2014年の高血圧ガイドラインによって潜在的に影響を受ける米国の成人の割合
Ann Marie Navar-Boggan1, Michael J Pencina2, Ken Williams3
1Division of Cardiology, Duke University Medical Center, Durham, North Carolina.
JAMA
|April 1, 2014
まとめ
2014年の血圧ガイドライン (JNC 8) は,JNC 7と比較して,高血圧治療を推奨される米国の成人の数を削減しました. また,特に高齢者において,目標BPの達成率を高めました.
科学分野:
- 心血管医学は,心臓血管医学である.
- 公衆衛生は公衆衛生である.
- 臨床ガイドライン 臨床ガイドライン
背景:
- 第8回合同全国委員会 (JNC8) は,2014年に新しい血圧ガイドラインを発表した.
- このガイドラインは,60歳以上の成人,糖尿病や慢性腎臓病の患者に対して,より制限の少ない血圧目標を提案した.
研究 の 目的:
- 高血圧管理勧告の最近の変更の影響を受けた米国の成人の割合を推定する.
- 高血圧治療の適格性と目標達成に関するJNC 8ガイドラインと以前のJNC 7ガイドラインを比較する.
主な方法:
- 横断的,全国的に代表的な調査が行われました.
- 米国成人16,372人を対象とした国家健康栄養調査 (2005年−2010年) のデータを分析した.
- JNC 7およびJNC 8のガイドラインに基づくBP目標を達成している成人の割合を推定しました.
主要な成果:
- 2014年のガイドラインでは,高血圧治療を推奨される成人の割合,特に60歳以上の成人の割合が減少しました.
- 目標の血圧の達成は,2014年のガイドラインの下で,特に高齢者の間で大幅に増加しました.
- JNC 7の下での治療を受けている患者の有意な割合は,JNC 8の下でのより厳格な治療または治療を受けられない可能性があります.
結論:
- JNC 8のガイドラインは,JNC 7と比較して,高血圧治療を推奨される米国の成人の数が少ないとの関連があります.
- JNC 8のガイドラインは,特に高齢者集団において,血圧目標を達成した成人の割合を大幅に増加させた.
- これらの発見は,高血圧管理戦略の転換を強調し,成人人口の相当な部分に影響を与えています.
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