https://scholars.lib.ntu.edu.tw/handle/123456789/189506
標題: | Progression of Pre-Hypertension, Stage 1 and 2 Hypertension (Jnc 7): A Population-Based Study in Keelung, Taiwan (Keelung Community-Based Integrated Screening No. 9) | 作者: | CHIU, YUEH-HSIA WU, SHIAO-CHI TSENG, CHUEN-DEN YEN, AMY MING-FANG CHEN, TONY HSIU-HSI 陳秀熙 |
關鍵字: | hypertension;JNC 7 Report;multi-state transition;pre- hypertension | 公開日期: | 2006 | 卷: | v.24 | 期: | n.5 | 起(迄)頁: | 821-828 | 來源出版物: | JOURNAL OF HYPERTENSION | 摘要: | Objective: To investigate the prevalence and progression of, and identify risk factors for, pre-hypertension, stage 1 and 2 hypertension in a population-based study. Design: A prospective cohort study. Setting: An integrated community- based multiple screening program in Keelung, Taiwan. Participants: A total of 67 011 individuals aged 20-79 years between 1999 and 2003 were included. Of these, 22 111 reattended, yielding 53 689 repeated recordings of blood pressure, including movement between normal and prehypertension and progression from pre-hypertension to stage 1 or stage 2 hypertension. Main outcome measures: Blood pressure was defined and classified according to the JNC 7 Report as normal, prehypertension, stage 1, and stage 2 hypertension. Results: Below 50 years of age, males had a higher progression rate, particularly from normal to prehypertension , than females. Annual regression rates from pre-hypertension to normal were higher in the young age group than in the old age group, particularly for females. Factors associated with the occurrence of pre-hypertension were old age, male gender, high waist circumference, abnormal blood lipids , smoking, chewing betel nuts, lack of exercise, and having parents with hypertension. Factors associated with regression from pre-hypertension to normal were body mass index, fasting glucose, high-density lipoprotein level, smoking, and parents with hypertension. Progression from pre- hypertension to stage 1 hypertension was positively related to male gender , higher waist circumference, and having parents with hypertension. Conclusions: The rates of progression and regression of hypertension vary with age and gender, anthropometric and biochemical measurements, and family history. J Hypertens 24 :821 - 828 (c) 2006 Lippincott Williams & Wilkins. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/93097 |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。