Cited by 161Blood Pressure and Hypertension StudiesCardiovascular Health and Disease PreventionSodium Intake and Health

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

Blood Pressure Indices and Cardiovascular Disease in the Asia Pacific Region: A Pooled Analysis

Abstract

This article aims to compare the importance of systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), and pulse pressure (PP) as risk factors for stroke and ischemic heart disease and to assess whether the patterns are consistent by age and gender. Cox proportional-hazards regression, adjusted for cholesterol and smoking, was used to assess the associations of the 4 BP indices with stroke and ischemic heart disease by age and gender. The relative importance of individual indices was assessed with a hazard ratios for a 1-SD change in BP and by likelihood-ratio χ 2 tests. The influence of >1 BP index in the Cox model was also estimated. The analyses demonstrated similar associations of SBP, DBP, and MAP with both fatal stroke and ischemic heart diseases, which were stronger than those of PP. Both SBP and MAP tended to be more important in the regression model than DBP or PP. In Cox models including DBP, addition of SBP improved the goodness of fit at all ages and for both genders. However, in Cox models including SBP, addition of DBP typically resulted in little incremental benefit over and above that of SBP alone. These data suggest that if time or resources are highly constrained, such as in much-needed epidemiologic surveys in developing countries, very little is lost from only measuring SBP.

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Crossref · 10.1161/01.hyp.0000075083.04415.4b

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  1. 10.1161/circ.83.1.1984895 · DOI
  2. 10.1161/hyp.34.3.381 · DOI
  3. 10.1001/jama.1970.03180020021004 · DOI · Paper page
  4. Guidelines Subcommittee. World Health Organization–International Society of Hypertension guidelines for the management of hypertension. J Hypertens. 1999;1999: 17: 151–183.
  5. 10.1161/circ.96.12.4254 · DOI
  6. 10.1161/circ.100.4.354 · DOI
  7. 10.1161/hyp.38.2.232 · DOI
  8. 10.1161/hyp.36.5.801 · DOI
  9. 10.1161/circ.103.9.1245 · DOI
  10. Benetos A. Pulse pressure and cardiovascular risk. J Hypertens. 1999; 17 (suppl 5): S21–S24.
  11. Woodward M. Epidemiology: Study Design and Data Analysis. Boca Raton Fla: Chapman and Hall/CRC Press; 1999.
  12. Armitage P Berry G. Statistical Methods in Medical Research. Oxford England: Blackwell Publications; 1971.
  13. 10.1161/hyp.34.3.375 · DOI
  14. Sleight P. Lowering of blood pressure and artery stiffness. Lancet. 1997; 349: 362.

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Metadata

Authors
Asia Pacific Cohort Studies Collaboration
Affiliations
University of Auckland (NZ)
Corresponding author
Asia Pacific Cohort Studies Collaboration
Venue
Hypertension
Published
2003-07
Volume
42
Issue
1
Pages
69-75
ISSN
  • 0194-911X (ISSN-L)
  • 1524-4563
OpenAlex
W1552397944
Cited by
161
References
24
Citations by year
2026: 4 · 2025: 2 · 2024: 3 · 2023: 7 · 2022: 5 · 2021: 7 · 2020: 11 · 2019: 13 · 2018: 7 · 2017: 4 · 2016: 10 · 2015: 5 · 2014: 11 · 2013: 5 · 2012: 8
FWCI
4.83
Type
journal article
Language
en
Open access
closed
Locations
  • Hypertension (publishedVersion)
  • PubMed (publishedVersion)
  • The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
Funders
  • Medical Research Council
  • Health Research Council of New Zealand
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
  • Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
Keywords
systolic blood pressure, diastolic blood pressure, mean arterial pressure, pulse pressure, stroke, ischemic heart disease, cardiovascular risk factors, age and sex differences, Asia-Pacific region
MeSH terms
Adult, Age Factors, Aged, Australia, Blood Pressure, Asia, Eastern, Female, Follow-Up Studies, Humans, Male, Middle Aged, New Zealand, Risk Factors, Sex Factors, Myocardial Ischemia, Stroke

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