美国中老年人群中未经治疗的孤立性收缩期高血压:1999-2010年人口统计学因素的流行趋势

International Journal of Chronic Diseases Pub Date : 2015-01-01 Epub Date: 2015-02-23 DOI:10.1155/2015/508584
Xuefeng Liu, Van Minh Hoang, Yali Liu, Rachel L W Brown
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引用次数: 2

摘要

孤立性收缩期高血压(ISH)在血流动力学高血压亚型中占主导地位,并成为中老年人心血管和肾脏预后的重要因素。在这一人群中,未经治疗的ISH患病率和变化尚未得到充分调查。从1999-2010年全国健康与营养调查中选取年龄≥40岁的12,097名参与者。未经治疗的ISH总患病率为15.2%。流行率从1999-2004年的16.8%显著下降到2005-2010年的13.5%。女性、非西班牙裔黑人和受教育程度低的成年人未经治疗的ISH患病率分别高于男性、非西班牙裔白人和受教育程度高的成年人。与1999-2004年相比,2005-2010年未经治疗的ISH患病率在老年人(28.0%对37.7%)、女性(14.3%对19.5%)和非西班牙裔白人(12.7%对16.2%)中有所下降。2005-2010年,非西班牙裔白人女性(12.8%对18.6%)和未上过大学的女性(16.9%对21.8%)未经治疗的ISH分层患病率下降。未经治疗的ISH在老年人和女性受试者中更为普遍,这些群体的显著改善表明,公共卫生措施或变化正朝着正确的方向发展。
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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.

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