What are the blood pressure goals for adults under 60 years of age and for those with diabetes or nondiabetic kidney disease?

The correct blood pressure goal for adults under 60 years of age and for those with diabetes or nondiabetic kidney disease is less than 130/80 mmHg. This goal is supported by the most recent guidelines from health organizations, such as the American College of Cardiology and the American Heart Association, which emphasize the importance of maintaining tighter control of blood pressure in these populations to reduce the risk of cardiovascular events and other complications.

In adults under 60, studies suggest that a lower blood pressure target, such as less than 130/80 mmHg, can be beneficial in preventing hypertension-related health issues. For individuals with diabetes, or those with kidney disease, achieving this stricter target helps mitigate the risk of microvascular and macrovascular complications associated with these conditions.

The option that states less than 140/90 mmHg reflects an older standard that may have been considered sufficient for the general adult population, but does not adequately address the specific risks faced by those with diabetes and kidney disease. Focusing solely on less than 140/90 could lead to suboptimal outcomes in this higher-risk group, which is why the lower threshold of less than 130/80 mmHg is endorsed.