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HDS-9.2 Data Details

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HDS-9.2 Increase the proportion of adults with prehypertension who meet the recommended guidelines for saturated fat consumption

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): 
31.4 (2005–08)
Target: 
35.7
Target-Setting Method: 
Minimal statistical significance
Target-Setting Method Justification: 
The target value of 35.7 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 prehypertension who report consuming less than 10.0 percent of calories from saturated fat  (based on up to 2 24-hour dietary recalls)

Denominator: 

Number of persons aged 18 years and over, excluding pregnant women, with prehypertension

Comparable Healthy People 2010 Objective: 
Not applicable
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 saturated fat intake were calculated for each participant.

    For blood pressure management among persons with prehypertension it is recommended that they meet the recommendations for saturated fat consumption in the 2005 Dietary Guidelines for Americans as part of the DASH eating plan. This plan includes a diet rich in fruits, vegetables, and low fat dairy products with reduced content of saturated and total fat. This diet is associated with a systolic blood pressure reduction of approximately 8–14 mmHg.

    Adults are defined as having prehypertension if they do not report that they are taking high blood pressure medicine and either: (a) have a measurement of mean systolic blood pressure (SBP) ≥120 and <140 mm Hg or (b) mean diastolic blood pressure (DBP) ≥80 and <90 mm Hg. 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+

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 35.5 to 35.7 due to a computation error.

References

Additional resources about the objective

  1. National Center for Health Statistics. National Health and Nutrition Examination Survey, 2005-2006, Public Use Blood Pressure and Cholesterol Questionnaire Documentation. Hyattsville, MD: Centers for Disease Control and Prevention, November 2007.
  2. National Center for Health Statistics. National Health and Nutrition Examination Survey, 2007-2008, Public Use Blood Pressure and Cholesterol Questionnaire Documentation. Hyattsville, MD: Centers for Disease Control and Prevention, September 2009.
  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.