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

Journal article


Rana, Juwel, Oldroyd, John, Islam, Md Momin, Tarazona-Meza, Carla E. and Islam, Rakibul M.. (2020). Prevalence of hypertension and controlled hypertension among United States adults : Evidence from NHANES 2017-18 survey. International Journal of Cardiology Hypertension. 7, p. Article 100061. https://doi.org/10.1016/j.ijchy.2020.100061
AuthorsRana, Juwel, Oldroyd, John, Islam, Md Momin, Tarazona-Meza, Carla E. and Islam, Rakibul M.
Abstract

Background
This study aims to compare the prevalence of hypertension (HTN) and controlled hypertension (CHTN) in US adults and determine the absolute difference in the prevalence of HTN and CHTN between the JNC7 and ACC/AHA 2017 guidelines.

Methods
Data for this study were derived from the most recent cycle of the National Health and Nutrition Examination Survey (NHANES) 2017–2018. After excluding participants with missing systolic blood pressure (BP) or diastolic BP and aged <18 years, 4730 participants were included in the final analyses. BP was defined as the average of the first three measurements. The prevalence of HTN and CHTN, including absolute differences of these prevalences, were estimated using both JNC7 and ACC/AHA 2017 guidelines.

Results
The overall weighted prevalence of HTN was 31.7% (95% CI: 28.7–34.8) based on JNC7, while the corresponding prevalence was 45.6% (95% CI: 43.0–48.3) when new guideline of ACC/AHA was used. Of the people who had HTN according to the JNC7 and ACC/AHA 2017 guidelines, 48.2% (95% CI: 44.4–52.0) and 21.0% (95% CI: 18.1–24.2) had a controlled blood pressure level, respectively. When blood pressure was assessed using both guidelines, the greatest absolute increase in rates of HTN and CHTN was 17.4% and 30.0% in people aged 40–59 years, respectively.

Conclusion
Given the high burden of disease due to complications arising from untreated HTN, as well as the higher costs of untreated disease, new guidelines have important public health implications to early detection of patients at risk and prevent complications across different populations.

Keywordshypertension; hypertension control; JNC7; ACC/AHA 2017; USA
Year2020
JournalInternational Journal of Cardiology Hypertension
Journal citation7, p. Article 100061
PublisherElsevier B.V.
ISSN2590-0862
Digital Object Identifier (DOI)https://doi.org/10.1016/j.ijchy.2020.100061
PubMed ID33447782
Scopus EID2-s2.0-85094970241
PubMed Central IDPMC7803033
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-5
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online26 Oct 2020
Publication process dates
Accepted23 Oct 2020
Deposited22 Nov 2021
Permalink -

https://acuresearchbank.acu.edu.au/item/8x1vy/prevalence-of-hypertension-and-controlled-hypertension-among-united-states-adults-evidence-from-nhanes-2017-18-survey

Download files


Publisher's version
  • 46
    total views
  • 42
    total downloads
  • 1
    views this month
  • 4
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Prevalence of undiagnosed diabetes and the relative importance of its risk factors among adults in Bangladesh : Findings from a nationwide survey
Islam, Rakibul M., Magliano, Dianna J., Khan, Md. Nuruzzaman, Hossain, Mohammad Bellal, Rana, Juwel and Oldroyd, John C.. (2022). Prevalence of undiagnosed diabetes and the relative importance of its risk factors among adults in Bangladesh : Findings from a nationwide survey. Diabetes Research and Clinical Practice. 185, p. Article 109228. https://doi.org/10.1016/j.diabres.2022.109228
Awareness, treatment, and control of diabetes in Bangladesh : Evidence from the Bangladesh Demographic and Health Survey 2017/18
Khan, Nuruzzaman, Oldroyd, John C., Hossain, Mohammad Bellal and Islam, Rakibul M.. (2022). Awareness, treatment, and control of diabetes in Bangladesh : Evidence from the Bangladesh Demographic and Health Survey 2017/18. International Journal of Clinical Practice. 2022, p. Article 8349160. https://doi.org/10.1155/2022/8349160
The experiences of children and adolescents undergoing forced separation from their parents during migration : A systematic review
Oldroyd, John C., Kabir, Ashraful, Dzakpasu, Francis Q. S., Mahmud, Hasan, Rana, Juwel and Islam, Rakibul. (2022). The experiences of children and adolescents undergoing forced separation from their parents during migration : A systematic review. Health and Social Care in the Community. 30(3), pp. 888-898. https://doi.org/10.1111/hsc.13595
Prevalence, awareness, treatment, and control of hypertension in Bangladesh : Findings from National Demographic and Health Survey, 2017–2018
Khan, Nuruzzaman, Oldroyd, John C., Chowdhury, Enayet K., Hossain, Mohammad Bellal, Rana, Juwel, Renzetti, Stefano and Islam, Rakibul M.. (2021). Prevalence, awareness, treatment, and control of hypertension in Bangladesh : Findings from National Demographic and Health Survey, 2017–2018. Journal of Clinical Hypertension. 23(10), pp. 1830-1842. https://doi.org/10.1111/jch.14363
Social determinants of health
Oldroyd, John. (2019). Social determinants of health. In Public health : Local and global perspectives pp. 105-123 Cambridge University Press.