Trends in Prehypertension and Hypertension Risk Factors in US Adults: 1999-2012

Prehypertension is associated with increased risk for hypertension and cardiovascular disease. Data are limited on the temporal changes in the prevalence of prehypertension and risk factors for hypertension and cardiovascular disease among US adults with prehypertension. We analyzed data from 30 958...

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Veröffentlicht in:Hypertension (Dallas, Tex. 1979) Tex. 1979), 2017-08, Vol.70 (2), p.275-284
Hauptverfasser: Booth, 3rd, John N, Li, Jiexiang, Zhang, Lu, Chen, Liwei, Muntner, Paul, Egan, Brent
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container_title Hypertension (Dallas, Tex. 1979)
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creator Booth, 3rd, John N
Li, Jiexiang
Zhang, Lu
Chen, Liwei
Muntner, Paul
Egan, Brent
description Prehypertension is associated with increased risk for hypertension and cardiovascular disease. Data are limited on the temporal changes in the prevalence of prehypertension and risk factors for hypertension and cardiovascular disease among US adults with prehypertension. We analyzed data from 30 958 US adults ≥20 years of age who participated in the National Health and Nutrition Examination Surveys between 1999 and 2012. Using the mean of 3 blood pressure (BP) measurements from a study examination, prehypertension was defined as systolic BP of 120 to 139 mm Hg and diastolic BP
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Data are limited on the temporal changes in the prevalence of prehypertension and risk factors for hypertension and cardiovascular disease among US adults with prehypertension. We analyzed data from 30 958 US adults ≥20 years of age who participated in the National Health and Nutrition Examination Surveys between 1999 and 2012. Using the mean of 3 blood pressure (BP) measurements from a study examination, prehypertension was defined as systolic BP of 120 to 139 mm Hg and diastolic BP &lt;90 mm Hg or diastolic BP of 80 to 89 mm Hg and systolic BP &lt;140 mm Hg among participants not taking antihypertensive medication. Between 1999-2000 and 2011-2012, the percentage of US adults with prehypertension decreased from 31.2% to 28.2% ( trend=0.007). During this time period, the prevalence of several risk factors for cardiovascular disease and incident hypertension increased among US adults with prehypertension, including prediabetes (9.6% to 21.6%), diabetes mellitus (6.0% to 8.5%), overweight (33.5% to 37.3%), and obesity (30.6% to 35.2%). There was a nonstatistically significant increase in no weekly leisure-time physical activity (40.0% to 43.9%). Also, the prevalence of adhering to the Dietary Approaches to Stop Hypertension eating pattern decreased (18.4% to 11.9%). In contrast, there was a nonstatistically significant decline in current smoking (25.9% to 23.2%). In conclusion, the prevalence of prehypertension has decreased modestly since 1999-2000. 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During this time period, the prevalence of several risk factors for cardiovascular disease and incident hypertension increased among US adults with prehypertension, including prediabetes (9.6% to 21.6%), diabetes mellitus (6.0% to 8.5%), overweight (33.5% to 37.3%), and obesity (30.6% to 35.2%). There was a nonstatistically significant increase in no weekly leisure-time physical activity (40.0% to 43.9%). Also, the prevalence of adhering to the Dietary Approaches to Stop Hypertension eating pattern decreased (18.4% to 11.9%). In contrast, there was a nonstatistically significant decline in current smoking (25.9% to 23.2%). In conclusion, the prevalence of prehypertension has decreased modestly since 1999-2000. 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source MEDLINE; American Heart Association Journals; EZB-FREE-00999 freely available EZB journals; Journals@Ovid Complete
subjects Adult
Antihypertensive Agents - therapeutic use
Blood Pressure - drug effects
Blood Pressure - physiology
Blood Pressure Determination - methods
Blood Pressure Determination - statistics & numerical data
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - prevention & control
Female
Health Behavior - physiology
Humans
Hypertension - diagnosis
Hypertension - epidemiology
Hypertension - physiopathology
Hypertension - prevention & control
Life Style
Male
Middle Aged
Nutrition Surveys
Prehypertension - diagnosis
Prehypertension - epidemiology
Prehypertension - physiopathology
Prehypertension - psychology
Prevalence
Preventive Health Services - organization & administration
Risk Factors
United States - epidemiology
title Trends in Prehypertension and Hypertension Risk Factors in US Adults: 1999-2012
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