Untreated Isolated Sytolic Hypertension among Middle-Aged and Old Adults in the United States: Trends in the Prevalence by Demographic Factors During 1999–2010

Isolated systolic hypertension (ISH) predominates hemodynamic hypertension subtypes and becomes a significant factor for cardiovascular and renal outcomes in middle-aged and old adults. The prevalence and changes of untreated ISH have not been fully investigated in this population. A total of 12,097 participants aged ≥40 years were selected from the National Health and Nutrition Examination Survey 1999–2010. The overall prevalence of untreated ISH was 15.2%. The prevalence decreased significantly from 16.8% in 1999–2004 to 13.5% in 2005–2010. Females, non-Hispanic blacks, and adults with low education had higher prevalence of untreated ISH than males, non-Hispanic whites, and adults with high education, respectively. Compared with 1999–2004, the prevalence of untreated ISH in 2005–2010 reduced in old adults (28.0% versus 37.7%), females (14.3% versus 19.5%), and non-Hispanic whites (12.7% versus 16.2%). The stratified prevalence of untreated ISH decreased in 2005–2010 in non-Hispanic white females (12.8% versus 18.6%) and females who did not attend college (16.9% versus 21.8%). Untreated ISH is more prevalent in old and female subjects, and significant improvements in these groups suggest that public health measures or changes are in the right direction.

Download Full-text

Is the Association of Diabetes With Uncontrolled Blood Pressure Stronger in Mexican Americans and Blacks Than in Whites Among Diagnosed Hypertensive Patients?

American Journal of Hypertension ◽

10.1093/ajh/hpt109 ◽

2013 ◽

Vol 26 (11) ◽

pp. 1328-1334 ◽

Cited By ~ 9

Author(s):

Xuefeng Liu ◽

Ping Song

Keyword(s):

Blood Pressure ◽

Racial Differences ◽

Mexican Americans ◽

The United States ◽

Linear Regression Models ◽

Uncontrolled Blood Pressure ◽

Hypertensive Patients ◽

Health And Nutrition ◽

Multistage Design ◽

Hispanic White

Abstract BACKGROUND Clinical evidence shows that diabetes may provoke uncontrolled blood pressure (BP) in hypertensive patients. However, racial differences in the associations of diabetes with uncontrolled BP outcomes among diagnosed hypertensive patients have not been evaluated. METHODS A total of 6,134 diagnosed hypertensive subjects aged ≥20 years were collected from the National Health and Nutrition Examination Survey 1999–2008 with a stratified multistage design. Odds ratios (ORs) and relative ORs of uncontrolled BP and effect differences in continuous BP for diabetes over race/ethnicity were derived using weighted logistic regression and linear regression models. RESULTS Compared with participants who did not have diabetes, non-Hispanic black participants with diabetes had a 138% higher chance of having uncontrolled BP, Mexican participants with diabetes had a 60% higher chance of having uncontrolled BP, and non-Hispanic white participants with diabetes had a 161% higher chances of having uncontrolled BP. The association of diabetes with uncontrolled BP was lower in Mexican Americans than in non-Hispanic blacks and whites (Mexican Americans vs. non-Hispanic blacks: relative OR = 0.55, 95% confidence interval (CI) = 0.37–0.82; Mexican Americans vs. non-Hispanic whites: relative OR = 0.53, 95% CI = 0.35–0.80) and the association of diabetes with isolated uncontrolled systolic BP was lower in Mexican Americans than in non-Hispanic whites (Mexican Americans vs. non-Hispanic whites: relative OR = 0.62, 95% CI = 0.40–0.96). Mexican Americans have a stronger associaton of diabetes with decreased systolic BP and diastolic BP than non-Hispanic whites, and a stronger association of diabetes with decreased diastolic BP than non-Hispanic blacks. CONCLUSIONS The association of diabetes with uncontrolled BP outcomes is lower despite higher prevalence of diabetes in Mexican Americans than in non-Hispanic whites. The stronger association of diabetes with BP outcomes in whites should be of clinical concern, considering they account for the majority of the hypertensive population in the United States.

Download Full-text

Isolated Systolic Hypertension in Young and Middle-Aged Adults

Current Hypertension Reports ◽

10.1007/s11906-016-0686-x ◽

2016 ◽

Vol 18 (11) ◽

Cited By ~ 11

Author(s):

Yuichiro Yano ◽

Donald M. Lloyd-Jones

Keyword(s):

Systolic Hypertension ◽

Isolated Systolic Hypertension ◽

Middle Aged ◽

Middle Aged Adults

Download Full-text

Prevalence and changes of untreated isolated systolic hypertension among non-Hispanic black adults in the United States

Hypertension Research ◽

10.1038/hr.2014.58 ◽

2014 ◽

Vol 37 (7) ◽

pp. 685-691 ◽

Cited By ~ 6

Author(s):

Xuefeng Liu ◽

Dennis Tsilimingras ◽

Timir K Paul

Keyword(s):

United States ◽

Systolic Hypertension ◽

The United States ◽

Isolated Systolic Hypertension ◽

Black Adults

Download Full-text

Hemodynamic and Mechanical Properties of the Proximal Aorta in Young and Middle-Aged Adults With Isolated Systolic Hypertension

Hypertension ◽

10.1161/hypertensionaha.117.09279 ◽

2017 ◽

Vol 70 (1) ◽

pp. 158-165 ◽

Cited By ~ 10

Author(s):

Yuichiro Yano ◽

Ian J. Neeland ◽

Colby Ayers ◽

Ronald Peshock ◽

Jarett D. Berry ◽

...

Keyword(s):

Mechanical Properties ◽

Systolic Hypertension ◽

Isolated Systolic Hypertension ◽

Middle Aged ◽

Middle Aged Adults

Download Full-text

Trends in the prevalence of isolated systolic hypertension in the middle-aged population in 1972–1992

Journal of Human Hypertension ◽

10.1038/sj.jhh.1000859 ◽

1999 ◽

Vol 13 (7) ◽

pp. 485-491 ◽

Cited By ~ 7

Author(s):

RL Antikainen ◽

P Jousilahti ◽

J Tuomilehto

Keyword(s):

Systolic Hypertension ◽

Isolated Systolic Hypertension ◽

Middle Aged ◽

Aged Population

Download Full-text

Multivitamins and Nutritional Adequacy in Middle-Aged to Older Americans by Obesity Status

Proceedings of The Nutrition Society ◽

10.1017/s0029665120002050 ◽

2020 ◽

Vol 79 (OCE2) ◽

Author(s):

Cara L. Frankenfeld ◽

Taylor C. Wallace

Keyword(s):

The United States ◽

Lower Prevalence ◽

Middle Aged ◽

Older Americans ◽

Health And Nutrition ◽

Micronutrient Status ◽

Obesity Status ◽

Gender And Age ◽

Multivitamin Use ◽

Nutritional Biomarker

AbstractMultivitamins are the most commonly consumed dietary supplement in the United States and worldwide. Micronutrient insufficiency and clinical deficiency are more common in middle-aged to older adults, and multivitamin use has been shown to improve status in this population. This analysis aimed to assess contributions of sporadic and consistent multivitamin use to total usual micronutrient intakes and associated nutritional biomarkers among middle-aged to older U.S. adults age 351 years, stratified by obesity status. Self-reported dietary intake and laboratory measures from the National Health and Nutrition Examination Survey were used in these analyses. The National Cancer Institute method was used to assess usual intakes of 18 micronutrients. Compared with food alone, multivitamin use was associated with a lower prevalence of inadequacies and improved nutritional biomarker status for folate, iodine, selenium, and vitamins B6, B12, and D. Consistent use decreased the prevalence of inadequacy for most micronutrients assessed, except for those micronutrients typically not found (or in miniscule amounts) in standard multivitamin products. In addition to a lower prevalence of inadequacy for many micronutrients associated with consistent use of multivitamins, sporadic use decreased the prevalence of inadequacy for a greater number of micronutrients in obese versus nonobese individuals. Multivitamin use (sporadic and consistent) also increased the proportion of individuals who exceeded the tolerable upper intake level for folic acid to 8–10%. Nutritional biomarker data indicate that obese individuals may be at greater risk of clinical deficiency in vitamins B6and D. Use of gender- and age-specific multivitamins may serve as a practical means to increase micronutrient status and decrease prevalences of clinical deficiency in the middle-aged to older population, particularly in those who are obese.

Download Full-text