Table 2.
Trends in prevalence of hypertension and dyslipidemia among U.S. adults aged ≥ 18 years by glycemic status, NHANES 1988 to 2014
1988–1994 | 1999–2004 | 2005–2010 | 2011–2014 | Δ from 88–94 to 11–14 |
P interaction | |
---|---|---|---|---|---|---|
n=8007 | n=6640 | n=7861 | n=5463 | P trend | ||
Hypertension | <0.001 | |||||
Diagnosed diabetes | 38.9 (36.1–41.7) | 50.5 (46.7–54.2) | 54.7 (50.9–58.4) | 55.5 (51.4–59.5) | +16.6 (11.9, 21.3) | <0.001 |
Undiagnosed diabetes | 35.7 (30.8–40.8) | 48.9 (41.1–56.7) | 46.3 (39.2–53.5) | 49.8 (41.4–58.3) | +14.1 (4.5, 23.7) | 0.014 |
Prediabetes | 26.9 (24.9–29.0) | 35.5 (33.1–38.1) | 35.2 (32.9–37.6) | 36.6 (32.8–40.5) | +9.7 (5.4, 14.0) | <0.001 |
Normal glycemic status | 18.9 (17.3–20.7) | 26.4 (24.6–28.3) | 21.8 (20.1–23.6) | 25.0 (22.7–27.4) | +6.0 (3.3, 8.7) | 0.002 |
Dyslipidemia | <0.001 | |||||
Diagnosed diabetes | 53.4 (48.7–58.0) | 51.9 (49.2–54.5) | 53.5 (50.4–56.7) | 63.2 (59.3–67.0) | +9.8 (3.9, 15.7) | 0.001 |
Undiagnosed diabetes | 46.5 (40.7–52.3) | 53.8 (47.0–60.5) | 53.0 (46.3–59.5) | 53.1 (43.9–62.1) | +6.6 (−4.2, 17.4) | 0.284 |
Prediabetes | 53.1 (48.7–57.4) | 50.5 (47.5–53.4) | 46.1 (43.8–48.4) | 51.2 (47.0–55.3) | −1.9 (−7.8, 4.0) | 0.281 |
Normal glycemic status | 36.8 (34.1–39.7) | 38.5 (36.5–40.6) | 33.7 (31.7–35.7) | 31.0 (28.2–33.9) | −5.8 (−9.7, −1.9) | 0.001 |
Abbreviations: NHANES, National Health and Nutrition Examinations Surveys
All analyses were adjusted for age, sex, race/ethnicity
P for trend: Calculated for each glycemic status group by including a continuous variable for the midpoint of each survey period in logistic regression models; significant values indicated variation over time within glycemic groups
P for interaction: significant P-values indicated varying associations between prevalence estimates over time across glycemic groups