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Item
#13
¾’s
of Adult Diabetics In United States Have Hypertension
Only
one in eight (12 percent) had mean blood pressure below 130/85
mmHg
Nearly three-quarters of adult diabetics
in the United States have hypertension. Regardless of age, sex,
race or ethnic origin, all may benefit from efforts to prevent it.
Investigators at the National Center for Chronic Disease
Prevention and Health Promotion, Centers for Disease Control and
Prevention, Atlanta, Georgia, say that US control of hypertension
is inadequate.
They noted that recent guidelines and clinical trial results had
emphasized the importance of controlling blood pressure among
diabetics. The investigators used the Third National Health and
Nutrition Examination Survey (1988-1994) of the civilian,
non-institutionalized population of the US to estimate
hypertension prevalence and to examine its treatment and control
among adults with diagnosed diabetes.
The survey consisted of an interview and a physical examination in
which blood pressure was measured. Participants included 1,507
adults, aged 18 years and over, with self-reported diabetes.
The investigators estimated the participants' elevated blood
pressure (mean 130/85 mmHg or more or use of antihypertensive
medication), their awareness (prior diagnosis of hypertension),
their use of antihypertensive drugs and their blood pressure
control (mean blood pressure below 130/85 mmHg and below 140/90
mmHg).
From these estimations, the investigators concluded that 71
percent of all US adult diabetics had elevated blood pressure.
Prevalence rose with age and was high in both sexes as well as
among Mexican Americans, non-Hispanic blacks and non-Hispanic
whites.
Nearly three-quarters (71 percent) of those with elevated blood
pressure were aware of their condition and 57 percent were
treated.
However, only one in eight (12 percent) had mean blood pressure
below 130/85 mmHg, while 45 percent had mean blood pressure below
140/90 mmHg. Control of blood pressure was least common among
older people. American
Journal of Preventive Medicine 2002; 22(1):42-4
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DID
YOU KNOW:
Sixty-four
percent of black men are overweight, compared with 65 percent for
Hispanics and 62 percent for whites. Twenty-three percent of black
men are obese, compared with 19 percent for both Hispanics and
whites.
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