Incorporating the American College of Cardiology/American Heart Association hypertension diagnostic criteria into metabolic syndrome criteria will significantly increase the prevalence of metabolic syndrome among college students.

Journal of Human Hypertension
Oliver W A WilsonChristopher M Bopp

Abstract

The purpose of this study was to examine the impact that the revised American College of Cardiology/American Heart Association (ACC/AHA) hypertension diagnostic criteria would have on the prevalence of metabolic syndrome (MBS) among college students. Students completed an objective health assessment between September 2015 and April 2018 that involved the assessment of abdominal girth, blood glucose, lipids, and blood pressure (BP). Data of 5681 students (60.1% Men; 21 ± 1 years) who had all MBS risk factors assessed were analyzed to compare differences between old and new diagnostic criteria and identify which component of BP best predicts metabolic risk factors. The prevalence of MBS increased by 40.6% and 104.5% with the change to ACC/AHA criteria from the AHA/National Heart Lung and Blood Institute and the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High BP criteria, respectively. The greatest relative increase in the prevalence of MBS was observed among women. Systolic BP and diastolic BP were significant predictors of abdominal obesity, and diastolic BP was a significant predictor of elevated triglycerides. Changes in hypertension diagnostic criteria had a significa...Continue Reading

References

May 16, 2003·JAMA : the Journal of the American Medical Association·Aram V ChobanianUNKNOWN National High Blood Pressure Education Program Coordinating Committee
Dec 17, 2011·Journal of American College Health : J of ACH·Jesse S MorrellRuth A Reilly
Dec 10, 2013·Journal of American College Health : J of ACH·Jesse Stabile MorrellGale B Carey
Feb 27, 2018·Current Hypertension Reports·Mohammad G Saklayen
Oct 9, 2019·Obesity Research & Clinical Practice·Oliver W A WilsonChristopher M Bopp

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