Abstract P189: Prevalence of Lifestyle Factors for Hypertension Control in the United States
Background: While most adults require antihypertensive medications for blood pressure control, some are able to achieve control through lifestyle modifications alone. The objective of this study was to examine whether a higher prevalence of persons with untreated, controlled HTN are meeting recommendations for five modifiable factors for cardiovascular (CV) health more than persons with treated HTN and secondly whether this has changed over time.
Methods: Using data from non-pregnant adults 20-79 years of age with a history of or currently treated HTN, from the National Health and Nutrition Examination Survey, 1999-2004 (n=3,526) and 2005-2012 (n=6,344), we calculated the age-standardized (10-year age groups), weighted prevalence of five modifiable factors for CV health: recommended physical activity levels (≥150 minutes per week at moderate intensity, ≥75 min/week or more at vigorous intensity, or an equivalent combination); recommended sodium intake (<2,300 mg/day), healthy weight (body mass index 18.5 to <25 kg/m2); not a current smoker; and no/moderate alcohol consumption (up to 1 drink/day for women or 2 drinks/day for men).
Results: Among eligible adults, few have untreated but controlled HTN (5.8% [n=206] in 1999-2004, and 6.2% [n=394] in 2005-2012, P for trend=0.65). The proportion of persons meeting physical activity recommendations declined significantly between the time periods for all three groups. A higher proportion of adults with untreated, controlled HTN met recommendations for 3 or more modifiable factors (43.9% and 33.6% for 1999-2004 and 2005-2012, respectively; versus 41.2% and 26.0% in persons with controlled, treated HTN; and 39.4% and 25.2% in persons with uncontrolled HTN).
Conclusions: Fewer than 1 in 10 adults had untreated but controlled HTN. Among them, more than 1 in 3 are meeting recommendations for 3 or more modifiable factors for CV health; however, it is unclear why the remainder of untreated persons have controlled HTN if they are not adherent to lifestyle recommendations.
Author Disclosures: A.M. Thompson-Paul: None. C. Gillespie: None. S. Park: None. J.L. Foltz: None. F. Loustalot: None.
- © 2016 by American Heart Association, Inc.