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Table 5 Number of China adults, in million, meeting the definition for hypertension and the definition for treatment with antihypertensive medication according to the 2017 ACC/AHA Guideline and the 2010 China Hypertension Guideline based on the 2011 China Health and Nutrition Survey

From: Potential impacts of the 2017 American College of Cardiology/American Heart Association high blood pressure guideline on Chinese adults and how to address them

 

2017 ACC/AHA Guideline

2010 Chinese Hypertension Guideline

Difference (2017ACC/AHA vs 2010 Chinese)

Hypertension

Recommended antihypertensive medication

Hypertension

Recommended antihypertensive medication

Hypertension

Recommended antihypertensive medication

Overall

611.3 (602.9, 620.8)

332.0 (323.6, 340.4)

267.7 (260.3, 276.1)

303.6 (295.1, 312.0)

343.6 (335.2, 352.0)

28.4 (25.3, 31.6)

Age, years

 18–34

50.1 (48.9, 55.0)

8.3 (6.6, 10.0)

5.6 (5.4, 8.0)

8.3 (6.1, 9.1)

44.5 (41.23, 48.1)

0.0 (0.0, 0.0)

 35–44

91.1 (85.6, 97.8)

24.0(19.9, 26.6)

20.1 (18.7,21.4)

23.9 (21.3, 27.3)

71.1(65.3, 75.6)

0.2 (0.06, 0.40)

 45–54

145.5 (140.6, 152.8)

64.7(59.8, 69.7)

54.3 (50.9, 58.9)

64.7 (60.7, 69.8)

91.2 (85.9, 96.2)

0.1 (0.08, 0.25)

 55–64

173.6 (165.0, 177.3)

102.3(96.3, 106.2)

90.5 (85.7, 93.7)

101.1 (97.2, 106.3)

83.1 (79.0, 89.3)

1.2 (0.6, 2.0)

 65–74

97.2 (91.7, 103.9)

85.9 (83.0, 89.6)

62.1 (58.9, 66.9)

68.0 (63.8, 72.9)

35.1 (30.9, 37.8)

17.8 (16.3, 19.2)

  ≥ 75

53.2 (48.9, 55.0)

46.8 (43.2, 49.8)

35.1 (32.1, 37.5)

37.6 (33.4, 39.5)

18.1(17.2, 20.6)

9.2 (7.8, 10.6)

Sex

 Men

316.7 (311.8, 324.0)

167.0 (162.7, 172.6)

133.9 (128.5, 139.2)

153.0(148.8, 157.8)

182.8 (178.7, 189.0)

13.9 (12.4, 15.4)

 Women

294.6 (287.3, 299.5)

165.0(159.4, 169.3)

133.9 (128.5, 139.2)

150.6(145.7, 154.8)

160.7 (154.6, 164.9)

14.5 (13.1, 16.1)

The history of CVDa

 Yes

22.0 (18.3, 24.5)

21.9(19.9, 23.24)

18.2 (16.1, 21.4)

18.8(18.2, 21.3)

3.8 (2.4, 4.5)

2.7 (1.9, 3.8)

 No

589.3 (586.8, 593.0)

310.1(308.8, 312.1)

249.5 (246.3, 251.6)

284.7(282.3, 288.4)

339.8 (338.8, 340.8)

25.5 (24.7, 26.6)

  1. aDefined by a self-reported history of stroke or coronary heart disease
  2. 2017 ACC/AHA Guideline - 2017 American College of Cardiology / American Heart Association Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults