US Trends in Prevalence, Awareness, Treatment, and Control of Hypertension, 1988-2008
US Trends in Prevalence, Awareness, Treatment, and Control of Hypertension, 1988-2008
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DOI：
10.1001/jama.2010.650
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发表时间：
2010-05-26
影响因子：
120.7
通讯作者：
Axon, R. Neal
中科院分区：
文献类型：
--
作者：
Egan, Brent M.;Zhao, Yumin;Axon, R. Neal
背景高血压是心血管疾病的主要危险因素，治疗和控制高血压可降低风险。2010年健康人群的目标是在50%的美国人口中实现血压（BP）控制。目的评估1988- 2008年美国治疗和控制高血压的进展。设计，设置，1988-1994年和1999-2008年全国健康和营养检查调查（NHANES）在五个2-年组包括42856名年龄大于18岁的成年人，代表美国平民population.Main结果测量的概率样本高血压被定义为收缩压至少140毫米汞柱和舒张压至少90毫米汞柱，自我报告使用抗高血压药物，或两者。高血压控制定义为收缩压值小于140 mm Hg，舒张压值小于90 mm Hg。结果高血压患病率从1988-1994年的23.9%（95%CI，22.7%-25.2%）上升到28.5%（95%CI，25.9%-31.3%; P
Context Hypertension is a major risk factor for cardiovascular disease and treatment and control of hypertension reduces risk. The Healthy People 2010 goal was to achieve blood pressure (BP) control in 50% of the US population.Objective To assess progress in treating and controlling hypertension in the United States from 1988-2008.Design, Setting, and Participants The National Health and Nutrition Examination Survey (NHANES) 1988-1994 and 1999-2008 in five 2-year blocks included 42 856 adults aged older than 18 years, representing a probability sample of the US civilian population.Main Outcome Measures Hypertension was defined as systolic BP of at least 140 mm Hg and diastolic BP of at least 90 mm Hg, self-reported use of antihypertensive medications, or both. Hypertension control was defined as systolic BP values of less than 140 mm Hg and diastolic BP values of less than 90 mm Hg. All survey periods were age-adjusted to the year 2000 US population.Results Rates of hypertension increased from 23.9% (95% confidence interval [CI], 22.7%-25.2%) in 1988-1994 to 28.5% (95% CI, 25.9%-31.3%; P