Abstract-The aim of this study is to describe trends in the awareness, treatment, and control of hypertension; mean blood pressure; and the classification of blood pressure among US adults 2003 to 2012. Using data from the National Health and Nutrition Examination Survey 2003 to 2012, a total of 9255 adult participants aged ≥18 years were identified as having hypertension, defined as measured blood pressure ≥140/90 mm Hg or taking prescription medication for hypertension. Awareness and treatment among hypertensive adults were ascertained via an interviewer administered questionnaire. Controlled hypertension among hypertensive adults was defined as systolic blood pressure <140 mm Hg and diastolic blood pressure <90 mm Hg. Blood pressure was categorized as optimal blood pressure, prehypertension, and stage I and stage II hypertension. Between 2003 and 2012, the percentage of adults with controlled hypertension increased (P-trend <0.01).Hypertensive adults with optimal blood pressure and with prehypertension increased from 13% to 19% and 27% to 33%, respectively (P-trend <0.01 for both groups). Among hypertensive adults who were taking antihypertensive medication, uncontrolled hypertension decreased from 38% to 30% (P-trend <0.01). Similarly, a decrease in mean systolic blood pressure was observed (P-trend <0.01); however, mean diastolic blood pressure remained unchanged. The trend in the control of blood pressure has improved among hypertensive adults resulting in a higher percentage with blood pressure at the optimal or prehypertension level and a lower percentage in stage I and stage II hypertension. Overall, mean systolic blood pressure decreased as did the prevalence of uncontrolled hypertension among the treated hypertensive population. (Hypertension.2015;65:54-61.

J Clin Hypertens (Greenwich). 2010;12:22–28. ©2009 Wiley Periodicals, Inc. Blood pressure (BP) readings taken by Omron HEM‐907XL were compared with the results obtained using sphygmomanometer (HgS) in 509 individuals using 2002 Association for the Advancement of Medical Instrumentation (AAMI) criteria. With the exception of diastolic BP in youth ages 13 to 19 years (mean difference, −1.77 mm Hg; standard deviation, 8.65), the Omron device met the criteria. Agreement for hypertension (BP ≥140/90 mm Hg) was above chance (κ=0.68) and, compared with HgS, Omron underestimated the prevalence of hypertension by 2.65%. The Omron and HgS measurements were highly correlated (r=0.94 for systolic BP and r=0.83 for diastolic BP). Both increased systolic and diastolic BP decreased device agreement (β‐coefficient=−0.10872, P<.0001; β‐coefficient=−0.25981, P<.0001, respectively). The Omron device meets AAMI criteria with the exception of diastolic BP in youth ages 13 to 19 years. However, Omron underestimated the prevalence of hypertension and device agreement decreases with increased systolic and diastolic BP.

Background To examine the associations between urbanization and hypertension, stage II hypertension, and hypertension control. Methods Data on 16,360 US adults aged 18 years or older from the 2013–2018 National Health and Nutrition Examination Survey (NHANES) were used to estimate the prevalence of hypertension (blood pressure (BP) ≥130/80 mm Hg or use of medication for hypertension), stage II hypertension (BP ≥140/90 mm Hg), and hypertension control (BP &lt;130/80 mm Hg among hypertensives) by urbanization, classified by levels of metropolitan statistical areas as large MSAs (population ≥1,000,000), medium to small MSAs (population 50,000–999,999), and non-MSAs (population &lt;50,000). Results All prevalence ratios (PRs) were compared with large MSAs and adjusted for demographics and risk factors. The PRs of hypertension were 1.07 (95% confidence interval (CI) = 0.99–1.14) for adults residing in medium to small MSAs and 1.06 (95% CI = 0.99–1.13) for adults residing in non-MSAs. For stage II hypertension, the PRs were higher for adults residing in medium to small MSAs 1.21 (95% CI = 1.06–1.36) but not for adults residing in non-MSAs 1.06 (95% CI = 0.88–1.29). For hypertension control, the PRs were 0.96 (95% CI = 0.91–1.01) for adults residing in medium to small MSAs and 1.00 (95% CI = 0.93–1.06) for adults residing in non-MSAs. Conclusions Among US adults, urbanization was associated with stage II hypertension.

Seventeen percent of US adults engaged in monthly or more frequent HBPM and health care providers' recommendations to engage in HBPM have a significant impact on the frequency of HBPM.

Hypertension control significantly increased from 1999-2000 to 2011-2012 (men) and 2009-2010 (women) and then plateaued. About a quarter of US adults with hypertension were controlled in 2011-2016.

With the exception of SBP in ages 8-17 years, the AnS device readings were not significantly different from HgS readings by age or BP cuff sizes selection. Agreement for hypertension classification is good. An accurate and well-calibrated AnS could therefore provide an acceptable alternative to the use of a HgS in surveys, although with appropriate caution given the 81% sensitivity with regard to hypertension thresholds that was observed.

DBS was comparable to venous HbA1c, but not for total and HDL cholesterol. Health technicians and field interviewers had similar performance for DBS methods, except HDL cholesterol.

Objectives: To describe trends in the awareness, treatment and control of hypertension; mean blood pressure; and the classification of blood pressure among U.S. adults 2003-2012. Methods and Results: Using data from the National Health and Nutrition Examination Survey 2003-2012, a total of 9,255 adult participants aged 18 and older were identified as having hypertension, defined as measured blood pressure ≥ 140/90 mm Hg or taking prescription medication for hypertension. Awareness and treatment among hypertensive adults were ascertained via an interviewer administered questionnaire. Controlled hypertension among hypertensive adults was defined as systolic blood pressure <140 mm Hg and diastolic blood pressure < 90 mm Hg. Blood pressure was categorized as optimal blood pressure, prehypertension, stage I hypertension and stage II hypertension. Between 2003 and 2012, the percent of adults with controlled hypertension increased ( p -trend <0.01). Hypertensive adults with optimal blood pressure and with prehypertension increased from 13% to 19% and 27% to 33%, respectively ( p - trend < 0.01). Among hypertensive adults who were taking anti-hypertensive medication, uncontrolled hypertension decreased from 38% to 30% ( p -trend <0.01). Similarly, a decrease in mean systolic blood pressure was observed ( p -trend <0.01); however, mean diastolic blood pressure remained unchanged. Conclusion: The trend in the control of blood pressure has improved among hypertensive adults resulting in a higher percent with blood pressure at the optimal or prehypertension level and a lower percent in stage I and stage II hypertension. Overall, mean systolic blood pressure decreased as did the prevalence of uncontrolled hypertension among the treated hypertensive population.