Table 2.
Prevalence of hypertension and its subtypes according to the 2017 ACC/AHA and 2018 KSH guidelines
| All HTN | Treated HTN | Untreated isolated diastolic HTN | Untreated isolated systolic HTN | Untreated systolic diastolic HTN | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2018 KSH | 2017 ACC/AHA | Difference | All guideline | 2018 KSH | 2017 ACC/AHA | Difference | 2018 KSH | 2017 ACC/AHA | Difference | 2018 KSH | 2017 ACC/AHA | Difference | |
| (n = 18,377) | (n = 29,713) | (n = 11,336) | (n = 11,697) | (n = 2592) | (n = 9191) | (n = 6593) | (n = 2007) | (n = 2082) | (n = 79) | (n = 2081) | (n = 6743) | (n = 4627) | |
| Total | 25.9 (25.4–26.5) | 46.3 (45.6–46.9) | 20.3 (19.9–20.8) | 14.7 (14.3–15.1) | 5.2 (4.9–5.4) | 17.9 (17.4–18.3) | 11.8 (11.5–12.1) | 2.5 (2.3–2.6) | 2.6 (2.4–2.7) | 0.1 (0.0–0.2) | 3.5 (3.3–3.7) | 11.1 (10.7–11.4) | 7.6 (7.3–7.8) |
| Age group, yrs | |||||||||||||
| 20–29 | 4.8 (4.2–5.4) | 22.5 (21.3–23.8) | 17.7 (16.6–18.9) | 0.2 (0.1–0.4) | 3.5 (3.0–4.1) | 17.2 (16.1–18.3) | 12.5 (12.3–12.7) | 0.4 (0.2–0.5) | 0.7 (0.5–0.9) | 0.3 (0.2–0.4) | 0.7 (0.5–1.0) | 4.4 (3.8–5.0) | 3.7 (3.2–4.3) |
| 30–39 | 10.3 (9.6–11.0) | 31.6 (30.5–32.7) | 21.3 (20.4–22.3) | 1.8 (1.5–2.2) | 6.5 (6.0–7.1) | 22.4 (21.4–23.4) | 14.9 (14.7–15.2) | 0.3 (0.1–0.4) | 0.4 (0.2–0.5) | 0.1 (0.0–0.2) | 2.2 (1.8–2.5) | 7.5 (6.9–8.1) | 5.3 (4.8–5.9) |
| 40–49 | 21.1 (20.2–22.0) | 45.0 (43.9–46.1) | 23.9 (23.0–24.8) | 10.8 (9.9–11.6) | 8.5 (7.9–9.1) | 24.3 (23.3–25.3) | 15.2 (15.0–15.4) | 0.7 (0.5–0.9) | 0.6 (0.4–0.8) | −0.1 (− 0.2–0.0) | 4.6 (4.2–5.1) | 12.9 (12.2–13.7) | 8.3 (7.7–8.9) |
| 50–59 | 35.3 (34.3–36.4) | 59.1 (58.1–60.2) | 23.8 (22.9–24.7) | 26.1 (25.0–27.1) | 5.5 (5.0–6.0) | 18.9 (18.0–19.7) | 13.1 (12.8–13.3) | 3.2 (2.8–3.6) | 2.3 (1.9–2.6) | − 0.9 (− 1.0--0.8) | 6.4 (5.8–6.9) | 18.9 (18.0–19.7) | 11.4 (10.7–12.1) |
| 60–69 | 51.1 (49.9–52.3) | 67.8 (66.7–69.0) | 16.7 (15.8–17.6) | 30.0 (29.0–31.0) | 1.9 (1.6–2.2) | 8.5 (7.8–9.1) | 6.5 (6.1–6.8) | 6.3 (5.7–7.0) | 6.5 (5.9–7.1) | 0.0 (0.0–0.0) | 4.0 (3.5–4.4) | 14.0 (13.2–14.9) | 10.1 (9.3–10.8) |
| 70–79 | 62.6 (61.2–63.9) | 74.6 (73.4–75.8) | 12.1 (11.1–13.0) | 25.0 (24.1–25.9) | 0.7 (0.5–0.9) | 3.0 (2.6–3.5) | 2.1 (1.8–2.4) | 8.7 (8.0–9.5) | 11.0 (10.2–11.9) | 1.4 (1.3–1.6) | 2.6 (2.2–3.1) | 10.1 (9.3–11.0) | 7.5 (6.8–8.2) |
| 80+ | 69.7 (66.8–72.5) | 79.8 (77.4–82.2) | 10.1 (8.4–11.9) | 6.1 (5.6–6.6) | 0.5 (0.1–0.8) | 1.6 (0.9–2.2) | 1.6 (1.3–1.8) | 12.1 (10.2–14.1) | 15.0 (12.8–17.2) | 2.8 (2.7–3.0) | 2.2 (1.4–3.1) | 8.8 (7.1–10.5) | 6.6 (5.1–8.1) |
| Male | 29.2 (2.4–29.9) | 55.3 (54.4–56.1) | 26.1 (25.4–26.8) | 14.0 (13.5–14.5) | 82 (7.8–8.7) | 24.9 (24.1–25.6) | 14.4 (14.0–14.7) | 2.3 (2.1–2.5) | 2.2 (2.0–2.4) | 0.0 (0.0–0.0) | 4.5 (4.2–4.9) | 14.1 (13.6–14.7) | 9.6 (9.1–10.0) |
| Age group, yrs | |||||||||||||
| 20–29 | 7.9 (6.8–9.0) | 34.1 (32.1–36.1) | 26.2 (24.4–28.0) | 0.5 (0.1–0.8) | 5.7 (4.8–6.7) | 25.0 (23.2–26.8) | 19.6 (19.3–20.2) | 0.7 (0.3–1.0) | 1.2 (0.8–1.7) | 0.6 (0.5–0.7) | 1.2 (0.8–1.6) | 7.5 (6.4–8.6) | 6.3 (5.3–7.3) |
| 30–39 | 16.8 (15.6–18.0) | 46.8 (45.1–48.4) | 30.0 (28.5–31.5) | 2.9 (2.3–3.6) | 11.0 (10.0–11.9) | 32.5 (30.9–34.0) | 21.5 (21.1–22.0) | 0.4 (0.2–0.7) | 0.5 (0.3–0.7) | 0.0 (0.0–0.0) | 3.4 (2.8–4.0) | 11.8 (10.8–12.9) | 8.4 (7.5–9.3) |
| 40–49 | 29.0 (27.5–30.4) | 59.0 (57.5–60.6) | 30.1 (28.6–31.5) | 13.9 (12.5–15.3) | 13.3 (12.2–14.4) | 33.0 (31.5–34.5) | 19.5 (19.3–20.0) | 0.6 (0.4–0.9) | 0.4 (0.2–0.7) | − 0.1 (− 0.2–0.0) | 6.3 (5.5–7.0) | 16.9 (15.7–18.1) | 10.6 (9.6–11.6) |
| 50–59 | 40.4 (38.8–41.9) | 67.4 (65.9–68.9) | 27.0 (25.6–28.4) | 29.3 (27.7–30.9) | 7.9 (7.0–8.7) | 23.1 (21.7–24.4) | 15.5 (15.1–15.9) | 3.3 (2.7–4.0) | 1.9 (1.4–2.3) | − 1.4 (− 1.5--1.2) | 7.6 (6.8–8.5) | 20.9 (19.6–22.3) | 13.3 (12.2–14.4) |
| 60–69 | 51.2 (49.4–52.9) | 69.2 (67.5–70.8) | 18.0 (16.6–19.3) | 29.9 (28.4–31.4) | 2.5 (2.0–3.0) | 10.3 (9.3–11.3) | 7.9 (7.7–8.1) | 5.5 (4.8–6.2) | 5.4 (4.6–6.2) | − 0.3 (− 0.4−− 0.2) | 4.8 (4.1–5.6) | 15.1 (13.8–16.3) | 10.3 (9.2–11.3) |
| 70–79 | 58.1 (56.1–60.1) | 71.1 (69.3–73.0) | 13.0 (11.7–14.4) | 19.6 (18.4–20.7) | 0.7 (0.4–1.0) | 4.0 (3.2–4.8) | 3.4 (3.0–3.7) | 8.9 (7.8–10.0) | 11.0 (9.7–12.3) | 1.8 (1.6–2.0) | 3.1 (2.4–3.8) | 10.8 (9.6–12.0) | 7.7 (6.7–8.7) |
| 80+ | 63.0 (58.3–67.8) | 73.7 (69.4–78.0) | 10.7 (7.8–13.6) | 3.9 (3.4–4.5) | 0.6 (0.0–1.3) | 2.6 (1.1–4.1) | 1.8 (1.6–2.0) | 12.7 (9.6–15.8) | 15.7 (12.4–19.0) | 2.5 (2.3–2.8) | 1.5 (0.5–2.5) | 7.2 (4.7–9.7) | 5.7 (3.4–8.0) |
| Female | 22.7 (22.1–23.3) | 37.3 (36.5–38.0) | 14.5 (14.1–15.0) | 15.4 (14.9–15.9) | 2.1 (1.9–2.3) | 10.9 (10.4–11.3) | 8.5 (8.0–8.9) | 2.6 (2.4–2.8) | 2.9 (2.7–3.1) | 0.2 (0.1–0.4) | 2.4 (2.2–2.6) | 8.0 (7.7–8.4) | 5.6 (5.3–5.9) |
| Age group, yrs | |||||||||||||
| 20–29 | 1.3 (0.9–1.7) | 9.4 (8.3–10.5) | 8.1 (7.1–9.1) | 0.0 (0.0–0.1) | 1.0 (0.7–1.4) | 8.3 (7.3–9.3) | 7.0 (6.7–7.3) | 0.0 (0.0–0.0) | 0.1 (0.0–0.2) | 0.1 (0.0–0.2) | 0.2 (0.0–0.4) | 1.0 (0.6–1.3) | 0.8 (0.5–1.1) |
| 30–39 | 3.4 (2.9–3.9) | 15.5 (14.4–16.6) | 12.1 (11.2–13.1) | 0.8 (0.6–1.1) | 1.8 (1.5–2.2) | 11.7 (10.8–12.7) | 9.5 (9.3–9.8) | 0.1 (0.0–0.2) | 0.2 (0.1–0.3) | 0.1 (0.0–0.2) | 0.8 (0.5–1.1) | 2.9 (2.4–3.4) | 2.1 (1.6–2.5) |
| 40–49 | 13.0 (12.0–14.0) | 30.6 (29.3–32.0) | 17.6 (16.6–18.7) | 7.9 (7.0–8.8) | 3.6 (3.1–4.1) | 15.4 (14.4–16.4) | 12.1 (11.7–12.5) | 0.8 (0.6–1.1) | 0.8 (0.5–1.1) | -0.2 (− 0.3--0.1) | 3.0 (2.5–3.5) | 8.9 (8.1–9.7) | 5.9 (5.2–6.5) |
| 50–59 | 30.3 (28.9–31.6) | 50.8 (49.3–52.2) | 20.5 (19.3–21.7) | 23.2 (21.9–24.4) | 3.0 (2.6–3.5) | 14.6 (13.6–15.6) | 11.2 (10.8–11.6) | 3.1 (2.6–3.6) | 2.7 (2.2–3.2) | − 0.7 (− 0.8--0.6) | 5.1 (4.4–5.7) | 14.5 (13.6–15.5) | 9.5 (8.7–10.3) |
| 60–69 | 51.1 (49.4–52.7) | 66.6 (65.0–68.1) | 15.5 (14.4–16.6) | 30.0 (28.7–31.3) | 1.3 (1.0–1.7) | 6.7 (6.0–7.5) | 5.4 (5.1–5.8) | 7.2 (6.3–8.1) | 7.5 (6.7–8.3) | 0.5 (0.3–0.7) | 3.2 (2.6–3.7) | 13.0 (11.9–14.1) | 9.9 (8.9–10.8) |
| 70–79 | 65.8 (63.9–67.6) | 77.1 (75.5–78.7) | 11.4 (10.1–12.6) | 30.0 (28.7–31.3) | 0.7 (0.4–0.9) | 2.4 (1.8–2.9) | 2.2 (2.0–2.5) | 8.6 (7.6–9.6) | 11.0 (9.9–12.2) | 1.8 (1.5–2.0) | 2.3 (1.7–2.8) | 9.7 (8.5–10.8) | 7.4 (6.4–8.4) |
| 80+ | 73.2 (69.8–76.6) | 83.0 (80.2–85.8) | 9.8 (7.7–12.0) | 8.1 (7.2–8.9) | 0.4 (0.0–0.8) | 1.0 (0.3–1.7) | 0.9 (0.8–1.1) | 11.8 (9.3–14.3) | 14.6 (11.7–17.4) | 3.0 (2.8–3.1) | 2.6 (1.4–3.8) | 9.7 (7.4–11.9) | 7.0 (5.0–9.0) |
Values are presented as weighted % (95% confidence interval)
Abbreviations: ACC/AHA American College of Cardiology/American Heart Association, HTN Hypertension, KNHANES The Korean National Health and Nutrition Examination Survey, KSH Korean Society of Hypertension