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Studies examine risk factors and potential consequences associated with prehypertension

mericans aged 20 to 39 years had a higher prevalence of prehypertension (37.4 percent) than whites (32.2 percent) and Mexican Americans (30.9 percent), but their prevalence was lower at older ages because of a higher prevalence of hypertension. The researchers also found that patients with prehypertension were 1.65 times more likely to have at least one other risk factor than patients who were normotensive.

"The greater prevalence of risk factors in persons with prehypertension vs. normotension suggests the continued need for early clinical detection and intervention of prehypertension and comprehensive preventive and public health efforts," the authors write.

(Arch Intern Med. 2004;164:2113-2118. Available post-embargo at archinternmed.com)

In another article in the same issue of The Archives of Internal Medicine, Louise B. Russell, Ph.D., of Rutgers University, New Brunswick, N.J., and colleagues used data from the first National Health and Nutrition Examination Survey (NHANES) Epidemiological Followup Study, to develop a simulation model to estimate the effects of prehypertension and residual hypertension (hypertension controlled by medications but not lowered to levels under 140 millimeters of mercury) among U.S. adults aged 25 to 74 years old who participated in the third NHANES survey (NHANES III; n=12,841).

The NHANES surveys collect information about risk factors and health outcomes including blood pressure, diabetes, obesity, diet and exercise, for various samples of Americans. NHANES III took place between 1988 and 1994.

The researchers found that except for women aged 25 to 45 years old, more than a third of each of the three age groups (25 to 44 years; 45 to 64 years; 65 to 74 years) in NHANES III had prehypertension. About two-thirds of the participants aged 45 to 64 years and 80 percent of participants aged 65 to 74 years had prehypertension or residual hyp
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Contact: Steve Manas
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JAMA and Archives Journals
25-Oct-2004


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