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
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
收藏
页码:270 / 276
页数:7
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