Research Article

The Association between Antihypertensive Medication Use and Blood Pressure Is Influenced by Obesity

Table 1

Descriptive characteristics of US adults with hypertension by antihypertensive medication type (NHANES 1999–2014).

Participant characteristicsNo BP drugACE inhibitorsβ-blockersDiureticsCCBARBOthers
()()()()()()()

Age, years49.0 (0.3)61.0 (0.3)63.3 (0.3)62.4 (0.3)63.6 (0.3)62.5 (0.4)66.8 (0.5)
Gender (% female)45.3 (0.8)48.0 (0.9)53.5 (1.0)62.8 (0.8)53.4 (1.1)57.4 (1.3)28.4 (1.9)
Ethnicity (% white)69.0 (1.5)74.6 (1.3)79.3 (1.1)74.9 (1.3)68.9 (1.6)74.4 (1.6)73.5 (1.9)
Education (% HS or more)79.7 (0.8)77.3 (1.0)78.0 (1.0)76.1 (0.9)74.8 (1.0)80.7 (1.0)71.6 (2.2)
Health insurance (% yes)78.8 (0.8)92.6 (0.5)93.8 (0.4)93.6 (0.6)94.2 (0.5)95.0 (0.6)94.7 (0.9)
Smoking status (% smoker)25.3 (0.9)16.0 (0.7)15.2 (0.8)12.8 (0.7)14.4 (0.9)10.4 (0.9)12.6 (1.5)
Physical activity (% active)55.2 (1.0)46.2 (1.1)45.9 (1.1)43.9 (1.3)45.0 (1.0)47.5 (1.7)45.3 (2.2)

Body mass index (%)
Normal weight24.3 (0.7)16.0 (0.6)18.5 (0.7)14.5 (0.6)18.5 (0.8)14.1 (0.9)15.8 (1.4)
Overweight35.4 (0.8)33.6 (0.9)34.9 (0.9)30.6 (0.9)32.6 (0.9)31.7 (1.4)33.5 (1.7)
Obesity40.3 (0.9)50.4 (0.9)46.6 (0.9)54.9 (1.0)48.9 (1.0)54.2 (1.4)50.7 (1.8)

Blood pressure (mmHg)
Systolic138 (1)130 (1)132 (1)131 (1)135 (1)133 (1)133 (1)
Diastolic79 (1)70 (1)70 (1)70 (1)69 (1)70 (1)68 (1)
% control39.8 (1.1)70.6 (0.9)66.7 (0.9)68.7 (0.8)62.5 (1.1)65.9 (1.2)66.0 (1.8)
Number of BP meds--------2.0 (0.1)2.3 (0.1)2.4 (0.1)2.4 (0.1)2.3 (0.1)2.8 (0.1)

Significantly different from the no BP drug group (). Continuous data presented as means (SE), categorical data presented as prevalence, % (SE), estimates weighted to represent the US population. Antihypertensive drug groups are not mutually exclusive. ACE = angiotensin-converting enzyme; CCB = calcium channel blocker; ARB = angiotensin receptor blocker; BP = blood pressure; HS = high school; BMI = body mass index; normal weight = 18.5 kg/m2 < BMI < 25 kg/m2; overweight = 25 kg/m2 ≤ BMI < 30 kg/m2; obesity = BMI ≥ 30 kg/m2; SE = standard error.