Yi Q, Zha M, Yang Q, et al. - Researchers used the China Health and Nutrition Survey to analyze trends in hypertension prevalence according to severity and phenotype in Chinese adults from 1991 to 2015 as well as to investigate potential cardiometabolic factors. They analyzed 164,682 records of adults (≥18 years). A dramatic rise in overall prevalence of hypertension from 15.7% to 23.3% was evident during 1991-2015. Elevation in age-standardized prevalence from 10.1% to 15.6% and from 5.5% to 7.4% was reported for stage 1 and stage 2 hypertension, respectively. An increase in age-standardized prevalence rates, from 3.6% to 6.4% and from 6.9% to 10.4%, was observed for isolated systolic hypertension and systolic-diastolic hypertension respectively. Factors that were positively associated included advanced age and medium/high urbanization, whereas those negatively associated included females, higher educational attainments, and residing in Southern China. Overall, experts witnessed a rising trend in hypertension prevalence, including different severities as well as phenotypes, in Chinese adults over more than two decades. Urgent attempts to prevent and manage hypertension are required in China.