Risk factors and the incidence of hypertension in black physicians: The Meharry Cohort Study

Thomas, John M.; Semenya, Kofi A.; Neser, William B.; Thomas, D J; Green, Donald R.; Gillum, Richard F.

doi:10.1016/0002-8703(85)90087-0

Cited by 41 publications

(26 citation statements)

References 14 publications

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“…In a Kaiser Permanente study, 9 BMI was positively related to incidence of hypertension in both blacks and whites, with a stronger association in whites. In the Meharry Cohort Study, 17 a study of black male physicians, BMI was not significantly related to incidence of hypertension with control for baseline BP and other covariates.…”

Section: Discussionmentioning

confidence: 92%

“…The association remained positive in these same three groups in multivariate analyses, with similar values for the odds ratio, even though the association was significant only in black men. In the NHANES I Study, 12 heart rate was a risk factor for hypertension only in white men, and in the Meharry Cohort Study, 17 heart rate was significantly related to hypertension incidence only with adjustment for age. In the Framingham Offspring Study, 8 heart rate was an independent risk factor for hypertension in both men and women in analyses that did not include control for baseline BP.…”

Section: Discussionmentioning

confidence: 95%

“…Lifestyle factors as well as syndrome X variables were found to be predictors of EBP, with generally stronger associations for both sets of variables for white men and women compared to black men and women. While several lifestyle factors are considered risk factors for hypertension, including overweight and obesity, physical inactivity, and excessive alcohol consumption, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] and heart rate and cigarette smoking have been positively related to incidence of hypertension, 3,[5][6][7][8]12,14,[16][17][18] and education inversely related, 12 only four prospective studies have examined one or more of these variables as predictors of hypertension in black subjects 9,12,16 or women. 8,9,12 Similarly, while several prospective studies have examined one or more syndrome X variables as predictors of hypertension, Results for age through cigarette smoker are from models that included only these eight variables; results for insulin, triglycerides, uric acid, and HDL cholesterol are from models that included the first eight variables, plus the individual syndrome X variable.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Heart rate and cigarette smoking have also been positively related to incidence of hypertension, 3,[5][6][7][8]12,14,[16][17][18] although cigarette smoking has generally been inversely related to blood pressure (BP) in cross-sectional studies. [19][20][21][22][23][24][25][26][27] Education and social status have been inversely related to BP and hypertension in both cross-sectional and prospective studies.…”

Section: Introductionmentioning

confidence: 99%

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Ten-year incidence of elevated blood pressure and its predictors: The CARDIA Study

et al. 1999

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Few prospective studies have examined associations of lifestyle factors or variables 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, physi-

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ten-year incidence of elevated blood pressure and its predictors: The CARDIA Study

et al. 1999

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“…[1][2][3][4][5][6][7][8][9][10][11] A positive family history of hypertension in at least one parent, was considered to be a major risk factor in offspring. 12 The risk of high blood pressure in individuals with a positive parental history of hypertension was four times higher than in subjects with a negative history.…”

Section: Introductionmentioning

confidence: 99%

Influence of parental history of hypertension on blood pressure

Lascaux-Lefebvre

Ruidavets

Arveiler³

et al. 1999

J Hum Hypertens

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Aim: To assess the effect of parental history of hypertension on blood pressure in representative samples from three French populations (MONICA centres of Lille, Strasbourg, Toulouse). Methods: We screened 1660 males and 1635 females, aged 35-64 years. Subjects were defined as hypertensive if systolic blood pressure у160 mm Hg or diastolic blood pressure у95 mm Hg or if they were treated by antihypertensive drugs. Four groups of parental history were determined: no parental history; at least one parent hypertensive before 60 years; hypertension was diagnosed after 60; and hypertension with unknown age of discovery. A logistic regression model was used separately for each sex.

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