Table 3.
Number in millions and percentage of US adult with non-elevated clinic blood pressurea not taking antihypertensive medication that would be referred for ambulatory blood pressure monitoring using prehypertension, the upper range of prehypertension and cut-points derived using the clinic blood pressure diagnostic index.
| Prehypertensionb | Upper range of prehypertensionc |
Elevated clinic blood pressure diagnostic index using different derived cut-pointsd |
||||||
|---|---|---|---|---|---|---|---|---|
| ≥ 190 mmHg |
≥ 201 mmHg |
≥ 207 mmHg |
≥ 212 mmHg |
≥ 214 mmHg |
≥ 217 mmHg |
|||
| 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 | ||||||||
| < 40 years | 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 years | 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 years | 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%) |
Non-elevated clinic blood pressure: clinic systolic blood pressure < 140 mmHg and clinic diastolic blood pressure < 90 mmHg.
Prehypertension: Among adults with non-elevated clinic blood pressure (i.e., systolic blood pressure < 140 mmHg and diastolic blood pressure < 90 mmHg), clinic systolic blood pressure ≥ 120 mmHg and < 140 mmHg or clinic diastolic blood pressure ≥ 80 mmHg and < 90 mmHg.
Upper range of prehypertension: Among adults with non-elevated clinic blood pressure (i.e., systolic blood pressure < 140 mmHg and diastolic blood pressure < 90 mmHg), clinic systolic blood pressure ≥ 130 mmHg and < 140 mmHg or clinic diastolic blood pressure ≥ 85 mmHg and < 90 mmHg.
Clinic blood pressure diagnostic index cut-points associated with 99% (190 mmHg), 95% (201 mmHg), 90% (207 mmHg), 85% (212 mmHg), 80% (214 mmHg), and 75% (217 mmHg) sensitivity.
Number 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 non-elevated clinic blood pressure who were not taking antihypertensive medication.