Skip to main content
Journal cover image

Proportion of US adults potentially affected by the 2014 hypertension guideline.

Publication ,  Journal Article
Navar-Boggan, AM; Pencina, MJ; Williams, K; Sniderman, AD; Peterson, ED
Published in: JAMA
April 9, 2014

IMPORTANCE: The new 2014 blood pressure (BP) guideline released by the panel members appointed to the Eighth Joint National Committee (JNC 8; 2014 BP guideline) proposed less restrictive BP targets for adults aged 60 years or older and for those with diabetes and chronic kidney disease. OBJECTIVE: To estimate the proportion of US adults potentially affected by recent changes in recommendations for management of hypertension. DESIGN: Cross-sectional, nationally representative survey. PARTICIPANTS: Using data from the National Health and Nutrition Examination Survey between 2005 and 2010 (n = 16,372), we evaluated hypertension control and treatment recommendations for US adults. MAIN OUTCOMES AND MEASURES: Proportion of adults estimated to meet guideline-based BP targets under the 2014 BP guideline and under the previous seventh Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) guideline. RESULTS: The proportion of younger adults (18-59 years) with treatment-eligible hypertension under the JNC 7 guideline was 20.3% (95% CI, 19.1%-21.4%) and decreased to 19.2% (95% CI, 18.1%-20.4%) under the 2014 BP guideline. Larger declines were observed among older adults (≥60 years), decreasing from 68.9% (95% CI, 66.9%-70.8%) under JNC 7 to 61.2% (95% CI, 59.3%-63.0%) under the 2014 BP guideline. The proportion of adults with treatment-eligible hypertension who met BP goals increased slightly for younger adults, from 41.2% (95% CI, 38.1%-44.3%) under JNC 7 to 47.5% (95% CI, 44.4%-50.6%) under the 2014 BP guideline, and more substantially for older adults, from 40.0% (95% CI, 37.8%-42.3%) under JNC 7 to 65.8% (95% CI, 63.7%-67.9%) under the 2014 BP guideline. Overall, 1.6% (95% CI, 1.3%-1.9%) of US adults aged 18-59 years and 27.6% (95% CI, 25.9%-29.3%) of adults aged 60 years or older were receiving BP-lowering medication and meeting more stringent JNC 7 targets. These patients may be eligible for less stringent or no BP therapy with the 2014 BP guideline. CONCLUSIONS AND RELEVANCE: Compared with the JNC 7 guideline, the 2014 BP guideline from the panel members appointed to the JNC 8 was associated with a reduction in the proportion of US adults recommended for hypertension treatment and a substantial increase in the proportion of adults considered to have achieved goal BP, primarily in older adults.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

JAMA

DOI

EISSN

1538-3598

Publication Date

April 9, 2014

Volume

311

Issue

14

Start / End Page

1424 / 1429

Location

United States

Related Subject Headings

  • United States
  • Renal Insufficiency, Chronic
  • Practice Guidelines as Topic
  • Middle Aged
  • Male
  • Hypertension
  • Humans
  • General & Internal Medicine
  • Female
  • Disease Management
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Navar-Boggan, A. M., Pencina, M. J., Williams, K., Sniderman, A. D., & Peterson, E. D. (2014). Proportion of US adults potentially affected by the 2014 hypertension guideline. JAMA, 311(14), 1424–1429. https://doi.org/10.1001/jama.2014.2531
Navar-Boggan, Ann Marie, Michael J. Pencina, Ken Williams, Allan D. Sniderman, and Eric D. Peterson. “Proportion of US adults potentially affected by the 2014 hypertension guideline.JAMA 311, no. 14 (April 9, 2014): 1424–29. https://doi.org/10.1001/jama.2014.2531.
Navar-Boggan AM, Pencina MJ, Williams K, Sniderman AD, Peterson ED. Proportion of US adults potentially affected by the 2014 hypertension guideline. JAMA. 2014 Apr 9;311(14):1424–9.
Navar-Boggan, Ann Marie, et al. “Proportion of US adults potentially affected by the 2014 hypertension guideline.JAMA, vol. 311, no. 14, Apr. 2014, pp. 1424–29. Pubmed, doi:10.1001/jama.2014.2531.
Navar-Boggan AM, Pencina MJ, Williams K, Sniderman AD, Peterson ED. Proportion of US adults potentially affected by the 2014 hypertension guideline. JAMA. 2014 Apr 9;311(14):1424–1429.
Journal cover image

Published In

JAMA

DOI

EISSN

1538-3598

Publication Date

April 9, 2014

Volume

311

Issue

14

Start / End Page

1424 / 1429

Location

United States

Related Subject Headings

  • United States
  • Renal Insufficiency, Chronic
  • Practice Guidelines as Topic
  • Middle Aged
  • Male
  • Hypertension
  • Humans
  • General & Internal Medicine
  • Female
  • Disease Management