A5053332521- Blood Pressure and Hypertension Studies
- Cardiovascular Health and Risk Factors
- Sodium Intake and Health
- Heart Rate Variability and Autonomic Control
- Nutritional Studies and Diet
- Health disparities and outcomes
- Obesity, Physical Activity, Diet
- Birth, Development, and Health
- Cardiovascular Health and Disease Prevention
- Cardiac Health and Mental Health
- Health, Environment, Cognitive Aging
- Health Systems, Economic Evaluations, Quality of Life
- Lipoproteins and Cardiovascular Health
- Global Health Care Issues
- Stress Responses and Cortisol
- Obesity and Health Practices
- Climate Change and Health Impacts
- Nutrition and Health in Aging
- Cardiovascular and exercise physiology
- Hormonal Regulation and Hypertension
- Primary Care and Health Outcomes
- Hemodynamic Monitoring and Therapy
- Sleep and related disorders
- Cardiovascular Disease and Adiposity
- Cardiac, Anesthesia and Surgical Outcomes
University of North Carolina at Chapel Hill
2013-2025
University of Alabama at Birmingham
2020-2024
Emory University
2018-2022
Atlanta VA Medical Center
2022
Sullivan University
2022
St. Vincent's Birmingham
2018
University of North Carolina Health Care
2014-2016
Public Health Department
2016
<h3>Importance</h3> Controlling blood pressure (BP) reduces the risk for cardiovascular disease. <h3>Objective</h3> To determine whether BP control among US adults with hypertension changed from 1999-2000 through 2017-2018. <h3>Design, Setting, and Participants</h3> Serial cross-sectional analysis of National Health Nutrition Examination Survey data, weighted to be representative adults, between 2017-2018 (10 cycles), including 18 262 aged years or older defined as systolic level 140 mm Hg...
Background US blood pressure reduction policies are largely restricted to hypertensive populations and associated benefits often estimated based on unrealistic interventions. Methods Results We used multivariable linear regression estimate incidence rate differences contrasting the impact of 2 pragmatic hypothetical interventions reduce coronary heart disease, stroke, failure ( HF ) incidence: (1) a population‐wide intervention that reduced systolic by 1 mm Hg (2) targeted prevalence...
Background: The National Health and Nutrition Examination Survey data indicate that the proportion of US adults with hypertension had controlled blood pressure (BP) declined from 2013 to 2014 through 2017 2018. We analyzed 2009 2012, 2016, 2020 confirm this finding. Methods: Hypertension was defined as systolic BP ≥140 mm Hg or diastolic ≥90 antihypertensive medication use. control among those <140 <90 Hg. Results: age-adjusted prevalence 31.5% (95% CI, 30.3%–32.8%), 32.0%...
<h3>Importance</h3> Higher blood pressure (BP) levels in children are associated with an increased risk for hypertension and subclinical cardiovascular disease adulthood. Identifying trends BP could inform the need interventions to lower BP. <h3>Objective</h3> To determine whether systolic (SBP) diastolic (DBP) among US have changed during past 20 years. <h3>Design, Setting, Participants</h3> This serial cross-sectional analysis of National Health Nutrition Examination Survey data included...
OBJECTIVES Examine childhood obesity incidence across recent cohorts. METHODS We examined and prevalence 2 cohorts of children in the United States 12 years apart using Early Childhood Longitudinal Studies, parallel data sets following kindergarten 1998 2010 with direct anthropometric measurements at multiple time points through fifth grade 2004 2016, respectively. investigated annualized rate cumulative proportion (BMI z-score ≥95th percentile based on Centers for Disease Control Prevention...
Data from the US National Health and Nutrition Examination Survey are freely available can be analyzed to produce hypertension statistics for noninstitutionalized population. The analysis of these data requires statistical programming expertise knowledge methodology.
Determining the contribution of social determinants health (SDOH) to higher proportion Black adults with uncontrolled blood pressure (BP) could inform interventions improve BP control and reduce cardiovascular disease. We analyzed data from 7306 White 7497 US taking antihypertensive medication REGARDS (Reasons for Geographic Racial Differences in Stroke) study (2003-2007). SDOH were defined using Healthy People 2030 domains education, economic stability, context, neighborhood environment,...
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Objectives: Less than half of United States adults with hypertension have controlled blood pressure (BP). Higher BMI is associated an increased risk for but the association between and BP control not well characterized. We examined awareness, antihypertensive medication use, control, by category. Methods: Data 3568 aged at least 18 years (BP 140/90 mmHg or taking medication) from 2015 to 2018 National Health Nutrition Examination Survey were analyzed. was categorized as normal (<25 kg/m 2...
The authors examined the proportion of US adults that would have their high blood pressure (BP) status changed if systolic BP (SBP) and diastolic (DBP) were measured with systematic bias and/or random error versus following a standardized protocol. Data from 2017-2018 National Health Nutrition Examination Survey (NHANES; n = 5176) analyzed. was up to three times using mercury sphygmomanometer by trained physician protocol averaged. High defined as SBP ≥130 mm Hg or DBP ≥80 Hg. Among not...
Abstract BACKGROUND The prevalence of many chronic conditions has increased among US adults. Many adults with hypertension have other conditions. METHODS We estimated changes in the age-adjusted multiple (≥3) conditions, not including hypertension, using data from National Health and Nutrition Examination Survey, 1999–2000 to 2017–2020, (n = 24,851) without 24,337 hypertension. Hypertension included systolic blood pressure (BP) ≥130 mm Hg, diastolic BP ≥80 or antihypertensive medication use....
We examined the association of multilevel social determinants health with incident apparent treatment-resistant hypertension (aTRH).
Heart failure is sometimes incorrectly listed as the underlying cause of death (UCD) on certificates, thus compromising accuracy and comparability mortality statistics. Statistical redistribution UCD has been used to examine effect misclassification attributed heart failure, but sex- race-specific deaths coronary disease (CHD) in United States not examined. We coarsened exact matching infer vital records with from 1999 2010 for decedents 55 years old older states encompassing regions under...
<h3>Importance</h3> Many studies have assessed racial/ethnic and sex disparities in the prevalence of elevated blood pressure (BP) from childhood to adulthood, yet few examined differences age-specific transitions between categories BP over life course contemporary, multiracial/multiethnic populations. <h3>Objective</h3> To estimate age, racial/ethnic, sex–specific annual net transition probabilities using Markov modeling cross-sectional data National Health Nutrition Examination Survey....
Death certificate data indicate that hypertension may have increased as a contributing cause of death among US adults. Hypertension is not commonly recorded on certificates although it contributes to substantial proportion cardiovascular disease (CVD) deaths.
Abstract BACKGROUND Prior studies have reported a decrease in the proportion of US adults with hypertension who had controlled blood pressure (BP). METHODS We analyzed data from National Health and Nutrition Examination Survey (n = 25,128, ≥18 years age) to determine changes BP control 2013–2014 2021–2023. Hypertension was defined as systolic ≥140 mm Hg, diastolic ≥90 or antihypertensive medication use. &lt;140 Hg &lt;90 Hg. RESULTS The age-adjusted prevalence (95% CI) 32.8%...
BACKGROUND: The impact of preventing hypertension and maintaining normal blood pressure (BP) on life expectancy healthy (HLE) among Black adults, who are disproportionately affected by hypertension, has not been quantified. METHODS: We used a discrete event simulation to estimate HLE cohort adults from the Jackson Heart Study (n=4933) age 20 100 years or until death. modeled as having BP <130/80 mm Hg <120/80 across lifespan. In primary analysis, we assumed that lowering decreased risk...
Background: This study aimed to estimate the association between cardiovascular disease (CVD) risk and incident fracture in postmenopausal women. Methods: The included data from women without a history of CVD enrolled Women’s Health Initiative, who had available biomarker information at baseline necessary compute 10-year overall using PREVENT equation. Outcomes self-reported any clinical, major osteoporotic (MOF-hip, spine, wrist, shoulder), hip fractures. Women reporting anti-osteoporosis...
Introduction: Black adults in the rural South have disproportionately higher rates of cardiovascular disease and hypertension compared to White urban adults, largely due socioeconomic environmental barriers a healthy lifestyle. These inequities highlight need for targeted prevention programs. Methods: Through partnerships with churches Belt region Alabama, we are conducting cluster randomized controlled trial test effectiveness community-based education alone vs. combined individual plus...
Background: There are preventable disparities in blood pressure (BP) levels by race the US, that contribute to a higher rate of cardiovascular disease (CVD) events and mortality among non-Hispanic Black compared White US adults. We estimated number CVD deaths could be prevented adults achieving same mean systolic BP (SBP) as ≥45 years age. Methods: calculated difference SBP between versus from National Health Nutrition Examination Survey 2015-2020. The 10-year cumulative incidence CVD,...
ObjectiveDepression is the most common mental health complication after stroke, leading to poor post-stroke outcomes. Few observational studies have reported factors associated with antidepressant use in these patients. Therefore, this study assessed patient and clinical characteristics receiving prescriptions at discharge following hospital admission for acute stroke.MethodsIdentified were patients admitted stroke or transient ischemic attack from institutional registry (October 1, 2019,...