Encyclopedia of Behavioral Medicine

2013 Edition
| Editors: Marc D. Gellman, J. Rick Turner


Reference work entry
DOI: https://doi.org/10.1007/978-1-4419-1005-9_1280


In 2003, the seventh report of the Joint National Committee guidelines (JNC 7) proposed a classification for normal blood pressure (BP) and prehypertension based on the average of two more properly measured readings:
  • Normal blood pressure: systolic < 120 mmHg and diastolic < 80 mmHg

  • Prehypertension: systolic 120–139 mmHg or diastolic 80–89 mmHg

Compared to individuals with normal BP, prehypertensive individuals have a greater number of traditional cardiovascular disease (CVD) risk factors and have a greater risk of developing CVD independent of other CVD risk factors than individuals with BP < 120/80. Prehypertensive individuals also have a greater risk of developing hypertension than normotensive individuals. Therefore, prehypertension can be conceptualized as an intermediate phenotype at elevated risk of developing traditional risk factors for CVD (such as hypertension) and at independent risk of developing CVD itself.

However, the ideal surveillance and management...

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References and Readings

  1. Greenlund, K. J., Croft, J. B., & Mensah, G. A. (2004). Prevalence of heart disease and stroke risk factors in persons with prehypertension in the United States, 1999–2000. Archives of Internal Medicine, 164(19), 2113–2118.PubMedCrossRefGoogle Scholar
  2. Julius, S., Nesbitt, S. D., Egan, B. M., Weber, M. A., Michelson, E. L., Kaciroti, N., Black, H. R., Grimm, R. H., Jr., Messerli, F. H., Oparil, S., & Schork, M. A. (2006). Trial of Preventing Hypertension (TROPHY) Study Investigators. Feasibility of treating prehypertension with an angiotensin-receptor blocker. The New England Journal of Medicine, 354(16), 1685–1697.PubMedCrossRefGoogle Scholar
  3. U.S. Preventive Services Task Force. (2007). Screening for high blood pressure: U.S. Preventive Services Task Force reaffirmation recommendation statement. Annals of Internal Medicine, 147(11), 783–786.Google Scholar
  4. Zhang, Y., Lee, E. T., Devereux, R. B., Yeh, J., Best, L. G., Fabsitz, R. R., & Howard, B. V. (2006). Prehypertension, diabetes, and cardiovascular disease risk in a population-based sample: The Strong Heart Study. Hypertension, 47(3), 410–414.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, New York 2013

Authors and Affiliations

  1. 1.Columbia UniversityNew YorkUSA