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(Hypertension. 2007;49:19.)
© 2007 American Heart Association, Inc.

Editorial Commentaries

Hypertension Control

Trends, Approaches, and Goals

Theodore A. Kotchen

From the Medical College of Wisconsin, Milwaukee.

Correspondence to Theodore A. Kotchen, MD, Department of Medicine Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI 53226. E-mail tkotchen@mcw.edu

An extract of the first 250 words of the full text is provided, because this article has no abstract.

Hypertension is a major contributor to the global disease burden.¹ Overall, according to recent estimates, the worldwide prevalence of hypertension in 2000 was 26%, totaling 1 billion people.² Because a larger proportion of the world’s population is expected to be older in 2025, hypertension prevalence has been projected to increase to 29% by that time. However, there is considerable variation among countries and geographic regions for the reported prevalence of hypertension (5% to 70%) and hypertension control rates (5% to 58%).^2,3 Although hypertension is more prevalent in economically developed countries, the larger population of developing countries results in a considerably larger absolute number of individuals affected.

Based on an analysis of cross-sectional National Health and Nutrition Examination Surveys (NHANES) between 1960 and 1991, age adjusted hypertension prevalence (blood pressure 140/90 mm Hg) in US adults reportedly decreased from 29.7% to 20.4%; hypertension awareness rates increased from 51% to 73%, and hypertension control rates increased from 10% to 29%.⁴ In a more recent analysis of NHANES data, it was estimated that between 1988–1991 and 1999–2000 hypertension prevalence in the adult US population actually increased from 25.0% to 28.7%, an estimated 58.4 million individuals.⁵ Hypertension was defined as a systolic blood pressure 140 mm Hg, a diastolic blood pressure 90 mm Hg, or taking antihypertensive medications. Increasing age, increasing body mass index, and non-Hispanic black race were independently associated with the increased rates of hypertension. In each of these 2 time periods, hypertension awareness rates were 69%, although overall hypertension . . . [Full Text of this Article]

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