Trends in Hypertension Prevalence, Awareness, Treatment, and Control Among US Adults 80 Years and Older, 1988-2010

被引：60

作者：

Bromfield, Samantha G. ^{[1
]}

Bowling, C. Barrett ^{[2
,3
]}

Tanner, Rikki M. ^{[1
]}

Peralta, Carmen A. ^{[4
]}

Odden, Michelle C. ^{[5
]}

Oparil, Suzanne ^{[1
]}

Muntner, Paul ^{[1
]}

机构：

[1] Univ Alabama Birmingham, Birmingham, AL 35294 USA

[2] Birmingham Atlanta VA Geriatr Res Educ & Clin Ctr, Atlanta, GA USA

[3] Emory Univ, Atlanta, GA 30322 USA

[4] Univ Calif San Francisco, San Francisco, CA 94143 USA

[5] Oregon State Univ, Corvallis, OR 97331 USA

来源：

JOURNAL OF CLINICAL HYPERTENSION | 2014年 / 16卷 / 04期

关键词：

SYSTOLIC BLOOD-PRESSURE; UNITED-STATES ADULTS; NUTRITION EXAMINATION SURVEY; NATIONAL-HEALTH; METAANALYSIS; MORTALITY; DISEASE; FALLS; AGE; POPULATION;

D O I：

10.1111/jch.12281

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

The authors examined trends in systolic blood pressure (SBP) and diastolic blood pressure (DBP) and the prevalence, awareness, treatment, and control of hypertension in 1988-1994 (n=1164), 1999-2004 (n=1,026), and 2005-2010 (n=1048) among US adults 80years and older in serial National Health and Nutrition Examination Surveys. Hypertension was defined as SBP 140mmHg, DBP 90mmHg, or use of antihypertensive medication. Awareness and treatment were defined by self-report and control as SBP/DBP<140/90mmHg. Mean SBP decreased from 147.3mmHg to 140.1mmHg and mean DBP from 70.2mmHg to 59.4mmHg between 1988-1994 and 2005-2010. The prevalence, awareness, and treatment of hypertension each increased over time. Controlled hypertension increased from 30.4% in 1988-1994 to 53.1% in 2005-2010. The proportion of patients taking ?3 classes of antihypertensive medication increased from 7.0% to 30.9% between 1988-1994 and 2005-2010. Increases in awareness, treatment, and control of hypertension and antihypertensive polypharmacy have been observed among very old US adults.

引用

页码：270 / 276

页数：7

共 35 条

[1] CONTROVERSY IN TREATING THE OLDEST OLD WITH HYPERTENSION: IS THE HYPERTENSION IN THE VERY ELDERLY TRIAL THE FINAL ANSWER? [J].

Abramov, Dmitry ;

Cheng, Huai .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2009, 57 (03) :570-571

[2]

[Anonymous], POPULATION ESTIMATES

[3] ACCF/AHA 2011 Expert Consensus Document on Hypertension in the Elderly A Report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents [J].

Aronow, Wilbert S. ;

Fleg, Jerome L. ;

Pepine, Carl J. ;

Artinian, Nancy T. ;

Bakris, George ;

Brown, Alan S. ;

Ferdinand, Keith C. ;

Forciea, Mary Ann ;

Frishman, William H. ;

Jaigobin, Cheryl ;

Kostis, John B. ;

Mancia, Giuseppi ;

Oparil, Suzanne ;

Ortiz, Eduardo ;

Reisin, Efrain ;

Rich, Michael W. ;

Schocken, Douglas D. ;

Weber, Michael A. ;

Wesley, Deborah J. ;

Harrington, Robert A. ;

Bates, Eric R. ;

Bhatt, Deepak L. ;

Bridges, Charles R. ;

Eisenberg, Mark J. ;

Ferrari, Victor A. ;

Fisher, John D. ;

Gardner, Timothy J. ;

Gentile, Federico ;

Gilson, Michael F. ;

Hlatky, Mark A. ;

Jacobs, Alice K. ;

Kaul, Sanjay ;

Moliterno, David J. ;

Mukherjee, Debabrata ;

Rosenson, Robert S. ;

Stein, James H. ;

Weitz, Howard H. ;

Wesley, Deborah J. .

CIRCULATION, 2011, 123 (21) :2434-2506

[4] Treatment of hypertension in patients 80 years of age or older [J].

Beckett, Nigel S. ;

Peters, Ruth ;

Fletcher, Astrid E. ;

Staessen, Jan A. ;

Liu, Lisheng ;

Dumitrascu, Dan ;

Stoyanovsky, Vassil ;

Antikainen, Riitta L. ;

Nikitin, Yuri ;

Anderson, Craig ;

Belhani, Alli ;

Forette, Francoise ;

Rajkumar, Chakravarthi ;

Thijs, Lutgarde ;

Banya, Winston ;

Bulpitt, Christopher J. .

NEW ENGLAND JOURNAL OF MEDICINE, 2008, 358 (18) :1887-1898

[5] Treatment of hypertension in patients 80 years and older: the lower the better? A meta-analysis of randomized controlled trials [J].

Bejan-Angoulvant, Theodora ;

Saadatian-Elahi, Mitra ;

Wright, James M. ;

Schron, Eleanor B. ;

Lindholm, Lars H. ;

Fagard, Robert ;

Staessen, Jan A. ;

Gueyffier, Francois .

JOURNAL OF HYPERTENSION, 2010, 28 (07) :1366-1372

[6] Prevalence of Frailty in Community-Dwelling Older Persons: A Systematic Review [J].

Collard, Rose M. ;

Boter, Han ;

Schoevers, Robert A. ;

Voshaar, Richard C. Oude .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2012, 60 (08) :1487-1492

[7] Prevalence of chronic kidney disease and decreased kidney function in the adult US population: Third National Health and Nutrition Examination Survey [J].

Coresh, J ;

Astor, BC ;

Greene, T ;

Eknoyan, G ;

Levey, AS .

AMERICAN JOURNAL OF KIDNEY DISEASES, 2003, 41 (01) :1-12

[8] US Trends in Prevalence, Awareness, Treatment, and Control of Hypertension, 1988-2008 [J].

Egan, Brent M. ;

Zhao, Yumin ;

Axon, R. Neal .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2010, 303 (20) :2043-2050

[9]

Gill TM, 2003, J GERONTOL A-BIOL, V58, P70

[10] Risk of falls associated with antihypertensive medication: population-based case-control study [J].

Gribbin, Jonathan ;

Hubbard, Richard ;

Gladman, John R. F. ;

Smith, Chris ;

Lewis, Sarah .

AGE AND AGEING, 2010, 39 (05) :592-597

← 1 2 3 4 →