Prevalence and control rates of hypertension in the USA: 2017-2018.
Prevalence and control rates of hypertension in the USA: 2017-2018.
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DOI：
10.1016/j.ijchy.2020.100044
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发表时间：
2020-09
期刊：
影响因子：
--
通讯作者：
Nfor T
中科院分区：
文献类型：
--
作者：
Chobufo MD;Gayam V;Soluny J;Rahman EU;Enoru S;Foryoung JB;Agbor VN;Dufresne A;Nfor T
最近对高血压指南的审查需要对患病率和控制率进行更新。虽然回顾性分析提供了负担估计，控制率是严重误导。我们开始使用当代NHANES数据更新美国高血压的患病率和控制率。平均收缩压（mSBP）≥130 mmHg或平均舒张压（mDBP）≥80 mmHg或自我报告当前使用降压药物的患者被归类为高血压患者。mSBP <130 mmHg和mDBP <80 mmHg的高血压患者被归类为控制良好的高血压。采用卡方检验计算高血压患病率的亚组比较。高血压和血压控制良好的预测因素采用多变量logistic回归进行评估。双尾p值<0.05被认为具有统计学显著性。2017-2018年，美国高血压患病率为49.64%（95%CI 46.67-52.61），相当于1.15亿（95%CI 1.04 - 1.28）人。布莱克：58.53%（95% CI 55.39-61.60）;男性：54.46%（95% CI 51.01-57.87）;老年人和肥胖者：61.03%（95% CI 57.31-64.63）以及糖尿病和CKD患者。总体高血压控制良好率为39.64%（95%CI 36.20-42.81）。至少有大学学位的人：OR 2.20（95% CI 1.02-5.04，p=0.049）和收入≥3倍贫困线的人; OR 1.88（95% CI 1.1.8-2.99，p=0.011）与最低类别相比，高血压控制良好的比率较高。在美国，每两个≥20岁的人中就有一个患有高血压，只有39.64%的人服用药物后高血压得到良好控制。不同亚群类别的负担率和控制率存在显著差异。有针对性的干预措施有助于提高美国高血压的患病率和控制率。
Recent review of hypertension guidelines requires fresh updates of prevalence and control rates. Though retrospective analysis provided burden estimates, control rates were grossly misleading. We set out to update the prevalence and control rates of hypertension in the USA using contemporary NHANES data. Persons with mean systolic blood pressure (mSBP) ≥130 mmHg or mean diastolic blood pressure (mDBP) ≥80 mmHg or self-reported current use of antihypertensive medications were classified as hypertensives. Hypertensives on medications with mSBP <130 mmHg and mDBP <80 mmHg were classified as having well-controlled hypertension. Subgroup comparisons of hypertension prevalence were computed using Chi-square test. Predictors of hypertension and well-controlled BP were assessed using multivariable logistic regressions. Two tailed p-values <0.05 were considered statistically significant. The prevalence of hypertension in the USA in 2017–2018 was 49.64% (95% CI 46.67–52.61) corresponding to 115(95% CI 104–128) million persons. NH Blacks: 58.53% (95% CI 55.39–61.60); Men: 54.46% (95% CI 51.01–57.87); older persons and obese individuals: 61.03% (95% CI 57.31–64.63) as well as persons with diabetes and CKD, comparatively. The overall rate of well-controlled hypertension was 39.64% (95% CI 36.20–42.81). Persons with at least a college degree: OR 2.20(95% CI 1.02–5.04, p=0.049) and persons with incomes ≥3 times the poverty threshold; OR 1.88(95% CI 1.1.8–2.99, p=0.011) had higher rates of well-controlled hypertension when compared to lowest categories. One in every two persons ≥20 years in the USA has hypertension with only 39.64% on medications having well-controlled hypertension. Significant discrepancies exist in the burden and control rates in different subpopulation categories. Targeted interventions could help improve the prevalence and hypertension control rates in the USA.
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影响因子：
39.2
作者：
Levey AS;Stevens LA;Schmid CH;Zhang YL;Castro AF 3rd;Feldman HI;Kusek JW;Eggers P;Van Lente F;Greene T;Coresh J;CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration)
通讯作者：
CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration)
影响因子：
3.5
作者：
Ditah, Chobufo Muchi;Rahman, Ebad;Dufresne, Alix
通讯作者：
Dufresne, Alix
DOI：
10.1056/nejmoa1511939
发表时间：
2015-11-26
期刊：
The New England journal of medicine
影响因子：
--
作者：
SPRINT Research Group;Wright JT Jr;Williamson JD;Whelton PK;Snyder JK;Sink KM;Rocco MV;Reboussin DM;Rahman M;Oparil S;Lewis CE;Kimmel PL;Johnson KC;Goff DC Jr;Fine LJ;Cutler JA;Cushman WC;Cheung AK;Ambrosius WT
通讯作者：
Ambrosius WT
影响因子：
37.8
作者：
Mills KT;Bundy JD;Kelly TN;Reed JE;Kearney PM;Reynolds K;Chen J;He J
通讯作者：
He J
影响因子：
5.4
作者：
Dorans KS;Mills KT;Liu Y;He J
通讯作者：
He J