Trends in Prevalence, Awareness, Management, and Control of Hypertension Among United States Adults, 1999 to 2010

Guo, Fangjian; He, Dongyang; Zhang, Wei; Walton, Robert G.

doi:10.1016/j.jacc.2012.04.026

Cited by 361 publications

(319 citation statements)

References 25 publications

Supporting

Mentioning

277

Contrasting

Unclassified

Order By: Relevance

“…The higher incidence of hypertension in blacks compared with whites in the current study is consistent with previous cross‐sectional and longitudinal studies 3, 4, 5, 6, 7, 8, 15, 16. In a previous analysis of the CARDIA study, 10‐year incidence of hypertension was 16.4% in black men, 13.1% in black women, 7.8% in white men, and 3.2% in white women 3.…”

Section: Discussionsupporting

confidence: 92%

“…Cross‐sectional studies using data from the National Health and Nutrition Examination Survey (NHANES) have consistently reported a higher prevalence of hypertension in blacks compared with whites beginning at a young age 4, 5, 6, 7, 8. However, few studies have used longitudinal data to quantify the cumulative incidence of hypertension from young adulthood through middle age among blacks and whites.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cumulative Incidence of Hypertension by 55 Years of Age in Blacks and Whites: The CARDIA Study

Thomas

Booth

Dai

et al. 2018

JAHA

View full text Add to dashboard Cite

BackgroundBlacks have higher blood pressure levels compared with whites beginning in childhood. Few data are available on racial differences in the incidence of hypertension from young adulthood through middle age.Methods and ResultsWe calculated the cumulative incidence of hypertension from age 18 to 55 years among participants in the CARDIA (Coronary Artery Risk Development in Young Adults) study. Incident hypertension was defined by the first visit with mean systolic blood pressure ≥130 mm Hg, mean diastolic blood pressure ≥80 mm Hg, or self‐reported use of antihypertensive medication. Among 3890 participants without hypertension at baseline (aged 18–30 years), cumulative incidence of hypertension by age 55 years was 75.5%, 75.7%, 54.5%, and 40.0% in black men, black women, white men, and white women, respectively. Among participants with systolic blood pressure/diastolic blood pressure <110 and 70, 110 to 119/70 to 74, and 120 to 129/75 to 79 mm Hg at baseline, blacks were more likely than whites to develop hypertension: multivariable‐adjusted hazard ratios 1.97 (95% confidence interval, 1.65, 2.35), 1.80 (95% confidence interval, 1.52, 2.14), and 1.59 (95% confidence interval, 1.31, 1.93), respectively. Parental history of hypertension and higher body mass index, serum uric acid, and systolic blood pressure/diastolic blood pressure categories were associated with a higher risk for hypertension among blacks and whites. A higher Dietary Approaches to Stop Hypertension diet adherence score was associated with a lower risk for hypertension in blacks and whites.ConclusionsRegardless of blood pressure level in young adulthood, blacks have a substantially higher risk for hypertension compared with whites through 55 years of age.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Cumulative Incidence of Hypertension by 55 Years of Age in Blacks and Whites: The CARDIA Study

Thomas

Booth

Dai

et al. 2018

JAHA

View full text Add to dashboard Cite

show abstract

“…Further studies are need to unravel the underlying causes of this troubling phenomena. The improvements in mean blood pressure and blood cholesterol may reflect the healthy trends in the US population, including decreases in the proportion of dietary saturated fat; increases in fruits and vegetables and the proportion of polyunsaturated and monounsaturated fats in the diet34, 35, 36, 37; decreased smoking38, 39, 40; and increased awareness, identification, and pharmacological treatment of high cholesterol and blood pressure levels 25, 41…”

Section: Discussionmentioning

confidence: 99%

Trends in Cardiovascular Health Metrics in Obese Adults: National Health and Nutrition Examination Survey (NHANES), 1988–2014

Guo

Garvey

2016

JAHA

Self Cite

View full text Add to dashboard Cite

BackgroundNo study has quantified trends in the prevalence of cardiovascular disease risk factors and cardiovascular health metrics among obese people in the United States in recent years.Methods and ResultsWe examined the secular changes in cardiovascular health metrics and key cardiovascular disease risk factors among obese adults (aged ≥20 years) in the United States. We included 18 626 obese adults (body mass index ≥30) from the National Health and Nutrition Examination Survey (NHANES) III and NHANES 1999–2014. Among those obese adults, there were decreases in mean systolic blood pressure, diastolic blood pressure, and total cholesterol levels and increases in mean high‐density lipoprotein cholesterol levels and mean hemoglobin A1c levels. Prevalence of blood pressure health and lipid health remained stable during the period 1988–2014, whereas prevalence of blood glucose health decreased significantly during this period. Prevalence of freedom from cardiovascular disease risk factors remained stable at ≈15% among the adult obese population during the period 1988–2014, whereas prevalence of presence of all 3 risk factors increased from 16.4% to 22.4% during this period, commensurate with a decline in those with 1 to 2 risk factors (from 69.6% to 62.4%).ConclusionsDuring the past 3 decades, blood pressure health and blood lipid health remained stable or improved, whereas blood glucose health deteriorated among adult obese population. This resulted in an overall decrease in cardiovascular health status among obese adults and greater risk of type 2 diabetes mellitus. The data argue for interventions targeted to those obese persons who are metabolically unhealthy to stem rising rates of diabetes mellitus.

show abstract

“…Babatsikou and Zavitsanou (2010) reported that the prevalence of HTN in European and American elderly populations ranges from 53% to 72% (35). The prevalence of HTN in elderly individuals was 66.7% in the United States (36), and 58% in Belarus (37). (11).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Hypertension and Its Relationship with Health Complaints in Elderly Iranians: A Multi-Site Community-Based Study

Tanjani

Dobson

Babanejad

et al. 2017

Iran Red Crescent Med J

View full text Add to dashboard Cite

Trends in Prevalence, Awareness, Management, and Control of Hypertension Among United States Adults, 1999 to 2010

Abstract: From 1999 to 2010, prevalence of hypertension remained stable. Hypertension awareness, management, and control were improved, but remained poor; nevertheless, there has been no improvement since 2007.

Cited by 361 publications

References 25 publications

Cumulative Incidence of Hypertension by 55 Years of Age in Blacks and Whites: The CARDIA Study

Cumulative Incidence of Hypertension by 55 Years of Age in Blacks and Whites: The CARDIA Study

Trends in Cardiovascular Health Metrics in Obese Adults: National Health and Nutrition Examination Survey (NHANES), 1988–2014

Prevalence of Hypertension and Its Relationship with Health Complaints in Elderly Iranians: A Multi-Site Community-Based Study

Contact Info

Product

Resources

About