Long-term and recent progress in blood pressure levels among US adults with diagnosed diabetes, 1988-2008
Author(s)
Type
Journal Article
Abstract
OBJECTIVE—To examine whether there were long-term (between 1988–1994 and 2001–
2008) and recent (between 2001–2004 and 2005–2008) changes in blood pressure (BP) levels
among U.S. adults with diagnosed diabetes.
RESEARCH DESIGN ANDMETHODS—Using data from National Health and Nutrition
Examination Surveys (NHANES), we examined changes in BP distributions, mean BPs, and
proportion with BP ,140/90 mmHg.
RESULTS—Between 1988–1994 and 2001–2008, for adults with diabetes, mean BPs
decreased from 135/72 mmHg to 131/69 mmHg (P , 0.01) and the proportion with BP
,140/90 mmHg increased from 64 to 69% (P = 0.01). Although hypertension prevalence increased, hypertension awareness, treatment, and control improved. However, there was no
evidence of improvement for adults 20–44 years old. Between 2001–2004 and 2005–2008,
there were no significant changes in BP levels.
CONCLUSIONS—BP levels among adults with diabetes improved between 1988–1994 and
2001–2008, but the progress stalled between 2001–2004 and 2005–2008. The lack of improvement among young adults is concerning.
2008) and recent (between 2001–2004 and 2005–2008) changes in blood pressure (BP) levels
among U.S. adults with diagnosed diabetes.
RESEARCH DESIGN ANDMETHODS—Using data from National Health and Nutrition
Examination Surveys (NHANES), we examined changes in BP distributions, mean BPs, and
proportion with BP ,140/90 mmHg.
RESULTS—Between 1988–1994 and 2001–2008, for adults with diabetes, mean BPs
decreased from 135/72 mmHg to 131/69 mmHg (P , 0.01) and the proportion with BP
,140/90 mmHg increased from 64 to 69% (P = 0.01). Although hypertension prevalence increased, hypertension awareness, treatment, and control improved. However, there was no
evidence of improvement for adults 20–44 years old. Between 2001–2004 and 2005–2008,
there were no significant changes in BP levels.
CONCLUSIONS—BP levels among adults with diabetes improved between 1988–1994 and
2001–2008, but the progress stalled between 2001–2004 and 2005–2008. The lack of improvement among young adults is concerning.
Date Issued
2011-07-01
Date Acceptance
2011-04-16
Citation
Diabetes Care, 2011, 34 (7), pp.1579-1581
ISSN
0149-5992
Publisher
American Diabetes Association
Start Page
1579
End Page
1581
Journal / Book Title
Diabetes Care
Volume
34
Issue
7
Copyright Statement
© 2011 by the American Diabetes Association. Readers may use this article as long as the work is properly
cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/
licenses/by-nc-nd/3.0/ for details.
cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/
licenses/by-nc-nd/3.0/ for details.
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000293261200026&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Endocrinology & Metabolism
UNITED-STATES
VASCULAR-DISEASE
RISK-FACTORS
HYPERTENSION
PREVALENCE
TRENDS
TRIAL
Publication Status
Published
Date Publish Online
2011-07-01