Trends in prevalence, treatment and control of hypertension in 38,825 adults over 36 years in Tromsø prospective study
Aims/Background: Serial blood pressure surveys in cohort studies can inform public health policies to control blood pressure for prevention of cardiovascular diseases. Methods: Mean levels of systolic blood pressure (SBP) were collected in six sequential surveys, involving 38,825 individuals aged 30...
Published in: | Scandinavian Journal of Public Health |
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Online Access: | https://hdl.handle.net/10037/30476 https://doi.org/10.1177/14034948221122395 |
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ftunivtroemsoe:oai:munin.uit.no:10037/30476 2023-09-26T15:23:48+02:00 Trends in prevalence, treatment and control of hypertension in 38,825 adults over 36 years in Tromsø prospective study Desai, Trishna Clarke, Robert Ross, Stephanie Grimsgaard, Sameline Njølstad, Inger Lewington, Sarah 2023-05-25 https://hdl.handle.net/10037/30476 https://doi.org/10.1177/14034948221122395 eng eng SAGE Publications Scandinavian Journal of Public Health Desai, Clarke, Ross, Grimsgaard, Njølstad, Lewington. Trends in prevalence, treatment and control of hypertension in 38,825 adults over 36 years in Tromsø prospective study. Scandinavian Journal of Public Health. 2023 FRIDAID 2161472 doi:10.1177/14034948221122395 1403-4948 1651-1905 https://hdl.handle.net/10037/30476 Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) openAccess Copyright 2023 The Author(s) https://creativecommons.org/licenses/by-nc/4.0 Journal article Tidsskriftartikkel Peer reviewed publishedVersion 2023 ftunivtroemsoe https://doi.org/10.1177/14034948221122395 2023-08-30T23:07:26Z Aims/Background: Serial blood pressure surveys in cohort studies can inform public health policies to control blood pressure for prevention of cardiovascular diseases. Methods: Mean levels of systolic blood pressure (SBP) were collected in six sequential surveys, involving 38,825 individuals aged 30–79 years (51% female), between 1979 and 2015 in the Tromsø Study in Norway. Mean levels of SBP, prevalence of hypertension and use of blood pressure-lowering treatment were estimated by age, sex and calendar year of survey. Results: Age-specific mean levels of SBP in each decade of age increased by 20–25 mmHg in men and 30–35 mmHg in women and the prevalence of hypertension increased from 25% to 75% among adults aged 30–79 years. Among successive cohorts of adults aged 40–49 years at the time of the six surveys between 1979 and 2015, the mean levels of SBP declined by about 10 mmHg and the prevalence of hypertension declined from 46% to 25% in men and from 30% to 14% in women. The proportion of individuals with hypertension who were treated increased sixfold (from 7% to 42%) between 1979 and 2015, and the proportion of adults with hypertension that were successfully controlled also increased sixfold from 10% to 60% between 1979 and 2015. Conclusions: Although this study demonstrated a halving in the age-specific prevalence of hypertension in men and women and a sixfold increase in treatment and control of hypertension, the burden of hypertension remains high among older people in Norway. Article in Journal/Newspaper Tromsø University of Tromsø: Munin Open Research Archive Norway Tromsø Scandinavian Journal of Public Health 140349482211223 |
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Open Polar |
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University of Tromsø: Munin Open Research Archive |
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ftunivtroemsoe |
language |
English |
description |
Aims/Background: Serial blood pressure surveys in cohort studies can inform public health policies to control blood pressure for prevention of cardiovascular diseases. Methods: Mean levels of systolic blood pressure (SBP) were collected in six sequential surveys, involving 38,825 individuals aged 30–79 years (51% female), between 1979 and 2015 in the Tromsø Study in Norway. Mean levels of SBP, prevalence of hypertension and use of blood pressure-lowering treatment were estimated by age, sex and calendar year of survey. Results: Age-specific mean levels of SBP in each decade of age increased by 20–25 mmHg in men and 30–35 mmHg in women and the prevalence of hypertension increased from 25% to 75% among adults aged 30–79 years. Among successive cohorts of adults aged 40–49 years at the time of the six surveys between 1979 and 2015, the mean levels of SBP declined by about 10 mmHg and the prevalence of hypertension declined from 46% to 25% in men and from 30% to 14% in women. The proportion of individuals with hypertension who were treated increased sixfold (from 7% to 42%) between 1979 and 2015, and the proportion of adults with hypertension that were successfully controlled also increased sixfold from 10% to 60% between 1979 and 2015. Conclusions: Although this study demonstrated a halving in the age-specific prevalence of hypertension in men and women and a sixfold increase in treatment and control of hypertension, the burden of hypertension remains high among older people in Norway. |
format |
Article in Journal/Newspaper |
author |
Desai, Trishna Clarke, Robert Ross, Stephanie Grimsgaard, Sameline Njølstad, Inger Lewington, Sarah |
spellingShingle |
Desai, Trishna Clarke, Robert Ross, Stephanie Grimsgaard, Sameline Njølstad, Inger Lewington, Sarah Trends in prevalence, treatment and control of hypertension in 38,825 adults over 36 years in Tromsø prospective study |
author_facet |
Desai, Trishna Clarke, Robert Ross, Stephanie Grimsgaard, Sameline Njølstad, Inger Lewington, Sarah |
author_sort |
Desai, Trishna |
title |
Trends in prevalence, treatment and control of hypertension in 38,825 adults over 36 years in Tromsø prospective study |
title_short |
Trends in prevalence, treatment and control of hypertension in 38,825 adults over 36 years in Tromsø prospective study |
title_full |
Trends in prevalence, treatment and control of hypertension in 38,825 adults over 36 years in Tromsø prospective study |
title_fullStr |
Trends in prevalence, treatment and control of hypertension in 38,825 adults over 36 years in Tromsø prospective study |
title_full_unstemmed |
Trends in prevalence, treatment and control of hypertension in 38,825 adults over 36 years in Tromsø prospective study |
title_sort |
trends in prevalence, treatment and control of hypertension in 38,825 adults over 36 years in tromsø prospective study |
publisher |
SAGE Publications |
publishDate |
2023 |
url |
https://hdl.handle.net/10037/30476 https://doi.org/10.1177/14034948221122395 |
geographic |
Norway Tromsø |
geographic_facet |
Norway Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_relation |
Scandinavian Journal of Public Health Desai, Clarke, Ross, Grimsgaard, Njølstad, Lewington. Trends in prevalence, treatment and control of hypertension in 38,825 adults over 36 years in Tromsø prospective study. Scandinavian Journal of Public Health. 2023 FRIDAID 2161472 doi:10.1177/14034948221122395 1403-4948 1651-1905 https://hdl.handle.net/10037/30476 |
op_rights |
Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) openAccess Copyright 2023 The Author(s) https://creativecommons.org/licenses/by-nc/4.0 |
op_doi |
https://doi.org/10.1177/14034948221122395 |
container_title |
Scandinavian Journal of Public Health |
container_start_page |
140349482211223 |
_version_ |
1778150119941603328 |