Literature DB >> 29691288

Longitudinal change in blood pressure is associated with cardiovascular disease mortality in a Chinese cohort.

Jin-Hu Fan1, Jian-Bing Wang2, Shao-Ming Wang1, Christian C Abnet3, You-Lin Qiao1, Philip R Taylor4.   

Abstract

BACKGROUND: A number of studies have demonstrated a J-shaped curve between blood pressure (BP) and all-cause mortality, but few studies have used longitudinal change in BP to study mortality in the Chinese population.
METHODS: We performed a 30-year follow-up study to examine the association between BP (at baseline and longitudinal change) and risk of mortality in the Linxian General Population Trial Cohort. At baseline, a total of 29 584 healthy adults were enrolled in the Linxian General Population Trial in 1985 and followed through to the end of 2014. The final analysis was restricted to 29 439 participants (55% women) after exclusion of outliers. We also examined the potential effects of BP trajectory patterns during the period of 1985-1999 on sequent risk of mortality. Adjusted Cox proportional hazards models were used to estimate HRs and 95% CIs.
RESULTS: Compared with participants with normal BP, patients with prehypertension, stage 1, stage 2 or stage 3 hypertension had an increased risk of all-cause mortality, with HRs of 1.09 (95% CI 1.05 to 1.14), 1.34 (95% CI 1.28 to 1.40), 1.69 (95% CI 1.60 to 1.79) and 2.14 (95% CI 2.01 to 2.28), respectively. Relative to stable BP of normotension, having a rise in BP from normotension to hypertension or from prehypertension to hypertension both conferred an increased risk of total and cardiovascular disease and stroke mortality (total: HRs 1.22 (95% CI 1.12 to 1.34) and 1.36 (95% CI 1.23 to 1.51); cardiovascular disease: HRs 1.42 (95% CI 1.17 to 1.73) and 1.55 (95% CI 1.24 to 1.93); stroke: HRs 2.29 (95% CI 1.88 to 2.80) and 2.61 (95% CI 2.11 to 3.24), respectively).
CONCLUSIONS: These findings emphasise that development of incident hypertension in middle age could increase the risk of total, cardiovascular disease and stroke mortality, and suggest that current BP targets could be revised. TRIAL REGISTRATION NUMBER: NCT00342654;Post-results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Entities:  

Keywords:  epidemiology; heart disease; hypertension; stroke

Mesh：

Year:  2018        PMID： 29691288      PMCID： PMC6185795          DOI： 10.1136/heartjnl-2017-312850

Source DB:  PubMed          Journal:  Heart        ISSN： 1355-6037            Impact factor:   5.994


  30 in total

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7.  A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010.

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8.  The Burden of Hypertension and Associated Risk for Cardiovascular Mortality in China.

Authors:  Sarah Lewington; Ben Lacey; Robert Clarke; Yu Guo; Xiang Ling Kong; Ling Yang; Yiping Chen; Zheng Bian; Junshi Chen; Jinhuai Meng; Youping Xiong; Tianyou He; Zengchang Pang; Shuo Zhang; Rory Collins; Richard Peto; Liming Li; Zhengming Chen
Journal:  JAMA Intern Med       Date:  2016-04       Impact factor: 21.873

9.  The association of blood pressure with cancer incidence in a prospective study.

Authors:  J S Grove; A Nomura; R K Severson; G N Stemmermann
Journal:  Am J Epidemiol       Date:  1991-11-01       Impact factor: 4.897

10.  Achieved Blood Pressure and Outcomes in the Secondary Prevention of Small Subcortical Strokes Trial.

Authors:  Michelle C Odden; Leslie A McClure; B Peter Sawaya; Carole L White; Carmen A Peralta; Thalia S Field; Robert G Hart; Oscar R Benavente; Pablo E Pergola
Journal:  Hypertension       Date:  2015-11-09       Impact factor: 10.190
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  9 in total

1.  Sex differences in the association of abdominal adipose tissue and anthropometric data with untreated hypertension in a Chinese population.

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2.  Short-Term and Long-Term Blood Pressure Changes and the Risk of All-Cause and Cardiovascular Mortality.

Authors:  Yue Dai; Yali Wang; Yanxia Xie; Jia Zheng; Rongrong Guo; Zhaoqing Sun; Liying Xing; Xingang Zhang; Yingxian Sun; Liqiang Zheng
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4.  Parental educational status independently predicts the risk of prevalent hypertension in young adults.

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5.  One-Year Blood Pressure Trajectory After Acute Ischemic Stroke.

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Journal:  J Am Heart Assoc       Date:  2022-02-23       Impact factor: 6.106

6.  Severity of Nonalcoholic Fatty Liver Disease is Associated With Cardiovascular Outcomes in Patients With Prehypertension or Hypertension: A Community-Based Cohort Study.

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Journal:  Front Endocrinol (Lausanne)       Date:  2022-08-25       Impact factor: 6.055

7.  Unstably controlled systolic blood pressure trajectories are associated with markers for kidney damage in prediabetic population: results from the INDEED cohort study.

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Journal:  J Transl Med       Date:  2020-05-12       Impact factor: 5.531

8.  Blood pressure and hypertension prevalence among oldest-old in China for 16 year: based on CLHLS.

Authors:  Jiajun Du; Guoning Zhu; Yanhong Yue; Miao Liu; Yao He
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9.  The Association between Blood Pressure Trajectories and Risk of Cardiovascular Diseases among Non-Hypertensive Chinese Population: A Population-Based Cohort Study.

Authors:  Fang Li; Qian Lin; Mingshu Li; Lizhang Chen; Yingjun Li
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  9 in total

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