Table 3.
US Adults With Nonelevated Clinic BP a Not Taking Antihypertensive Medication Who Would be Referred for ABPM Using Prehypertension, the Upper Range of Prehypertension, and Cut Points Derived Using the Clinic BP Diagnostic Index
| Prehypertensionb | Upper Range of Prehypertensionc | Elevated Clinic BP Diagnostic Index Using Different Derived Cut Pointsd | ||||||
|---|---|---|---|---|---|---|---|---|
| ≥190 mm Hg | ≥201 mm Hg | ≥207 mm Hg | ≥212 mm Hg | ≥214 mm Hg | ≥217 mm Hg | |||
| Number in millions (percentage) of US adultse | ||||||||
| Overall | 59.3 (39.1) | 20.3 (14.0) | 118.6 (76.5) | 90.4 (58.1) | 73.1 (46.8) | 58.3 (37.4) | 53.0 (34.0) | 44.4 (28.5) |
| Age categories, y | ||||||||
| <40 y | 22.3 (29.0) | 6.4 (8.4) | 53.7 (69.8) | 38.0 (49.5) | 29.0 (37.8) | 22.0 (28.4) | 19.2 (25.2) | 15.9 (20.6) |
| 40–59 | 26.5 (45.3) | 8.7 (15.3) | 49.2 (83.9) | 39.7 (67.4) | 33.7 (56.7) | 27.9 (47.4) | 26.2 (43.9) | 22.2 (37.5) |
| ≥60 | 10.5 (57.4) | 5.3 (28.8) | 15.7 (81.1) | 12.7 (65.0) | 10.4 (53.3) | 8.4 (43.8) | 7.7 (40.0) | 6.3 (33.4) |
| Race/ethnicity | ||||||||
| Non‐Hispanic white | 40.1 (39.2) | 13.7 (14.0) | 79.8 (77.5) | 61.5 (59.4) | 49.9 (47.5) | 39.6 (37.3) | 36.1 (34.2) | 30.3 (28.5) |
| Non‐Hispanic black | 6.6 (46.1) | 2.6 (18.3) | 11.6 (78.5) | 9.1 (61.4) | 7.4 (50.9) | 6.1 (41.6) | 5.5 (38.1) | 4.7 (32.5) |
| Hispanic | 9.1 (35.0) | 3.2 (12.9) | 20.6 (76.4) | 15.6 (59.7) | 12.4 (48.9) | 10.1 (41.0) | 9.1 (37.3) | 7.8 (32.4) |
| Other race | 4.5 (34.7) | 1.3 (10.6) | 9.2 (75.6) | 6.7 (55.8) | 5.5 (45.7) | 4.6 (37.4) | 4.3 (34.7) | 3.5 (28.9) |
| Sex | ||||||||
| Female | 24.0 (29.9) | 8.4 (10.6) | 55.2 (67.6) | 39.4 (48.1) | 30.7 (37.2) | 23.4 (28.5) | 21.3 (25.6) | 17.7 (21.5) |
| Male | 35.3 (48.6) | 11.9 (17.5) | 63.4 (85.7) | 50.9 (68.5) | 42.3 (56.7) | 34.8 (46.7) | 31.7 (42.8) | 26.7 (35.7) |
Abbreviation: ABPM, ambulatory blood pressure monitoring; BP, blood pressure.
aNonelevated clinic blood pressure (BP): clinic systolic BP <140 mm Hg and clinic diastolic BP <90 mm Hg. bPrehypertension: among adults with nonelevated BP (ie, systolic BP <140 mm Hg and diastolic BP <90 mm Hg), clinic systolic BP ≥120 mm Hg and <140 mm Hg, or clinic diastolic BP ≥80 mm Hg and <90 mm Hg. cUpper range of prehypertension: among adults with nonelevated clinic BP (ie, systolic BP <140 mm Hg and diastolic BP <90 mm Hg), clinic systolic BP ≥130 mm Hg and <140 mm Hg, or clinic diastolic BP ≥85 mm Hg and <90 mm Hg. dClinic BP diagnostic index cut points associated with 99% (190 mm Hg), 95% (201 mm Hg), 90% (207 mm Hg), 85% (212 mm Hg), 80% (214 mm Hg), and 75% (217 mm Hg) sensitivity. eNumber and percentage of US adults were derived from the National Health and Nutrition Examination Survey 2009–2012. There were approximately 152.7 million US adults with nonelevated clinic BP who were not taking antihypertensive medication.