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首页> 外文期刊>The journal of clinical hypertension. >Different definitions of prevalent hypertension impact: The clinical epidemiology of hypertension and attainment of healthy people goals
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Different definitions of prevalent hypertension impact: The clinical epidemiology of hypertension and attainment of healthy people goals

机译：流行性高血压影响的不同定义：高血压的临床流行病学和实现健康人的目标

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Prevalent hypertension in National Health and Nutrition Examination Surveys (NHANES) is traditionally defined as blood pressure (BP) ≥140 mm Hg systolic and/or ≥90 diastolic and/or currently taking antihypertensive medications. When estimating prevalent hypertension, American Heart Association (AHA) statistical updates include the traditional definition of hypertension (tHTN) and untreated individuals with nonhypertensive BP told twice that they were hypertensive (nontraditional [ntHTN]). The characteristics of ntHTN and their impact on the clinical epidemiology of hypertension and Healthy People prevention and control goals are undefined. NHANES 1999-2002, 2003-2006, and 2007-2010 were analyzed. The ntHTN group was younger and had less diabetes and lower BP than the tHTN group but higher BP than the normotensive group. When classifying ntHTN as hypertensive, prevalent hypertension increased approximately 3% and control 5% to 6% across NHANES periods. In 2007-2010, the Healthy People 2010 goal of controlling BP in 50% of all hypertensive patientss was attained when ntHTN was classified as hypertension (56.5% [95% confidence interval (CI), 54.2-58.7]) and nonhypertension (51.8% [95% CI, 49.6-53.9]). When including ntHTN in prevalent hypertension estimates, the Healthy People 2020 goal of controlling BP in 60% of hypertensive patients becomes more attainable, whereas reducing prevalent hypertension to 26.9% (31.8% [95% CI, 30.5-33.1]) vs 28.7% [95% CI, 27.5-30.0]) becomes more challenging.
机译：传统上，国家健康与营养检查（NHANES）中的高血压定义为血压（BP）收缩压≥140 mm Hg和/或舒张压≥90和/或目前正在服用降压药。在估计普遍的高血压时，美国心脏协会（AHA）的统计更新包括传统的高血压（tHTN）定义，未经治疗的未患有BP的个体两次表示他们患有高血压（nontraditional [ntHTN]）。 ntHTN的特征及其对高血压临床流行病学和健康人预防和控制目标的影响尚不确定。分析了NHANES 1999-2002、2003-2006和2007-2010。 ntHTN组比tHTN组年轻，糖尿病少，血压低，但血压比正常组高。当将ntHTN归类为高血压时，在NHANES期间，高血压患病率增加了约3％，控制了5％至6％。在2007-2010年，将ntHTN分为高血压（56.5％[95％置信区间（CI），54.2-58.7]）和非高血压（51.8％）时，实现了健康人2010年控制所有高血压患者50％的血压的目标。 [95％CI，49.6-53.9]。如果将ntHTN纳入高血压的估计值，则可以更健康地实现《健康人2020年》中控制60％高血压患者血压的目标，而将高血压的比例降低至26.9％（31.8％[95％CI，30.5-33.1]）vs 28.7％[ 95％CI，27.5-30.0]）变得更具挑战性。

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