Health Fact Sheets
Blood pressure of adults, 2012 to 2015
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Blood pressure has many implications for health. High systolic blood pressure (SBP) and/or high diastolic blood pressure (DBP) can cause damage to blood vessels and can result in cardiovascular disease or events, such as heart attack or stroke, which are among the leading causes of hospitalization and death in Canada.Note 1Note 2
Results from the 2012 to 2015Note 3 Canadian Health Measures Survey (CHMS) indicate that Canadian adults aged 20 to 79 had a measured average resting blood pressure of 113/72 mmHg. For both males and females, average resting blood pressure increased significantly with age (Chart 1). The average resting blood pressure for males aged 20 to 29 was 107/69 mmHg, compared with 123/70 mmHg for males aged 70 to 79. The average resting blood pressure for females aged 20 to 29 was 101/66 mmHg, compared with 128/70 mmHg for females aged 70 to 79. Average resting systolic blood pressure tended to be significantly higher for males in younger age groups (aged 20 to 49) but significantly lower for males in the oldest age group (aged 70 to 79) compared with females in those same age groups. Average resting diastolic blood pressure was higher among middle aged males 50 to 59 compared with females of the same age group.
Data table for Chart 1
Age Group | mmHg | |
---|---|---|
Systolic blood pressure (males) | 20 to 29 | 107 |
30 to 39 | 111 | |
40 to 49 | 115 | |
50 to 59 | 118 | |
60 to 69 | 120 | |
70 to 79 | 123 | |
Systolic blood pressure (females) | 20 to 29 | 101 |
30 to 39 | 105 | |
40 to 49 | 108 | |
50 to 59 | 116 | |
60 to 69 | 120 | |
70 to 79 | 128 | |
Diastolic blood pressure (males) | 20 to 29 | 69 |
30 to 39 | 74 | |
40 to 49 | 77 | |
50 to 59 | 78 | |
60 to 69 | 75 | |
70 to 79 | 70 | |
Diastolic blood pressure (females) | 20 to 29 | 66 |
30 to 39 | 69 | |
40 to 49 | 70 | |
50 to 59 | 72 | |
60 to 69 | 71 | |
70 to 79 | 70 | |
Source: Canadian Health Measures Survey, Cycle 3 (2012 and 2013) and Cycle 4 (2014 and 2015) |
Hypertension
Hypertension is defined as a measured systolic blood pressure greater than or equal to 140 mmHg, a measured diastolic blood pressure greater than or equal to 90 mmHg, a self-reported diagnosis of high blood pressure, or the self-reported use of anti-hypertensive medication. Hypertension was prevalent in 24% of Canadian adults aged 20 to 79 in 2012 to 2015. The prevalence of hypertension increased significantly with age, such that 53% of Canadians aged 60 to 79 self-reported that they had been diagnosed with hypertension by a health-care professional, were taking anti-hypertensive medication, or had high measured blood pressure. Meanwhile, 24% of adults aged 40 to 59 and less than 5% of adults aged 20 to 39 were considered to be hypertensive (data not shown).
Approximately 18% of Canadian adults with measured hypertension were unaware of their condition (chart 2). Fourteen percent were aware of their condition and treated by medication but the condition was not controlled (i.e. reported taking medication for high blood pressure yet had a measured blood pressure greater than or equal to 140/90 mmHg), and another 4% were aware of their condition but were not treated. Sixty-five percent of Canadian adults with hypertension were aware of their condition and were controlling it through medication use.
Data table for Chart 2
Section | percent |
---|---|
Treated by medication and controlled | 65 |
Treated by medication, not controlled | 14 |
Aware, not treated | 4Note E: Use with caution |
Unaware | 18 |
E use with caution "Controlled" refers to a measured resting blood pressure < 140/90 mmHg Source: Canadian Health Measures Survey, Cycle 3 (2012 and 2013) and Cycle 4 (2014 and 2015) |
An important risk factor for hypertension is being overweight or obese.Note 4 Results from the CHMS show that measured hypertension was more than twice as likely to occur among adults who were overweight or obese, compared with their normal-weight counterparts (Chart 3). Hypertension was prevalent in 30% of Canadian adults who were classified as being overweight or obese, compared with 12% of those who were normal weight. Overweight or obese adults aged 60 to 79 had the highest prevalence of hypertension (57%), while adults aged 20 to 39 had the lowest, regardless of weight status (no significant difference between normal weight or overweight/obese for 20-to-39-year olds).
Data table for Chart 3
Normal weight | Overweight/obese | ||
---|---|---|---|
percent | |||
Sex | Total | 12.1 | 30.0 |
Males | 13.0 | 30.4 | |
Females | 11.5 | 29.6 | |
Age group | 20 to 39 | Note F: too unreliable to be published | 7.3 |
40 to 59 | 13.6 | 29.2 | |
60 to 79 | 39.8 | 57.3 | |
F too unreliable to be published suppressed due to extreme sampling variability) The body mass index (BMI) classification is based on the "Canadian guidelines for body weight classification in adults" (Health Canada, 2003) Source: Canadian Health Measures Survey, Cycle 3 (2012 and 2013) and Cycle 4 (2014 and 2015) |
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About blood pressure
Blood pressure (BP) is a measure of the force of blood against the artery walls, and is expressed as systolic blood pressure (SBP)/diastolic blood pressure (DBP) in millimetres of mercury (e.g., 120/80 mmHg). The systolic pressure (top number) is the pressure when the heart contracts and pushes the blood out, and the diastolic pressure (bottom number) is the lowest pressure when the heart relaxes between beats.
The CHMS measured resting blood pressure using an automated device (BPTru™) following a five minute rest period. The BPTru™ recorded six measurements, one minute apart. The average SBP and DBP were calculated using the last five of the six measurements. Respondents were also asked to report if they have ever been diagnosed with high blood pressure by a health care professional or if they have taken medication for high blood pressure in the past month.
The criteria for blood pressure classification in adults are as follows:
Category | Description |
---|---|
Normal | Mean SBP/DBP < 120/80 mmHg |
Pre-hypertension | Mean SBP of 120-139 mmHg and mean DBP of 80-89 mmHg OR Mean SBP of 120-139 mmHg and mean DBP < 80 mmHg OR Mean SBP < 120 mmHg and mean DBP of 80-89 mmHg |
Hypertension | Mean SBP ≥ 140 mmHg OR Mean DBP ≥ 90 mmHg OR Self-reported use of medication for high blood pressure within the past month OR Self-reported having been diagnosed with hypertension by a health-care professional |
Data
Canadian Health Measures Survey data related to this fact sheet are available in CANSIM tables 117-0001, 117-0005, 117-0008 and 117-0009.
For more information on the Canadian Health Measures Survey, please contact Statistics Canada's Statistical Information Service (toll-free 1-800-263-1136; 514-283-8300; STATCAN.infostats-infostats.STATCAN@canada.ca).
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