%0 Journal Article
%T Prevalence, Risk Factors, and Management of Prehypertension
%A Wenwen Zhang
%A Ninghua Li
%J International Journal of Hypertension
%D 2011
%I Hindawi Publishing Corporation
%R 10.4061/2011/605359
%X Prehypertension remains an important public health challenge all over the world and appropriate treatments should be adopted to prehypertensive group in different degree effectively. This review aimed to assess the prevalence of Prehypertension and provide effective evidence of the benefits of treating prehypertensive patients. The reasonable evaluation and appropriate intervention of prehypertensive remain need further study. 1. Introduction Prehypertension was defined as a systolic blood pressure of 120每139ˋmmHg and/or a diastolic blood pressure of 80每89ˋmmHg. The concept of prehypertension was introduced as the new guideline for the management of blood pressure by the seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JnC-7) [1]. The objectives of defining this classification of blood pressure were to draw the clinical and public healthy attention on the prevention of people in this range. Prehypertension is a precursor of clinical hypertension and is closely related with the increased incidence of cardiovascular disease [2每4]. Patients with Prehypertension (120每139/80每89ˋmmHg) have an increased risk of cardiovascular morbidity and mortality compared with patients who have normal blood pressure (<120/80ˋmmHg). This paper aimed to assess the prevalence of Prehypertension and provide effective evidence of the benefits of treating prehypertensive patients in community. 2. Epidemiology 2.1. High Prevalence of Prehypertension The National Health and Nutrition Examination Survey (NHANES) 1999-2000 reported that the overall prevalence of prehypertension was 31% all over the world, which was higher in men than in women [5]. A statistical analysis of disease-free adult NHANES participants which was conducted from 1999 to 2006 found that the overall prevalence of PreHTN in disease-free adults was 36.3% [6]. The ATTICA study which included 1514 men and 1528 women found that the prehypertensive population was 39% (43% in men and 35% in women) [7]. The prevalence of prehypertension in India was found more than 45% (of the 2,007 people studied, 47.4% had Prehypertension and 34.7% had hypertension. Prehypertension was found in 46.6% of the men and 49.8% of the women). The data from Korean Nation Health and Nutrition Survey 2001 reported that the estimated age-adjusted prevalence of hypertension and prehypertension was 22.9% (26.9% in men, 20.5% in women) and 31.6% (41.9% in men, 25.9% in women [8]). The Jichi Medical School Cohort Study showed that the prevalence of prehypertension was 34.8%
%U http://www.hindawi.com/journals/ijhy/2011/605359/