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Prevalence, Awareness, Treatment, and Control of Hypertension Based on Acc/Aha Versus Jnc7 Guidelines in the Persian Cohort Study Publisher Pubmed



Sepanlou S1 ; Najafi F2 ; Poustchi H3 ; Parsaeian M4 ; Ahmadi A5 ; Somi M6 ; Moradpour F7 ; Alizadehnavaei R8 ; Gohari A9 ; Zamani B10 ; Esmaeilinadimi A11 ; Rezaianzadeh A12 ; Mansourghanaei F13 ; Bahramali E14 Show All Authors
Authors
  1. Sepanlou S1
  2. Najafi F2
  3. Poustchi H3
  4. Parsaeian M4
  5. Ahmadi A5
  6. Somi M6
  7. Moradpour F7
  8. Alizadehnavaei R8
  9. Gohari A9
  10. Zamani B10
  11. Esmaeilinadimi A11
  12. Rezaianzadeh A12
  13. Mansourghanaei F13
  14. Bahramali E14
  15. Ansarimoghaddam A15
  16. Hamzeh B2
  17. Zanganeh Yousefabadi E16
  18. Zare Sakhvidi MJ17
  19. Mohebbi I18
  20. Fattahi MR19
  21. Nejatizadeh A20
  22. Marioryad H21
  23. Motamedgorji N3
  24. Roozafzai F3
  25. Eghtesad S3
  26. Mohammadi Z3
  27. Shayanrad A3
  28. Sharafkhah M3
  29. Etemadi A22
  30. Kamangar F23
  31. Juraschek SP24
  32. Malekzadeh R25
Show Affiliations
Authors Affiliations
  1. 1. Digestive Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
  3. 3. Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Epidemiology and Biostatistics, Modeling in Health Research Center, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
  6. 6. Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  7. 7. Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
  8. 8. Gastrointestinal Cancer Research Center, Non-Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
  9. 9. Non-Communicable Diseases Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran
  10. 10. Digestive Disease Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
  11. 11. Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
  12. 12. Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  13. 13. Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
  14. 14. Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran
  15. 15. Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
  16. 16. Department of Internal Medicine, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  17. 17. Occupational Health Research Centre, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  18. 18. Social Determinants of Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
  19. 19. Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  20. 20. Molecular Medicine Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  21. 21. Yasuj University of Medical Sciences, Yasuj, Iran
  22. 22. Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, United States
  23. 23. Department of Biology, School of Computer, Mathematical, and Natural Sciences, Morgan State University, Baltimore, MD, United States
  24. 24. Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States
  25. 25. Digestive Oncology Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, North Kargar Ave., Tehran, 14117-13135, Iran

Source: Scientific Reports Published:2022


Abstract

In this cross-sectional population-based study, we used the baseline data of the Prospective Epidemiologic Research Studies in IrAN cohort study collected in Iran from 2014 to 2020. The main outcomes were the prevalence of hypertension and proportion of awareness, treatment, and control based on the 2017 ACC/AHA guideline compared to the seventh report of the Joint National Committee (JNC7). Of the total of 163,770 participants, aged 35–70 years, 55.2% were female. The sex-age standardized prevalence of hypertension was 22.3% (95% CI 20.6, 24.1) based on the JNC7 guideline and 36.5% (31.1, 41.8) based on the ACC/AHA guideline. A total of 24,312 participants [14.1% (10.1, 18.1)] were newly diagnosed based on the ACC/AHA guideline. Compared to adults diagnosed with hypertension based on the JNC7 guideline, the newly diagnosed participants were mainly young literate males who had low levels of risk factors and were free from conventional comorbidities of hypertension. About 30.7% (25.9, 35.4) of them (4.3% of the entire population) were eligible for pharmacologic intervention based on the ACC/AHA guideline. Implementation of the new guideline may impose additional burden on health systems. However, early detection and management of elevated blood pressure may reduce the ultimate burden of hypertension in Iran. © 2022, The Author(s).
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