 |
 |

Prevalence of Heart Disease and Stroke Risk Factors in Persons With Prehypertension in the United States, 1999-2000
Kurt J. Greenlund, PhD;
Janet B. Croft, PhD;
George A. Mensah, MD
Arch Intern Med. 2004;164:2113-2118.
Background Recent guidelines classify persons with above-optimal blood pressure (BP) but not clinical hypertension as having prehypertension.
Methods Data were analyzed for 3488 persons aged 20 years and older with BP measured in the 1999-2000 National Health and Nutrition Examination Survey. The prevalence of risk factorsabove-normal ( 200 mg/dL [ 5.17 mmol/L]) and high ( 240 mg/dL [ 6.21 mmol/L]) total cholesterol levels, diabetes mellitus, current smoker, and overweight or obesityand the number of risk factors present were compared among BP groups (normotension, prehypertension, and hypertension). Multivariable logistic regression included age, sex, and race/ethnicity as covariates.
Results Overall, 39% of persons were normotensive,31% were prehypertensive, and 29% were hypertensive. The age-adjusted prevalence of prehypertension was greater in men (39.0%) than in women (23.1%).African Americans aged 20 to 39 years had a higher prevalence of prehypertension (37.4%) than whites (32.2%) and Mexican Americans (30.9%), but their prevalence was lower at older ages because of a higher prevalence of hypertension. The probabilities of above-normal cholesterol levels, overweight/obesity, and diabetes mellitus were greater for persons with prehypertension vs normotension, whereas the probability of currently smoking was lower. Persons with prehypertension were 1.65 times more likely to have at least 1 other adverse risk factor than were those with normotension (P<.001). Among participants with prehypertension, there were no significant race/ethnic or sex differences in the likelihood of having at least 1 other risk factor.
Conclusions The greater prevalence of risk factors in persons with prehypertension vs normotension suggests the continued need for early clinical detection and intervention of prehypertension and comprehensive preventive and public health efforts.
Author Affiliations: Cardiovascular Health Branch, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga.
RELATED ARTICLES
Todays Agenda: We Must Focus on Achieving Favorable Levels of All Risk Factors Simultaneously
Martha L. Daviglus and Kiang Liu
Arch Intern Med. 2004;164(19):2086-2087.
EXTRACT
| FULL TEXT
Effects of Prehypertension on Admissions and Deaths: A Simulation
Louise B. Russell, Elmira Valiyeva, and Jeffrey L. Carson
Arch Intern Med. 2004;164(19):2119-2124.
ABSTRACT
| FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
 |
Heart Disease and Stroke Statistics--2008 Update: A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Rosamond et al.
Circulation 2008;117:e25-e146.
FULL TEXT
Psychosocial Factors and Progression From Prehypertension to Hypertension or Coronary Heart Disease
Player et al.
Ann Fam Med 2007;5:403-411.
ABSTRACT
| FULL TEXT
Prevalence of Cardiovascular Risk Factors and the Serum Levels of 25-Hydroxyvitamin D in the United States: Data From the Third National Health and Nutrition Examination Survey
Martins et al.
Arch Intern Med 2007;167:1159-1165.
ABSTRACT
| FULL TEXT
Prehypertension and Cardiovascular Disease Risk in the Women's Health Initiative
Hsia et al.
Circulation 2007;115:855-860.
ABSTRACT
| FULL TEXT
Heart Disease and Stroke Statistics--2007 Update: A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Rosamond et al.
Circulation 2007;115:e69-e171.
FULL TEXT
Prehypertension Revisited
Chobanian
Hypertension 2006;48:812-814.
FULL TEXT
Prevalence of Prehypertension and Associated Cardiovascular Risk Profiles Among Young Israeli Adults
Grotto et al.
Hypertension 2006;48:254-259.
ABSTRACT
| FULL TEXT
Feasibility of Treating Prehypertension with an Angiotensin-Receptor Blocker
Julius et al.
NEJM 2006;354:1685-1697.
ABSTRACT
| FULL TEXT
Heart Disease and Stroke Statistics--2006 Update: A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Thom et al.
Circulation 2006;113:e85-e151.
FULL TEXT
Trends in Hospitalizations for Pneumonia Among Persons Aged 65 Years or Older in the United States, 1988-2002
Fry et al.
JAMA 2005;294:2712-2719.
ABSTRACT
| FULL TEXT
Joint Effects of Systolic Blood Pressure and Serum Cholesterol on Cardiovascular Disease in the Asia Pacific Region
Asia Pacific Cohort Studies Collaboration
Circulation 2005;112:3384-3390.
ABSTRACT
| FULL TEXT
Prehypertension and Cardiovascular Morbidity
Liszka et al.
Ann Fam Med 2005;3:294-299.
ABSTRACT
| FULL TEXT
Management of Prehypertension
Svetkey
Hypertension 2005;45:1056-1061.
FULL TEXT
Today's Agenda: We Must Focus on Achieving Favorable Levels of All Risk Factors Simultaneously
Daviglus and Liu
Arch Intern Med 2004;164:2086-2087.
FULL TEXT
|