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Table 1 Prevalence of hypertension and percentage of hypertension awareness, treatment, and control in Khuzestan province: 2017 ACC/AHA guideline vs NCJ8 report

From: Impact of 2017 ACC/AHA guideline on prevalence, awareness, treatment, control, and determinants of hypertension: a population-based cross-sectional study in southwest of Iran

Determinants of hypertension

Prevalence

Awareness

Treatment

Control

2017 ACC/AHA

JNC88

2017 ACC/AHA

JNC8

2017 ACC/AHA

JNC8

2017 ACC/AHA

JNC8

Overall

42.85

15.81

22.72

45.85

26.37

35.42

28.94

59.63

Mean age (±SD)

45.72 (11.71)

50.4 (10.17)

53.45 (8.11)

53.75 (7.89)

54.36 (7.51)

54.36 (7.51)

51.91 (9.72)

53.06 (8.84)

Age group

 <25

24.44

3.36

1.94

7.04

20.0

40.00

66.67

83.33

 25–34

28.53

4.81

3.18

12.13

17.14

26.67

66.67

83.33

 35–44

36.95

9.95

11.45

29.23

20.65

30.04

36.84

67.37

 45–54

52.73

22.28

27.49

48.54

25.10

33.65

29.31

57.93

 55–64

65.32

35.52

41.20

57.68

29.25

38.43

25.26

58.32

 =65

75.45

45.51

53.17

68.42

22.39

28.85

13.33

40.00

Gender

 Male

50.30

17.79

14.90

31.06

24.91

33.78

26.51

54.62

 Female

38.70

14.70

28.38

55.81

26.92

36.03

29.85

61.49

Marital status

 Single

31.02

5.75

4.61

16.27

23.08

35.29

50.00

75.00

 Married

43.89

16.56

23.16

45.68

26.02

34.96

29.17

59.62

 Divorced

38.66

12.89

21.74

43.48

10.00

15.00

50.00

75.00

 Widowed

58.38

31.57

45.63

64.69

31.31

40.83

22.73

56.36

Socioeconomic status

 Q1

42.67

16.01

22.06

44.47

26.88

35.54

27.39

55.22

 Q2

43.99

16.27

22.92

46.23

26.46

35.46

29.78

60.44

 Q3

41.55

14.90

22.30

46.63

27.54

36.72

27.60

58.40

 Q4

43.39

16.23

23.85

46.46

24.79

34.02

31.46

65.26

Education

 Illiterate

54.40

26.58

35.00

56.10

25.54

32.62

24.83

52.68

 Elementary school

45.43

16.85

22.39

45.08

25.55

34.20

26.19

59.92

 Guidance school

40.87

14.41

20.73

41.93

24.87

34.89

35.83

64.17

 High school

38.02

11.65

16.10

37.15

29.11

41.18

33.15

67.39

 Universities

33.29

8.55

13.65

35.95

30.68

45.38

33.85

60.00

Ethnicity

 Fars

45.63

18.08

24.24

46.05

39.26

52.15

35.64

70.24

 Arab

44.68

15.46

21.47

44.64

13.37

18.58

16.74

45.58

 Bakhtiary

36.79

14.13

24.14

47.68

33.17

43.71

31.65

59.92

 Lor

42.84

17.68

23.28

46.71

50.52

61.00

28.98

59.09

 Others

36.73

8.85

21.69

50.00

5.56

10.00

100.00

100.00

BMI

 Normal (18.6–25)

32.98

9.60

13.31

32.25

28.68

40.65

37.84

68.92

 Underweight (≤18.5)

22.17

4.75

6.04

25.64

36.36

40.00

62.50

87.50

 Overweight (25.1–30)

44.00

16.09

22.09

44.99

25.68

34.46

30.09

60.47

 Obese (>30)

53.00

22.56

29.72

52.60

26.20

34.78

24.23

55.34

Waist-hip ratio (WHR)

 WHR<0.85

27.63

6.29

12.12

38.83

28.47

39.00

37.96

71.30

 0.85≤ WHR <0.9

38.64

11.70

17.24

42.39

25.06

33.66

36.80

69.60

 0.90≤ WHR <0.95

47.33

17.15

21.80

43.74

26.62

36.62

27.47

61.80

 WHR ≥0.95

56.42

26.53

30.81

49.53

26.27

34.76

25.33

53.11

Physical activity

 Insufficient (MET<600/week)

51.81

21.63

24.71

45.49

25.48

33.15

26.70

55.83

 Sufficient (MET ≥ 600/week)

40.76

14.45

22.10

45.93

26.82

36.40

29.59

60.73

Smoking

 No

42.17

15.50

23.27

47.12

27.20

36.55

28.08

59.48

 Current

44.64

14.65

14.96

32.06

18.06

25.69

44.74

65.79

 Former

57.25

27.03

26.75

44.87

20.13

25.42

32.43

56.76

Water pipe (hookah)

 No

42.77

15.94

23.29

46.50

26.16

35.15

29.06

59.59

 Current

42.77

11.99

11.13

28.68

33.33

46.15

20.00

65.00

 Former

47.69

16.70

18.89

42.11

31.71

40.62

33.33

55.56

Family history BP

 No

40.55

13.58

17.17

37.77

25.86

35.10

28.39

60.05

 Yes

46.37

19.22

30.24

54.75

26.75

35.66

29.37

59.31

History of DLP

 No

37.94

12.40

20.67

44.91

22.24

31.32

27.99

61.95

 Yes

47.71

19.18

24.34

46.45

29.13

37.96

29.45

58.40

History of DM

 No

39.74

13.16

17.85

40.15

26.61

35.72

31.38

61.21

 Yes

60.67

30.98

41.02

59.76

25.98

34.93

24.78

56.93

History of CVD

 No

41.57

14.43

19.30

41.62

25.64

34.24

27.14

57.42

 Yes

65.03

39.89

61.63

73.19

28.83

39.58

34.00

65.20

  1. The economic status was defined based on the wealth index, which was calculated by multiple correspondence analysis (MCA) with household’s ownership of selected assets. Physical activity was estimated by metabolic equivalent of task (MET) category, which was calculated based on the international physical activity questionnaire (IPAQ) guideline. Dyslipidaemia was defined as either serum total cholesterol ≥ 200 mg/dL, high-density lipoprotein (HDL) cholesterol <35 mg/dL, or low-density lipoprotein (LDL) cholesterol ≥130 mg/dL or use of lipid-lowering medication. Diabetes Mellitus was defined as fasting plasma glucose levels (FBS) > 126 mg/dL, previously diagnosed DM, or current intake of antidiabetic agents. Cardiovascular diseases was defined if the participant reported any history of myocardial infarction, angiography, or any other related heart diseases.
  2. JNC8 eighth report of the Joint National Committee, ACC/AHA 2017 American College of Cardiology/American Heart Association, BMI body mass index, MET metabolic equivalent of task, DLP dyslipidemia, DM diabetes mellitus, CVD cardiovascular diseases, Q quartile
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Population Health Metrics

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