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HDS-10.3 Data Details

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HDS-10.3 Increase the proportion of adults with hypertension who meet the recommended guidelines for sodium intake

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
National Health and Nutrition Examination Survey
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent (age adjusted—see Comments)
Baseline (Year): 
0.66 (2009–12)
Target: 
1.19
Target-Setting Method: 
Minimal statistical significance
Target-Setting Method Justification: 
The target setting method used was Minimal Statistical Significance. The target value of 1.19 percent represents the smallest change that will result in a statistically meaningful improvement over the baseline value and would yield a realistic, probably attainable target value.
Numerator: 

Number of persons aged 18 years and over, excluding pregnant women, with high blood pressure/hypertension who report consuming less than or equal to 1,500 mg of sodium daily  (based on up to 2 24-hour dietary recalls)

Denominator: 

Number of persons aged 18 years and over, excluding pregnant women, with high blood pressure/hypertension

Comparable Healthy People 2010 Objective: 
Adapted from HP2010 objective
Questions Used to Obtain the National Baseline Data: 

    From the 2005-2006 and 2007-2008 National Health and Nutrition Examination Survey:

    [NUMERATOR AND DENOMINATOR:]

    Have you ever been told by a doctor or other health professional that you had hypertension, also called high blood pressure?

    1. Yes
    2. No
    3. Refused
    4. Don't know

    Because of your high blood pressure/hypertension, have you ever been told by a doctor or other health professional to take prescribed medication?

    1. Yes
    2. No
    3. Refused
    4. Don't know

    Are you now taking prescribed medication?

    1. Yes
    2. No
    3. Refused
    4. Don't know
Data Collection Frequency: 
Periodic
Methodology Notes: 

    The NHANES includes 2 nonconsecutive 24-hour dietary recalls interviews to obtain information from participants on their intake of foods and beverages from the previous day. Using detailed databases of the nutrient composition of foods from the U.S. Department of Agriculture, estimates of sodium intake were calculated for each participant.

    Excessive dietary sodium consumption increases blood pressure, which increases the risk for stroke, coronary heart disease, heart failure, and renal disease. For blood pressure management among persons with hypertension it is recommended that they limit sodium intake to no more than 1,500 mg/d, consistent with the 2005 Dietary Guidelines for Americans.

    Adults are defined as having high blood pressure/hypertension if they either: (a) have a measurement of mean systolic blood pressure (SBP) ≥140 mm Hg or (b) mean diastolic blood pressure (DBP) ≥90 mm Hg or (c) report that they are taking high blood pressure medicine. Blood pressure is measured by averaging up to 3 blood pressure readings taken during the physical examination in the NHANES mobile examination center. A detailed description of the procedures for blood pressure measurement in the NHANES has been published elsewhere.

    Age Adjustment Notes: 

    This Indicator uses Age-Adjustment Groups:

    • Total: 18-49, 50-59, 60-69, 70-79, 80+
    • Sex: 18-49, 50-59, 60-69, 70-79, 80+
    • Race/Ethnicity: 18-49, 50-59, 60-69, 70-79, 80+
    • Educational Attainment: 25-49, 50-59, 60-69, 70-79, 80+
    • Family Income (percent poverty threshold): 18-49, 50-59, 60-69, 70-79, 80+
    • Country of Birth: 18-49, 50-59, 60-69, 70-79, 80+
    • Disability Status: 20-49, 50-59, 60-69, 70-79, 80+
    • Health Insurance Status: 18-49, 50-59, 60-64
    • Diabetes Status: 18-49, 50-59, 60-69, 70-79, 80+
    • Marital Status: 20-49, 50-59, 60-69, 70-79, 80+
    • Veteran Status: 18-49, 50-59, 60-69, 70-79, 80+
    • Obesity Status: 20-49, 50-59, 60-69, 70-79, 80+
Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2010 objective 12-11 in that this objective which tracks adults with high blood pressure/hypertension who meet the recommended guidelines for sodium intake is a component of the Healthy People 2010 objective, which tracked adults with high blood pressure who report taking action to help control blood their blood pressure through diet, sodium and alcohol reduction, exercise, or high blood pressure medication. The data source was changed from the National Health Interview Survey to the National Health and Nutrition Examination Survey to enable more accurate measurement of dietary intake in reference to specific dietary guidelines.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2015, this objective became measurable. In 2017, the target was revised from 1.23 to 1.19 due to a computation error.

References

Additional resources about the objective

  1. Institute of Medicine. Dietary reference intakes for water, potassium, sodium, chloride, and sulfate. 1st ed. Washington, DC: The National Academies Press; 2004.
  2. National Center for Health Statistics. National Health and Nutrition Examination Survey, 2005-2006, Public Use Blood Pressure Data Documentation, Codebook, and Frequencies. Hyattsville, MD: Centers for Disease Control and Prevention, November 2007.
  3. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC 7) Express. National Heart, Lung, and Blood Institute. Bethesda, Md. 2003. JAMA 2003;289:2560-2571.