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Prevalence of actions to control high blood pressure--20 states, 2005
Insights
High blood pressure (HBP) affects nearly 30% of U.S. adults and increases heart disease risk. While most adults with HBP take action, some need further interventions like diet, exercise, or medication for better control.
Area of Science:
- Public Health
- Cardiovascular Health
- Epidemiology
Background:
- High blood pressure (HBP) is a significant risk factor for heart disease and stroke, leading causes of death in the U.S.
- Despite being detectable and treatable, HBP remains uncontrolled in approximately 70% of diagnosed individuals.
- Prevalence data from NHANES indicates an increasing trend in HBP among U.S. adults.
Purpose of the Study:
- To assess the prevalence of self-reported HBP and identify actions taken for blood pressure control.
- To evaluate progress towards the Healthy People 2010 objective of increasing HBP management actions.
- To analyze HBP control strategies in a representative sample of U.S. adults.
Main Methods:
- Analysis of 2005 Behavioral Risk Factor Surveillance System (BRFSS) data from 20 participating states.
- Inclusion of an optional module within BRFSS to capture self-reported HBP and control behaviors.
- Data focused on adults with diagnosed high blood pressure and their reported management strategies.
Main Results:
- Nearly all surveyed adults with HBP reported taking some action to manage their condition.
- The study identified that some individuals could benefit from additional control measures.
- Recommended additional actions include dietary modifications, increased physical activity, and adherence to prescribed medication.
Conclusions:
- While most adults with HBP are engaged in control efforts, further interventions are necessary for optimal management.
- Public health initiatives should emphasize comprehensive HBP control strategies, including lifestyle changes and medication adherence.
- Continued monitoring and targeted interventions are crucial to reduce the burden of HBP and associated cardiovascular diseases.
Abstract:
High blood pressure (HBP) increases the risk for heart disease and stroke, the first and third leading causes of death in the United States, respectively. The association between HBP and cardiovascular disease is independent of other risk factors. Nearly 30% of the U.S. adult population had HBP during 2001-2004, according to the National Health and Nutrition Examination Survey (NHANES), and the prevalence has increased compared with 1988-1994 NHANES data. Although HBP is easily detectable and can be controlled with treatment, the condition is not controlled (i.e., systolic blood pressure <140 mm Hg and diastolic pressure <90 mm Hg) in approximately 70% of persons. A Healthy People 2010 objective (objective 12-11) is to increase the proportion of adults with HBP who are taking action to help control their blood pressure. To assess the prevalence of self-reported HBP and actions to control HBP, CDC analyzed 2005 data from an optional module in the Behavioral Risk Factor Surveillance System (BRFSS) in the 20 states that participated. The results indicated that although nearly all adults with HBP in the 20 states were taking some action to control their blood pressure, some persons can take additional actions to control their HBP, if indicated, including dietary changes, exercise, and taking prescribed medication.
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