Framingham Hypertension Risk Score : the prevalence estimation of hypertension after one year in the population
Framingham Hypertension Risk Score : the prevalence estimation of hypertension after one year in the population
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弗雷明汉高血压风险评分：一年后人群中高血压患病率的估计
DOI：
10.1111/j.1751-7176.2010.00345.x
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Otsuka T.
中科院分区：
文献类型：
--
作者：
Kawada T;Otsuka T.
致编辑：高血压是发病和死亡的主要原因，其预防在一级预防方面具有重大的公共卫生优势。高血压被认为是心脑血管疾病的主要危险因素，降低血压（BP）已被多次推荐与其他危险因素（例如代谢综合征的组成部分和生活方式相关因素）相结合。 1 Parikh 及其同事2 提出了预测近期高血压发病率的风险评分，并得到了 Kivimaki 及其同事的验证。 3 根据年龄、性别、收缩压、舒张压、体重指数、吸烟状况和父母高血压病史计算得出的风险评分可用于预测短期（即 4 年内）高血压的发生情况。他们报告说，尽管需要空腹血糖才能将糖尿病患者排除在目标人群之外，但所有生化变量在初级保健中都没有任何优势。Bloch 和同事 4 之前提出了一个问题，即是否需要一种简单的基于办公室的工具来预测高血压的发病率和临床判断的充分性。人们还争论个体病例的疾病原因和人群中疾病发病的决定因素是不同的。 5, 6 基于人群的高风险识别方法是制定卫生政策的补充方法；然而，这些方法的主要目的是不同的。制定预测高血压的风险评分对于高风险识别很有用，但不能直接用于降压计划，例如定期锻炼、维持最佳体重以及禁止低盐摄入热量。因此，有人认为，虽然高血压风险评分对于筛查以识别亚临床个体是有用的，但
To the Editor: Hypertension is a major cause of morbidity and mortality, and its prevention has a major public health advantage in terms of primary prevention. Hypertension is regarded as a main risk factor for cardiovascular and cerebrovascular diseases, and lowering of blood pressure (BP) has repeatedly been recommended in combination with that of other risk factors, such as components of the metabolic syndrome and lifestyle-related factors. 1 Parikh and colleagues2 presented a risk score for predicting the near-term incidence of hypertension, which was validated by Kivimaki and colleagues. 3 The risk score, calculated based on age, sex, systolic BP, diastolic BP, body mass index, smoking status, and parental history of hypertension, can be used to predict the development of hypertension in the short-term (ie, within 4 years). They reported that none of the biochemical variables had any advantage in primary care, although fasting blood glucose was needed to exclude individuals with diabetes mellitus from the target population.Bloch and associates4 previously presented a question on the need for a simple office-based tool to predict incidence of hypertension and adequacy of clinical judgment. It has also been debated that causes of diseases in individual cases and determinants of disease of the incidence in the population are different. 5, 6 The populationbased and high-risk identification approaches represent complementary approaches for the development of health policies; however, the primary purpose of each of these approaches is different. The development of a risk score for predicting hypertension is useful for high-risk identification but it is not directly used for BP-lowering programs, such as regular exercise, maintenance of an optimal weight, and prohibition of calories with low salt intake. Thus, there is the opinion that although the hypertension risk score is useful for screening to identify individuals with subclini-