{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T21:06:22Z","timestamp":1783631182408,"version":"3.55.0"},"reference-count":50,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"20","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[2014,5,20]]},"abstract":"<jats:sec>\n            <jats:title>Background\u2014<\/jats:title>\n            <jats:p>Joint National Committee goal blood pressure for all adults was &lt;140\/&lt;90 mm Hg or lower from 1984 to 2013. Adults aged \u226560 years (older) have mainly isolated systolic hypertension, with major trials attaining systolic blood pressure &lt;150 but not &lt;140 mm Hg. The main objective was to assess changes in hypertension control to &lt;140\/&lt;90 mm Hg in younger (aged &lt;60 years) and older adults and &lt;150\/&lt;90 mm Hg in the latter.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods and Results\u2014<\/jats:title>\n            <jats:p>\n              National Health and Nutrition Examination Surveys (NHANES) 1988 to 1994, 1999 to 2004, and 2005 to 2010 were analyzed in adults aged \u226518 years. From 1988 to 1994 to 2005 to 2010, hypertension control to &lt;140\/&lt;90 mm Hg improved in older (31.6% to 53.1%;\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) and younger (45.7% to 55.9%;\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) patients. The age gap in control declined from 14.1% (\n              <jats:italic>P<\/jats:italic>\n              &lt;0.01) in 1988 to 1994 to 2.8% (\n              <jats:italic>P<\/jats:italic>\n              =0.13) in 2005 to 2010. Better hypertension control reflected increased percentages of older (55.6% to 77.5%) and younger (34.6% to 54.7%) patients on treatment and treated older (45.7% to 64.9%) and younger (56.8% to 73.4%) patients controlled (all\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001). Control to &lt;150\/&lt;90 mm Hg rose from 48.8% to 69.9% in older adults. Antihypertensive medication number and percentages on \u22653 medications increased in both age groups but increased more in older patients (\n              <jats:italic>P<\/jats:italic>\n              &lt;0.01). Blood pressure control was higher in both age groups with \u22652 healthcare visits per year and on statin therapy.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions\u2014<\/jats:title>\n            <jats:p>The age gap in hypertension control to &lt;140\/&lt;90 mm Hg was virtually eliminated in 2005 to 2010 as clinicians intensified therapy, especially in older patients in whom isolated systolic hypertension predominates, controlling 70% to &lt;150\/&lt;90 mm Hg. More frequent healthcare visits and the use of statin therapy may improve hypertension control in all adults.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circulationaha.113.007699","type":"journal-article","created":{"date-parts":[[2014,4,15]],"date-time":"2014-04-15T03:10:29Z","timestamp":1397531429000},"page":"2052-2061","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":39,"title":["Closing the Gap in Hypertension Control Between Younger and Older Adults"],"prefix":"10.1161","volume":"129","author":[{"given":"Brent M.","family":"Egan","sequence":"first","affiliation":[{"name":"From the University of South Carolina School of Medicine, Greenville, Greenville Health System, Care Coordination Institute, Greenville (B.M.E., J.M.F., A.S.); Department of Mathematics, College of Charleston, Charleston, SC (J.L.); and Medical University of South Carolina, Department of Pediatrics, Nephrology Division, Charleston (I.F.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiexiang","family":"Li","sequence":"additional","affiliation":[{"name":"From the University of South Carolina School of Medicine, Greenville, Greenville Health System, Care Coordination Institute, Greenville (B.M.E., J.M.F., A.S.); Department of Mathematics, College of Charleston, Charleston, SC (J.L.); and Medical University of South Carolina, Department of Pediatrics, Nephrology Division, Charleston (I.F.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim F.","family":"Shatat","sequence":"additional","affiliation":[{"name":"From the University of South Carolina School of Medicine, Greenville, Greenville Health System, Care Coordination Institute, Greenville (B.M.E., J.M.F., A.S.); Department of Mathematics, College of Charleston, Charleston, SC (J.L.); and Medical University of South Carolina, Department of Pediatrics, Nephrology Division, Charleston (I.F.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Michael","family":"Fuller","sequence":"additional","affiliation":[{"name":"From the University of South Carolina School of Medicine, Greenville, Greenville Health System, Care Coordination Institute, Greenville (B.M.E., J.M.F., A.S.); Department of Mathematics, College of Charleston, Charleston, SC (J.L.); and Medical University of South Carolina, Department of Pediatrics, Nephrology Division, Charleston (I.F.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Sinopoli","sequence":"additional","affiliation":[{"name":"From the University of South Carolina School of Medicine, Greenville, Greenville Health System, Care Coordination Institute, Greenville (B.M.E., J.M.F., A.S.); Department of Mathematics, College of Charleston, Charleston, SC (J.L.); and Medical University of South Carolina, Department of Pediatrics, Nephrology Division, Charleston (I.F.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","unstructured":"American Heart Association. 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