The 10-year incidence of hypertension across blood pressure categories in a population-based cohort in southwestern Sweden
| Autor: | Lennart Råstam, Ulf Lindblad, Bledar Daka, Klara Lundholm, Jenny Eckner, I Margareta Hellgren, Ying Li |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Longitudinal study Blood Pressure Population survey Prehypertension Risk Factors Internal medicine medicine Diseases of the circulatory (Cardiovascular) system Humans Incident hypertension Longitudinal Studies Family history Exercise Angiology High normal blood pressure Aged Sweden business.industry Incidence (epidemiology) Incidence Odds ratio Middle Aged Blood pressure RC666-701 Hypertension Female Cardiology and Cardiovascular Medicine business Cohort study Research Article |
| Zdroj: | BMC Cardiovascular Disorders BMC Cardiovascular Disorders, Vol 21, Iss 1, Pp 1-8 (2021) |
| ISSN: | 1471-2261 |
| Popis: | Background To explore the determinants of incident hypertension, and especially the impact of baseline blood pressure categories, in a representative Swedish population. Methods A 10-year longitudinal study of residents aged 30–74. Blood pressures were measured and categorized according to ESH guidelines with optimal blood pressure Results Sixteen (2.6%) subjects with optimal baseline blood pressure had hypertension at follow up. Corresponding numbers for subjects with normal, high normal and unstable blood pressure were 55 (19.4%), 50 (39.1%) and 46 (74.2%), respectively. Compared with subjects in optimal group those in normal, high normal and unstable blood pressure categories had significantly higher risk to develop manifest hypertension with odds ratios OR and (95% CI) of 7.04 (3.89–12.7), 17.1 (8.88–33.0) and 84.2 (37.4–190), respectively, with adjustment for age, BMI and family history for hypertension. The progression to hypertension was also independently predicted by BMI (p Conclusions Subjects with high normal or unstable blood pressure should be identified in clinical practice, evaluated for global hypertension risk and offered personalized advice on lifestyle modification for early prevention of manifest hypertension and cardiovascular disease. |
| Databáze: | OpenAIRE |
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