PMID- 32799819
OWN - NLM
STAT- MEDLINE
DCOM- 20210111
LR  - 20210111
IS  - 1471-2261 (Electronic)
IS  - 1471-2261 (Linking)
VI  - 20
IP  - 1
DP  - 2020 Aug 14
TI  - Changes in the prevalence of measures associated with hypertension among Iranian 
      adults according to classification by ACC/AHA guideline 2017.
PG  - 372
LID - 10.1186/s12872-020-01657-0 [doi]
LID - 372
AB  - BACKGROUND: Different definitions have been proposed to categorize hypertension. 
      We aimed to investigate the difference in prevalence of measures associated with 
      hypertension according to the American College of Cardiology/American Heart 
      Association (ACC/AHA) criteria versus Joint National Committee 7 (JNC7) criteria. 
      METHODS: We analyzed the data of 10,000 participants of Yazd Health Study (YaHS) 
      aged 20-69 years. Blood pressure was measured three times with standard protocol 
      defined by ACC/AHA. Prevalence of high blood pressure measure was compared in 
      both definitions and absolute differences reported. RESULTS: The prevalence of 
      high blood pressure in our measurement was 61.0% according to ACC/AHA, and 28.9% 
      according to JNC 7. The prevalence of self-reported hypertension was 18.6%. Age 
      and sex standardized prevalence rates of high blood pressure measure indicates a 
      2.4-fold increase in the prevalence rate (30.1% absolute difference) by the 
      ACC/AHA guideline. While the prevalence increased in all age groups, the age 
      group of 20-29 showed the highest relative increase by 3.6 times (10.6% vs. 
      38.1%). High blood pressure measure among people with diabetes increased from 
      45.8 to 75.3% with the ACC/AHA guideline. Of the people who had no past history 
      of diagnosed hypertension (n = 7887), 55.1 and 22.7% had high blood pressure 
      measure by ACC/AHA and JNC-7 guidelines, respectively. From JNC7 to ACC/AHA, the 
      overall difference in unawareness about HTN increased by 32.4%. CONCLUSION: 
      Prevalence of hypertension associated measures increased over two folds by using 
      the ACC/AHA criteria compared to JNC 7. Also, change in the criteria, reduces 
      awareness of the disease and increases uncontrolled hypertension respectively. 
      More research is needed to determine if the new definitions can affect management 
      of hypertension in societies. Considering local priorities and implication of 
      cost effective may improve implementation of new definitions for hypertension in 
      different countries.
FAU - Mirzaei, Mohsen
AU  - Mirzaei M
AUID- ORCID: 0000-0002-4153-5023
AD  - Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical 
      Sciences, Yazd, Iran.
FAU - Mirzaei, Masoud
AU  - Mirzaei M
AUID- ORCID: 0000-0001-6455-0747
AD  - Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical 
      Sciences, Yazd, Iran.
FAU - Mirzaei, Mojtaba
AU  - Mirzaei M
AUID- ORCID: 0000-0003-2592-9572
AD  - Yale New Haven Medical Center, Waterbury Hospital, Waterbury, USA.
FAU - Bagheri, Behnam
AU  - Bagheri B
AUID- ORCID: 0000-0001-8482-0038
AD  - Shahediah Cohort Study, Shahid Sadoughi University of Medical Sciences, Yazd, 
      Iran. behnambagheri222@gmail.com.
LA  - eng
GR  - 3718/Shahid Sadoughi University of Medical Sciences and health 
      services/International
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20200814
PL  - England
TA  - BMC Cardiovasc Disord
JT  - BMC cardiovascular disorders
JID - 100968539
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Blood Pressure
MH  - Blood Pressure Determination/*standards
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Hypertension/diagnosis/*epidemiology/physiopathology
MH  - Iran/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Practice Guidelines as Topic/*standards
MH  - Predictive Value of Tests
MH  - Prevalence
MH  - Prospective Studies
MH  - Young Adult
PMC - PMC7429880
OTO - NOTNLM
OT  - 2017 ACC/AHA hypertension guideline
OT  - Hypertension
OT  - Prevalence
COIS- The authors declare that they have no competing interests.
EDAT- 2020/08/18 06:00
MHDA- 2021/01/12 06:00
PMCR- 2020/08/14
CRDT- 2020/08/18 06:00
PHST- 2020/02/22 00:00 [received]
PHST- 2020/08/05 00:00 [accepted]
PHST- 2020/08/18 06:00 [entrez]
PHST- 2020/08/18 06:00 [pubmed]
PHST- 2021/01/12 06:00 [medline]
PHST- 2020/08/14 00:00 [pmc-release]
AID - 10.1186/s12872-020-01657-0 [pii]
AID - 1657 [pii]
AID - 10.1186/s12872-020-01657-0 [doi]
PST - epublish
SO  - BMC Cardiovasc Disord. 2020 Aug 14;20(1):372. doi: 10.1186/s12872-020-01657-0.