RISK-FACTORS FOR HYPERTENSION IN A NATIONAL COHORT STUDY
RISK-FACTORS FOR HYPERTENSION IN A NATIONAL COHORT STUDY
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DOI：
10.1161/01.hyp.18.5.598
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发表时间：
1991-11-01
期刊：
影响因子：
8.3
通讯作者：
COOPER, RS
中科院分区：
文献类型：
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作者：
FORD, ES;COOPER, RS
高血压仍然是美国主要的公共卫生问题。我们使用国家健康和营养检查调查流行病学随访研究（1971-1984）的数据，对基线检查时无高血压的7,073名参与者的高血压预测因子进行了研究。平均随访10年。在白色男性（n = 2，370）、白色女性（n = 3，949）、黑人男性（n = 231）和黑人女性（n = 523）中，体重指数与高血压发生概率呈正相关。受教育程度与白色女性患高血压的可能性呈负相关，在白色男性和黑人女性中具有边缘意义。在对完成24小时回忆饮食问卷的白色男性（n = 1，790）和白色女性（n = 3，063）进行的亚组分析中，钠、钙和钾的饮食摄入量不能预测高血压的发生。我们的研究未能支持膳食阳离子摄入与高血压发生相关的研究结果，这可能是由于膳食数据测量不精确和高血压状态分类错误。这些数据强调了体重控制在高血压一级预防中的重要性。
Hypertension continues to be a major public health problem in the United States. We used data from the National Health and Nutrition Examination Survey Epidemiologic Followup Study (1971-1984) to examine predictors of hypertension for the 7,073 participants free from hypertension at the baseline examination. The follow-up period averaged 10 years. Body mass index was positively related to the probability of hypertension developing among white men (n = 2,370), white women (n = 3,949), black men (n = 231), and black women (n = 523). Education was inversely associated with the probability of hypertension developing among white women and was of borderline significance among white men and black women. In a subanalysis of white men (n = 1,790) and white women (n = 3,063) who completed the 24-hour recall dietary questionnaire, dietary consumption of sodium, calcium, and potassium did not predict the development of hypertension. The failure of our study to support findings relating intake of dietary cations to the development of hypertension may be attributable to imprecision in the measurement of dietary data and misclassification of hypertension status. These data reinforce the importance of weight control in the primary prevention of hypertension.