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. 2011 Jul;34(7):1579-81.
doi: 10.2337/dc11-0178. Epub 2011 May 20.

Long-term and recent progress in blood pressure levels among U.S. adults with diagnosed diabetes, 1988-2008

Jing Wang  1 , Linda S Geiss, Yiling J Cheng, Giuseppina Imperatore, Sharon H Saydah, Cherie James, Edward W Gregg
Affiliations

Long-term and recent progress in blood pressure levels among U.S. adults with diagnosed diabetes, 1988-2008

Jing Wang et al. Diabetes Care. 2011 Jul.

Abstract

Objective: To examine whether there were long-term (between 1988-1994 and 2001-2008) and recent (between 2001-2004 and 2005-2008) changes in blood pressure (BP) levels among U.S. adults with diagnosed diabetes.

Research design and methods: Using data from National Health and Nutrition Examination Surveys (NHANES), we examined changes in BP distributions, mean BPs, and proportion with BP<140/90 mmHg.

Results: Between 1988-1994 and 2001-2008, for adults with diabetes, mean BPs decreased from 135/72 mmHg to 131/69 mmHg (P<0.01) and the proportion with BP<140/90 mmHg increased from 64 to 69% (P=0.01). Although hypertension prevalence increased, hypertension awareness, treatment, and control improved. However, there was no evidence of improvement for adults 20-44 years old. Between 2001-2004 and 2005-2008, there were no significant changes in BP levels.

Conclusions: BP levels among adults with diabetes improved between 1988-1994 and 2001-2008, but the progress stalled between 2001-2004 and 2005-2008. The lack of improvement among young adults is concerning.

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Figures

Figure 1
Figure 1
Adjusted (*) BP distributions for U.S. adults with diabetes, 1988–1994 vs. 2001–2008.
See this image and copyright information in PMC

References

    1. Sarwar N, Gao P, Seshasai SR, et al. ; Emerging Risk Factors Collaboration Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies [retracted in Lancet 2010;376:958]. Lancet 2010;375:2215–2222 - PMC - PubMed
    1. Stamler J, Vaccaro O, Neaton JD, Wentworth D. Diabetes, other risk factors, and 12-yr cardiovascular mortality for men screened in the Multiple Risk Factor Intervention Trial. Diabetes Care 1993;16:434–444 - PubMed
    1. Hansson L, Zanchetti A, Carruthers SG, et al. ; HOT Study Group Effects of intensive blood-pressure lowering and low-dose aspirin in patients with hypertension: principal results of the Hypertension Optimal Treatment (HOT) randomised trial. Lancet 1998;351:1755–1762 - PubMed
    1. Turner R, Holman R, Stratton I, et al. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. BMJ 1998;317:703–713 - PMC - PubMed
    1. Imperatore G, Cadwell BL, Geiss L, et al. Thirty-year trends in cardiovascular risk factor levels among US adults with diabetes: National Health and Nutrition Examination Surveys, 1971-2000. Am J Epidemiol 2004;160:531–539 - PubMed