Title | Prehypertension, diabetes, and cardiovascular disease risk in a population-based sample: the Strong Heart Study. |
Publication Type | Journal Article |
Year of Publication | 2006 |
Authors | Zhang Y, Lee ET, Devereux RB, Yeh J, Best LG, Fabsitz RR, Howard BV |
Journal | Hypertension |
Volume | 47 |
Issue | 3 |
Pagination | 410-4 |
Date Published | 2006 Mar |
ISSN | 1524-4563 |
Keywords | Aged, Cardiovascular Diseases, Cohort Studies, Diabetes Complications, Diabetes Mellitus, Female, Humans, Hypertension, Incidence, Indians, North American, Male, Middle Aged, Prevalence, Proportional Hazards Models |
Abstract | There are few data about the impact of the recently-defined category of prehypertension (systolic blood pressure 120 to 139 mm Hg or diastolic blood pressure 80 to 89 mm Hg) on cardiovascular disease incidence. It is also unknown whether this association differs between individuals with or without diabetes. A total of 2629 Strong Heart Study participants free from hypertension and cardiovascular disease at baseline examination were followed for 12 years to observe incident cardiovascular disease. Approximately 42% of the 2629 participants had diabetes. We assessed the prevalence of prehypertension and the hazard ratios of incident cardiovascular disease associated with prehypertension. Prehypertension was more prevalent in diabetic than nondiabetic participants (59.4% versus 48.2%, P<0.001 adjusted for age). Compared with nondiabetic participants with normal blood pressure, the hazard ratios of cardiovascular disease were 3.70 (95% confidence interval: 2.66, 5.15) for those with both prehypertension and diabetes, 1.80 (1.28, 2.54) for those with prehypertension alone and 2.90 (2.03, 4.16) for those with diabetes alone. Impaired glucose tolerance or impaired fasting glucose also greatly increased the cardiovascular disease risk in prehypertensive people. Clinical investigation of more aggressive interventions, such as drug treatment for blood pressure control for prehypertensive individuals with impaired fasting glucose, impaired glucose tolerance, or diabetes is warranted. |
DOI | 10.1161/01.HYP.0000205119.19804.08 |
Alternate Journal | Hypertension |
PubMed ID | 16446387 |
Grant List | U01-HL41642 / HL / NHLBI NIH HHS / United States U01-HL41652 / HL / NHLBI NIH HHS / United States U01-HL65520 / HL / NHLBI NIH HHS / United States U01-HL65521 / HL / NHLBI NIH HHS / United States UL01-HL41654 / HL / NHLBI NIH HHS / United States |
Related Faculty:
Ying Zhang, M.D., Ph.D.