.5%) of adults in Dubai. This is comparable to the results from other countries worldwide [ 12 , 28 – 30 ]. Our prevalence lies within the range of HTN reported in the Gulf States (26.1%, 34%, and 37% in Saudi Arabia, Oman, and Kuwait, respectively) [ 26 , 31 , 32 ].…”

Section: Discussionsupporting

confidence: 90%

“…It is worth noting that, 62.1% of adults in Dubai are either overweight or obese (41.3%, 20.8%, respectively) [ 17 ]. International studies revealed a direct association between increased BMI and HBP and identified obesity as a major risk factor for HTN and PHTN [ 25 – 30 ]. The mechanisms by which obesity contributes to the development of HTN including insulin resistance among other pathophysiological changes [ 40 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and associated risk factors of hypertension and pre-hypertension among the adult population: findings from the Dubai Household Survey, 2019

Mamdouh

Alnakhi

Hussain

et al. 2022

BMC Cardiovasc Disord

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Background Minimal data is available on the prevalence and correlates of hypertension and prehypertension in Dubai. The study aims to measure the prevalence of hypertension and pre-hypertension and the associated socio-demographic characteristics, behavioral risk factors and comorbidities among the adult population of Dubai. Methods This study used data from the Dubai Household Health Survey, 2019. A cross-sectional population survey based on a complex stratified cluster random design. The total eligible sample included 2530 adults (18+). Sociodemographic and behavioral factors were considered as independent covariates. The main study outcome variables, pre-hypertension and hypertension, were ordinal, with normotension as the reference group. Results The overall prevalence of hypertension in adults was 32.5% (38.37% in males and 16.66% in females). Prehypertension was prevalent in 29.8% of adults in Dubai (28.85% in males and 32.31% in females). The multivariate logistic regression analysis revealed that age groups, gender, occupation, and high Body Mass Index were significantly associated with a higher risk of hypertension at the level of P < 0.05. No clear trend toward a higher correlation of hypertension was noted with the increase in age, except after the age of 50 years. Males were five- times more likely to be hypertensive than females. Participants enrolled in skilled and service works had a five times higher risk of hypertension, compared with the reference group (professionals). Obese subjects had a 5.47-times greater correlation of hypertension compared with normal-weight subjects. Physically active individuals were less likely to develop hypertension. For the correlates with prehypertension in the present analysis, skilled and service workers and those working in elementary jobs had a higher risk of prehypertension, compared with the reference group (professionals) Individuals with a status of overweight were associated with a higher prevalence of prehypertension compared with people of normal weight. Conclusions This study showed a high prevalence of prehypertension and hypertension among adults in Dubai. Some socio-demographic and behavioral risk factors were correlated with prehypertension and hypertension among the studied population. Interventions aiming at increasing public awareness about such risk factors are essential.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Prevalence and associated risk factors of hypertension and pre-hypertension among the adult population: findings from the Dubai Household Survey, 2019

Mamdouh

Alnakhi

Hussain

et al. 2022

BMC Cardiovasc Disord

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“…The study aimed to assess the prevalence of HTN in United States adults and determine the difference between the JNC7 and ACC/AHA 2017 guidelines. They found that, based on JNC7, the overall prevalence of HTN was 31.7%, and the corresponding prevalence was 45.6% when using the new guideline of ACC/AHA ( 28 ). In this study, the prevalence of HTN was 54%, which is about 8% more than in Rana's study.…”

Section: Discussionmentioning

confidence: 99%

“…In the meantime, both systolic pressure and diastolic pressure were significantly associated with blood lead levels in non-Hispanic white and black participants. Another study demonstrated that the prevalence of HTN in white, black, and Hispanic people is 46.0, 54.7, and 38.5%, respectively ( 28 ). Thus, the race is an important factor for BP, and more evidence should be explored in future studies.…”

Section: Discussionmentioning

confidence: 99%

Association Between Blood Lead Level With High Blood Pressure in US (NHANES 1999–2018)

Huang

2022

Front. Public Health

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BackgroundLead is a toxic metal for human health, but the effect on blood pressure (BP) is still controversial. The object of this study was to demonstrate the association between blood lead levels with BP and hypertension (HTN).MethodsWe used the database from the National Health and Nutrition Examination Survey (NHANES, 1999–2018) to perform a cross-sectional study. We performed multivariate regressions to examine the association between blood lead level with HTN and BP, and then a subgroup analysis was performed.ResultsA total of 32,289 participants were included in this study, but no significant difference was found between blood lead levels and HTN. However, the association between blood lead levels with systolic and diastolic pressure became positive. In the subgroup analysis stratified by race, the association between non-Hispanic white and black people still existed.ConclusionThe association between blood lead levels with HTN was not significant, but it was positively associated with BP. Besides, the association between non-Hispanic white and black people was also significant.

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“…Hypertension increases the risk of morbidity and mortality globally. About 45.6% of adults in the United States [ 1 ] and 1.13 billion worldwide have hypertension [ 2 ]. It contributes to cardiovascular diseases, such as coronary heart disease and stroke [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Is hypertension associated with arthritis? The United States national health and nutrition examination survey 1999–2018

et al. 2022

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Objective Hypertension and arthritis are two common diseases in the general population, with multiple common risk factors. This study aimed to assess the association between hypertension (HTN) and arthritis. Patients and methods This cohort study included 48,372 eligible non-pregnant participants aged ≥ 20 years who had valid data on hypertension and arthritis from the National Health and Nutrition Examination Survey (NHANES) 1999–2018. The association between hypertension and arthritis was studied by logistic regression, adjusting for demographics, socioeconomic factors, excess sodium intake, physical activity, ever smoking, diabetes status and body mass index (BMI). Results Among the participants, 48.0% (95% CI: 47.2–48.9) had hypertension and 24.5% (95% CI: 23.8–25.3) had self-reported arthritis. Hypertension was associated with arthritis [OR = 2.90, (95% CI: 2.74–3.07), p < 0.01], which remained significant [OR = 1.27, (95% CI:1.18–1.37), p < 0.01] after adjustments. Stratified by the types of arthritis, the association remained significant in rheumatoid arthritis (RA) [OR = 1.25, (95% CI: 1.11–1.41), p < 0.01] and osteoarthritis (OA) [OR = 1.32, (95% CI: 1.16–1.50); p < 0.01]. There was no clear association between hypertension and OA in participants aged 60 years old and above [OR = 1.08, (95% CI: 0.92–1.26); p = 0.37]. Conclusions In this large nationally representative survey over 20 years, arthritis, including both RA and OA, was strongly associated with hypertension. Our study demonstrates a need for hypertension screening and blood control among patients with arthritis. Key Messages Arthritis was associated with hypertension. Both rheumatoid arthritis and osteoarthritis are strongly associated with hypertension. There is an urgency for hypertension screening and blood control among patients with arthritis.

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Prevalence of hypertension and controlled hypertension among United States adults: Evidence from NHANES 2017-18 survey

Cited by 32 publications

References 21 publications

Prevalence and associated risk factors of hypertension and pre-hypertension among the adult population: findings from the Dubai Household Survey, 2019

Prevalence and associated risk factors of hypertension and pre-hypertension among the adult population: findings from the Dubai Household Survey, 2019

Association Between Blood Lead Level With High Blood Pressure in US (NHANES 1999–2018)

Is hypertension associated with arthritis? The United States national health and nutrition examination survey 1999–2018

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