title: Trends in hypertension prevalence, awareness, treatment, and control among US adults 80 years and older, 1988-2010.
abstract: 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 80 years and older in serial National Health and Nutrition Examination Surveys. Hypertension was defined as SBP ≥140 mm Hg, DBP ≥90 mm Hg, or use of antihypertensive medication. Awareness and treatment were defined by self-report and control as SBP/DBP<140/90 mm Hg. Mean SBP decreased from 147.3 mm Hg to 140.1 mm Hg and mean DBP from 70.2 mm Hg to 59.4 mm Hg 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.
authors.affiliation: University of Alabama at Birmingham, Birmingham, AL.
authors.forename: Samantha G
authors.initials: SG
authors.lastname: Bromfield
authors.forename: C Barrett
authors.initials: CB
authors.lastname: Bowling
authors.forename: Rikki M
authors.initials: RM
authors.lastname: Tanner
authors.forename: Carmen A
authors.initials: CA
authors.lastname: Peralta
authors.forename: Michelle C
authors.initials: MC
authors.lastname: Odden
authors.forename: Suzanne
authors.initials: S
authors.lastname: Oparil
authors.forename: Paul
authors.initials: P
authors.lastname: Muntner
mesh_terms: D000367:Age Factors; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000145:classification / Q000627:therapeutic use*; D001794:Blood Pressure / Q000502:physiology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000453:epidemiology* / Q000503:physiopathology; D008297:Male; D009749:Nutrition Surveys; D010353:Patient Education as Topic / Q000639:trends*; D015995:Prevalence; D012189:Retrospective Studies; D057566:Self Report; D014481:United States / Q000453:epidemiology
chemical_list: D000959:Antihypertensive Agents