November 30, 2025Journal of the American College of Cardiology10 citationsOpen Access

Trends in Prevalence, Treatment, and Control of Cardiometabolic Risk Factors Among Adults With Hypertension in the United States, 1999-2023

HLHyeok-Hee Lee ECEmily B. Crawford SCSo Mi Jemma Cho

Key Points

Control rates remain stagnant for hypertension, diabetes, and hyperlipidemia across the U.S.
Over 20% of adults with hypertension also have diabetes and hyperlipidemia.
Observational analysis shows declining control rates for cardiometabolic risk factors since 1999.
Findings suggest a need for improved management strategies for hypertension and associated conditions.

Abstract

The burden of cardiometabolic risk factors among U.S. adults with hypertension has increased overall, with concurrent diabetes and hyperlipidemia now affecting more than 1 in 5. Only one-quarter of adults with hypertension, diabetes, and hyperlipidemia have all 3 conditions controlled-a proportion that has not improved in more than a decade.

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