Prevalence, Treatment, and Control Rates of Conventional and Ambulatory Hypertension Across 10 Populations in 3 Continents

Authors

Jesus D. Melgarejo, The University of Texas Rio Grande ValleyFollow
Gladys E. Maestre, The University of Texas Rio Grande ValleyFollow
Lutgarde Thijs
Kei Asayama
José Boggia
Edoardo Casiglia
Tine W. Hansen

Document Type

Article

Publication Date

7-2017

Abstract

Hypertension is a major global health problem, but prevalence rates vary widely among regions. To determine prevalence, treatment, and control rates of hypertension, we measured conventional blood pressure (BP) and 24-hour ambulatory BP in 6546 subjects, aged 40 to 79 years, recruited from 10 community-dwelling cohorts on 3 continents. We determined how between-cohort differences in risk factors and socioeconomic factors influence hypertension rates. The overall prevalence was 49.3% (range between cohorts, 40.0%-86.8%) for conventional hypertension (conventional BP ≥140/90 mm Hg) and 48.7% (35.2%-66.5%) for ambulatory hypertension (ambulatory BP ≥130/80 mm Hg). Treatment and control rates for conventional hypertension were 48.0% (33.5%-74.1%) and 38.6% (10.1%-55.3%) respectively. The corresponding rates for ambulatory hypertension were 48.6% (30.5%-71.9%) and 45.6% (18.6%-64.2%). Among 1677 untreated subjects with conventional hypertension, 35.7% had white coat hypertension (23.5%-56.2%). Masked hypertension (conventional BP <140/90 mm Hg and ambulatory BP ≥130/80 mm Hg) occurred in 16.9% (8.8%-30.5%) of 3320 untreated subjects who were normotensive on conventional measurement. Exclusion of participants with diabetes mellitus, obesity, hypercholesterolemia, or history of cardiovascular complications resulted in a

Comments

Original published version available at https://doi.org/10.1161/HYPERTENSIONAHA.117.09188

Recommended Citation

Melgarejo, J. D., Maestre, G. E., Thijs, L., Asayama, K., Boggia, J., Casiglia, E., Hansen, T. W., Imai, Y., Jacobs, L., Jeppesen, J., Kawecka-Jaszcz, K., Kuznetsova, T., Li, Y., Malyutina, S., Nikitin, Y., Ohkubo, T., Stolarz-Skrzypek, K., Wang, J. G., Staessen, J. A., & International Database on Ambulatory Blood Pressure in Relation to Cardiovascular Outcomes (IDACO) Investigators (2017). Prevalence, Treatment, and Control Rates of Conventional and Ambulatory Hypertension Across 10 Populations in 3 Continents. Hypertension (Dallas, Tex. : 1979), 70(1), 50–58. https://doi.org/10.1161/HYPERTENSIONAHA.117.09188

Publication Title

Hypertension

DOI

10.1161/HYPERTENSIONAHA.117.09188

Academic Level

faculty

Mentor/PI Department

Neuroscience