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Titolo:
25-YEAR PREDICTION OF STROKE DEATHS IN THE 7 COUNTRIES STUDY - THE ROLE OF BLOOD-PRESSURE AND ITS CHANGES
Autore:
MENOTTI A; JACOBS DR; BLACKBURN H; KROMHOUT D; NISSINEN A; NEDELJKOVIC S; BUZINA R; MOHACEK I; SECCARECCIA F; GIAMPAOLI S; DONTAS A; ARAVANIS C; TOSHIMA H;
Indirizzi:
UNIV MINNESOTA,SCH PUBL HLTH,DIV EPIDEMIOL,1300 S 2ND ST,SUITE 300 MINNEAPOLIS MN 55454 UNIV MINNESOTA,SCH PUBL HLTH,DIV EPIDEMIOL MINNEAPOLIS MN 55454 NATL INST PUBL HLTH & ENVIRONM NETHERLANDS,DIV RES BILTHOVEN NETHERLANDS UNIV KUOPIO,DEPT COMMUNITY HLTH & GEN PRACTICE SF-70211 KUOPIO FINLAND UNIV BELGRADE,CTR CLIN,INST CARDIOVASC DIS BELGRADE YUGOSLAVIA WHO,NUTR UNIT CH-1211 GENEVA SWITZERLAND UNIV ZAGREB ZAGREB 41000 CROATIA IST SUPER SANITA,EPIDEMIOL & BIOSTAT LAB I-00161 ROME ITALY ATHENS MED CTR,DEPT CARDIOL ATHENS GREECE KURUME UNIV,MED CTR KURUME FUKUOKA 830 JAPAN ATHENS HOME AGED,CTR STUDIES ATHENS GREECE
Titolo Testata:
Stroke
fascicolo: 3, volume: 27, anno: 1996,
pagine: 381 - 387
SICI:
0039-2499(1996)27:3<381:2POSDI>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY HEART-DISEASE; MIDDLE-AGED MEN; RISK-FACTORS; 7 COUNTRIES; 12 COHORTS; FOLLOW-UP; MORTALITY; SMOKING; DECLINE; TRENDS;
Keywords:
BODY MASS INDEX; CHOLESTEROL; CIGARETTE SMOKING; EPIDEMIOLOGY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
35
Recensione:
Indirizzi per estratti:
Citazione:
A. Menotti et al., "25-YEAR PREDICTION OF STROKE DEATHS IN THE 7 COUNTRIES STUDY - THE ROLE OF BLOOD-PRESSURE AND ITS CHANGES", Stroke, 27(3), 1996, pp. 381-387

Abstract

Background and Purpose This report explores the prediction of long-term stroke mortality in cohorts of the Seven Countries Study. Methods Sixteen cohorts of men aged 40 to 59 years at entry were examined at years 0, 5, and 10, with mortality follow-up through 25 years. Results Stroke death rates in 25 years were high in rural Serbia, Croatia, and Japan; intermediate in Italy, Greece, and urban Serbia; and low in Finland, the Netherlands, and the United States. Age and blood pressure were powerful predictors of 25-year stroke mortality in almost all cohorts and countries. Proportional hazards regression coefficients were .0232 increase in stroke death hazard per millimeter of mercury (t=14.60) for systolic blood pressure and .0409 (t=13.41) for diastolic bloodpressure. Moderate blood pressure increases from low usual levels were associated with lower stroke mortality rates in years 10 to 25. Increases of blood pressure starting from high usual levels were associated with increased rates of stroke mortality. Systolic blood pressure was associated with stroke mortality at given levels of diastolic pressure, but diastolic blood pressure was not predictive of stroke mortality at given levels of systolic blood pressure. Conclusions Associationsof systolic acid diastolic blood pressure with stroke mortality were similar in cultures with different stroke mortality rates. Increases in blood pressure were associated with subsequent excess stroke mortality only in those who starred from high usual levels; this study finds lower stroke risk in those men whose blood pressure increased moderately from low usual levels. Diastolic blood pressure is not independently associated with stroke risk in these populations.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 20:33:16