Projected Impact of Nonpharmacologic Management of Stage 1 Hypertension Among Lower-Risk US Adults.
Hypertension
; 81(8): 1758-1765, 2024 Aug.
Article
en En
| MEDLINE
| ID: mdl-38881463
ABSTRACT
BACKGROUND:
The 2017 American College of Cardiology/American Heart Association blood pressure guideline classified 31 million US adults as having stage 1 hypertension and recommended clinicians provide counseling on behavioral change to the low-risk portion of this group. However, nationwide reductions in cardiovascular disease (CVD) and associated health care expenditures achievable by nonpharmacologic therapy remain unquantified.METHODS:
We simulated interventions on a target population of US adults aged 35 to 64 years, identified from the 2015-2018 National Health and Nutrition Examination Survey, with low-risk stage 1 systolic hypertension that is, untreated systolic blood pressure 130 to 139 mmâ Hg with diastolic BP <90 mmâ Hg; no history of CVD, diabetes, or chronic kidney disease; and a low 10-year risk of CVD. We used meta-analyses and trials to estimate the effects of population-level behavior modification on systolic blood pressure. We assessed the extent to which restricting intervention to those in regular contact with clinicians might prevent the delivery of nonpharmacologic therapy.RESULTS:
Controlling systolic blood pressure to <130 mmâ Hg among the 8.8 million low-risk US adults with stage 1 hypertension could prevent 26â 100 CVD events, avoid 2900 deaths, and save $1.7 billion in total direct health care costs over 10 years. Adoption of the Dietary Approaches to Stop Hypertension diet could prevent 28â 000 CVD events. Other nonpharmacologic interventions could avert between 3800 and 19â 500 CVD events. However, only 51% of men and 75% of women regularly interacted with clinicians for counseling opportunities.CONCLUSIONS:
Among low-risk adults with stage 1 hypertension, substantial benefits to cardiovascular health could be achieved through public policy that promotes the adoption of nonpharmacologic therapy.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Hipertensión
Límite:
Adult
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Female
/
Humans
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Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Hypertension
Año:
2024
Tipo del documento:
Article