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Age-Specific Prevalence and Factors Associated With Normal Blood Pressure Among US Adults.

Publication ,  Journal Article
Muntner, P; Jaeger, BC; Hardy, ST; Foti, K; Reynolds, K; Whelton, PK; Bowling, CB
Published in: Am J Hypertens
April 2, 2022

BACKGROUND: The mean systolic blood pressure (SBP) for US adults increases with age. Determining characteristics of US adults ≥65 years with normal blood pressure (BP) may inform approaches to prevent this increase. METHODS: We analyzed US National Health and Nutrition Examination Survey 2011-2018 data (n = 21,581). BP was measured up to 3 times and averaged. Normal BP was defined as SBP <120 mm Hg and diastolic BP (DBP) <80 mm Hg among participants not taking antihypertensive medication. Those with SBP ≥120 mm Hg, DBP ≥80 mm Hg, self-reporting having hypertension or taking antihypertensive medication were categorized as having elevated BP or hypertension. RESULTS: The prevalence of normal BP was 57.8%, 25.3%, 11.2%, and 5.0% among US adults who were 18-44, 45-64, 65-74, and ≥75 years, respectively. After multivariable adjustment, in US adults ≥65 years of age, normal BP vs. elevated BP/hypertension was more common among those with moderate and no vs. heavy alcohol consumption (prevalence ratio [PR] 3.03; 95% confidence interval [CI] 1.25-7.36 and 2.53; 95% CI 0.96-6.65, respectively), ≥150 vs. <150 minutes of physical activity per week (PR = 1.44; 95% CI 1.01-2.05), overweight and normal weight vs. obesity (PR = 1.88; 95% CI 1.22-2.90 and 2.94; 95% CI 1.89-4.59, respectively), and a high Dietary Approaches to Stop Hypertension score (PR = 1.43; 95% CI 1.00-2.05). US adults ≥65 years with normal BP vs. elevated BP/hypertension were less likely to have good or fair/poor vs. excellent/very good self-rated health, diabetes, albuminuria, atherosclerotic cardiovascular disease, and heart failure. CONCLUSIONS: Among US adults ≥65 years, normal BP was associated with healthy lifestyle factors and a lower prevalence of adverse health conditions.

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Published In

Am J Hypertens

DOI

EISSN

1941-7225

Publication Date

April 2, 2022

Volume

35

Issue

4

Start / End Page

319 / 327

Location

United States

Related Subject Headings

  • Prevalence
  • Nutrition Surveys
  • Hypertension
  • Humans
  • Cardiovascular System & Hematology
  • Blood Pressure
  • Antihypertensive Agents
  • Age Factors
  • Adult
  • 3202 Clinical sciences
 

Citation

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Chicago
ICMJE
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Muntner, P., Jaeger, B. C., Hardy, S. T., Foti, K., Reynolds, K., Whelton, P. K., & Bowling, C. B. (2022). Age-Specific Prevalence and Factors Associated With Normal Blood Pressure Among US Adults. Am J Hypertens, 35(4), 319–327. https://doi.org/10.1093/ajh/hpab154
Muntner, Paul, Byron C. Jaeger, Shakia T. Hardy, Kathryn Foti, Kristi Reynolds, Paul K. Whelton, and C Barrett Bowling. “Age-Specific Prevalence and Factors Associated With Normal Blood Pressure Among US Adults.Am J Hypertens 35, no. 4 (April 2, 2022): 319–27. https://doi.org/10.1093/ajh/hpab154.
Muntner P, Jaeger BC, Hardy ST, Foti K, Reynolds K, Whelton PK, et al. Age-Specific Prevalence and Factors Associated With Normal Blood Pressure Among US Adults. Am J Hypertens. 2022 Apr 2;35(4):319–27.
Muntner, Paul, et al. “Age-Specific Prevalence and Factors Associated With Normal Blood Pressure Among US Adults.Am J Hypertens, vol. 35, no. 4, Apr. 2022, pp. 319–27. Pubmed, doi:10.1093/ajh/hpab154.
Muntner P, Jaeger BC, Hardy ST, Foti K, Reynolds K, Whelton PK, Bowling CB. Age-Specific Prevalence and Factors Associated With Normal Blood Pressure Among US Adults. Am J Hypertens. 2022 Apr 2;35(4):319–327.
Journal cover image

Published In

Am J Hypertens

DOI

EISSN

1941-7225

Publication Date

April 2, 2022

Volume

35

Issue

4

Start / End Page

319 / 327

Location

United States

Related Subject Headings

  • Prevalence
  • Nutrition Surveys
  • Hypertension
  • Humans
  • Cardiovascular System & Hematology
  • Blood Pressure
  • Antihypertensive Agents
  • Age Factors
  • Adult
  • 3202 Clinical sciences