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Titolo:
Ten-year incidence of elevated blood pressure and its predictors: The CARDIA Study
Autore:
Dyer, AR; Liu, K; Walsh, M; Kiefe, C; Jacobs, DR; Bild, DE;
Indirizzi:
Northwestern Univ, Sch Med, Dept Prevent Med, Chicago, IL 60611 USA Northwestern Univ Chicago IL USA 60611 Prevent Med, Chicago, IL 60611 USA
Titolo Testata:
JOURNAL OF HUMAN HYPERTENSION
fascicolo: 1, volume: 13, anno: 1999,
pagine: 13 - 21
SICI:
0950-9240(199901)13:1<13:TIOEBP>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARDIOVASCULAR RISK-FACTORS; INSULIN-RESISTANCE; ESSENTIAL-HYPERTENSION; YOUNG-ADULTS; GENERAL-POPULATION; PHYSICAL-ACTIVITY; FASTING INSULIN; FAMILY HISTORY; HEART-DISEASE; SERUM-LIPIDS;
Keywords:
blood pressure; insulin; triglycerides; uric acid; obesity; prospective study;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
70
Recensione:
Indirizzi per estratti:
Indirizzo: Dyer, AR Northwestern2,niv, Sch Med, Dept Prevent Med, 680 N Lake Shore Dr,Suite 110 Northwestern Univ 680 N Lake Shore Dr,Suite 1102 Chicago IL USA 60611
Citazione:
A.R. Dyer et al., "Ten-year incidence of elevated blood pressure and its predictors: The CARDIA Study", J HUM HYPER, 13(1), 1999, pp. 13-21

Abstract

Few prospective studies have examined associations of lifestyle factors orVariables in the insulin resistance syndrome (syndrome X) with incidence of elevated blood pressure (BP) in black subjects and women. This report estimates the 10-year incidence of high blood pressure (HBP) and high normal blood pressure (HNBP) in the biracial cohort of the coronary Artery Risk Development in (Young) Adults Study (CARDIA), and examines lifestyle factors and four syndrome X variables, measured at baseline, as predictors. CARDIA examined 5115 black and white men and women aged 18-30 years in 1985-1986, and re-examined them at 2, 5, 7, and 10 years. The 10-year incidence of HBP was 16.4% in black men, 7.8% in white men, 13.1% in black women, and 3.2% in white women, while the 10-year incidence of HBP or HNBP was 29.5%, 16.2%,19.2%, and 6.3%, respectively, in the four sex-race subgroups. Predictors included body mass index, waist circumference, physical activity, alcohol intake, pulse rate, cigarette smoking, education, fasting insulin, triglycerides, uric acid, and high-density lipoprotein cholesterol, as well as age and systolic BP. In univariate analyses, each of these variables was significantly related to incidence in at least one of the four sex-race groups. Inmultivariate analyses that included control for age and systolic pressure,independent predictors included fasting insulin in white men and women, triglycerides in white men, uric acid and pulse rate in black men, waist circumference in white men and black women, and education (inverse) in white men and black and white women. These results suggest that lower socioeconomicstatus, as assessed by education level, and one or more syndrome X variables, ie, fasting insulin, triglycerides, uric acid, may be associated with development of elevated BP in young adults.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 15:37:38