The DOI matches its Crossref record; 49 of the 52 references it cites were found in a registry or an index.
A Longitudinal Study of Hypertension Risk Factors and Their Relation to Cardiovascular Disease: The Strong Heart Study
Abstract
This study estimated hypertension incidence and explored hypertension risk factors and their association with cardiovascular disease. Data collected from 4549 American Indian participants in the 3 exams of the Strong Heart Study were used. Hypertension was defined as systolic blood pressure ≥140 mm Hg, diastolic blood pressure ≥90 mm Hg, or current use of antihypertensive medication. Generalized linear models were used to identify the risk factors for hypertension and the correlates of blood pressures. Cox proportional models with time-dependent covariates and the mixed models were used to explore the association of hypertension with cardiovascular disease. There was no sex difference in hypertension. After adjustment for other risk factors, the risks of developing hypertension among subgroups in each characterized group were as follows: prehypertensive versus normotensive, 3.21 times; macroalbuminuria and microalbuminuria versus normal, 3.47 and 1.72; diabetic versus nondiabetic, 1.56; overweight and obese versus normal weight, 1.30 and 1.51; and current alcohol drinking versus not, 1.22. Moreover, systolic blood pressure was significantly and positively associated with age, obesity, and albuminuria and negatively with smoking. After adjusting all other risk factors, those pretreated, untreated, controlled, and uncontrolled hypertensive participants had &1.74, 1.81, 2.19, and 2.77 times higher risks of developing cardiovascular disease compared with normotensive participants, respectively. In 45- to 74-year-old American Indians, the risk of developing hypertension was rising. Prehypertensive participants had 3.2/1.74 times higher risk of developing hypertension/cardiovascular disease than normotensive participants. Age, diabetes, and macro/microalbuminuria were independently significant risk factors of both hypertension and cardiovascular disease.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“In most of the studies examined, peak reduction in BP compared with baseline occurred at 2-3 h after the consumption of dietary nitrate, which is the same time at which peak plasma nitrite concentrations have been observed (81,82,86,87,89,92) ,”
From The effects of dietary nitrate on blood pressure and endothelial function: a review of human intervention studies (2013) · cites this paper as [86]
In the citing paper
“In addition, lower doses of dietary nitrate (100 g, 2 mmol) were shown to reduce DBP (86) , suggesting that even relatively small doses, that are easily achievable in the diet, have BP-lowering effects.”
From The effects of dietary nitrate on blood pressure and endothelial function: a review of human intervention studies (2013) · cites this paper as [86]
In the citing paper
“suggesting that dietary nitrate present in the beetroot was responsible for the BP-lowering effects, whereas betalains had minimal effect.”
From The effects of dietary nitrate on blood pressure and endothelial function: a review of human intervention studies (2013) · cites this paper as [86]
In the citing paper
“The results of the study showed that there were no significant differences in BP reduction between bread enriched with 100 g red or white beetroot (both 2 mmol nitrate) (86) ,”
From The effects of dietary nitrate on blood pressure and endothelial function: a review of human intervention studies (2013) · cites this paper as [86]
In the citing paper
“The study by Hobbs et al. (86) demonstrated that the ingestion of three doses of beetroot juice (100, 250 and 500 g containing 2, 6 and 11 mmol nitrate, respectively) dosedependently reduced SBP over a period of 24 h, with dose-dependent effects being less apparent for DBP.”
From The effects of dietary nitrate on blood pressure and endothelial function: a review of human intervention studies (2013) · cites this paper as [86]
In the citing paper
“For systolic BP, R 2 0•45 (P¼0•033); for diastolic BP, R 2 0•27 (P¼ 0•233).”
From The effects of dietary nitrate on blood pressure and endothelial function: a review of human intervention studies (2013) · cites this paper as [86]
In the citing paper
“For systolic BP, R 2 0•45 (P¼0•033); for diastolic BP, R 2 0•27 (P¼ 0•233).”
From The effects of dietary nitrate on blood pressure and endothelial function: a review of human intervention studies (2013) · cites this paper as [86]
Citations
Cites
Chobanian, A. V. (2003) · JAMA · doi:10.1001/jama.289.19.2560 · Cited by 25,386
Longitudinal data analysis using generalized linear models
LIANG, K.-Y., & ZEGER, S. L. (1986) · Biometrika · doi:10.1093/biomet/73.1.13 · Cited by 18,550
Random-Effects Models for Longitudinal Data
Laird, N. M., & Ware, J. H. (1982) · Biometrics · doi:10.2307/2529876 · Cited by 8,923
Follow-up report on the diagnosis of diabetes mellitus
The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus* (2003) · Diabetes Care · doi:10.2337/diacare.26.11.3160 · Cited by 3,784
Burt, V. L., Whelton, P., Roccella, E. J., Brown, C., Cutler, J. A., Higgins, M., Horan, M. J., & Labarthe, D. (1995) · Hypertension · doi:10.1161/01.hyp.25.3.305 · Cited by 2,998
Statistical Methods for Survival Data Analysis.
Lachenbruch, P. A., & Lee, E. T. (1993) · Journal of the American Statistical Association · doi:10.2307/2290742 · Cited by 2,851
Self-citationImpact of High-Normal Blood Pressure on the Risk of Cardiovascular Disease
Vasan, R. S., Larson, M. G., Leip, E. P., Evans, J. C., O’Donnell, C. J., Kannel, W. B., & Levy, D. A. (2001) · New England Journal of Medicine · doi:10.1056/nejmoa003417 · Cited by 2,098
Racial discrimination and blood pressure: the CARDIA Study of young black and white adults
Krieger, N., & Sidney, S. (1996) · American Journal of Public Health · doi:10.2105/ajph.86.10.1370 · Cited by 1,296
Statistical Methods for Survival Data Analysis
Lee, E. T., & Wang, J. W. (2003) · Wiley series in probability and statistics · doi:10.1002/0471458546 · Cited by 1,058
Self-citationBlood Pressure, Systolic and Diastolic, and Cardiovascular Risks: US Population Data
Stamler, J. (1993) · Archives of Internal Medicine · doi:10.1001/archinte.1993.00410050036006 · Cited by 1,015
Cited by
Sorted by citations
Items 201–228 of 228
How to Estimate Cardiovascular Risk
da Luz, P. L., & Fialdini, R. C. (2015) · Springer eBooks · doi:10.1007/978-3-319-22357-5_4
ANDROGENS INDUCE GENDER- & DOSE- SPECIFIC EFFECTS ON ATHEROGENESIS
Sharp, D. (2009) · The Sydney eScholarship Repository (The University of Sydney)
SENSE OF PURPOSE IN LIFE AND RISK FOR ONSET OF CHRONIC ILLNESSES
Lewis, N. A., & Hill, P. L. (2017) · Innovation in Aging · doi:10.1093/geroni/igx004.5055
Ingaramo, R. A., & Williams, D. A. (2017)
A STUDY OF QUALITY OF LIFE IN PATIENTS WITH HYPERTENSION
Malhotra, A., Mahajan, A., Singh, T., Bhagtana, A., & Sood, D. (2018) · Journal of Evolution of Medical and Dental Sciences · doi:10.14260/jemds/2018/304
Salvador, G. L. D. O. (2019) · IntechOpen eBooks · doi:10.5772/intechopen.86853
“Also, systemic arterial hypertension (SAH) is defined as “a multifactorial clinical condition characterized by elevated and sustained levels of blood pressure” [2, 3], considered when it is observed that a value >140 mmHg for systolic blood pressure and/or >90 mmHg for diastolic blood pressure [4].”
BackgroundHealth Screening for Emerging Disease Burdens Among the Global Poor
Ciancio, A., Kämpfen, F., Kohler, H., & Kohler, I. V. (2020) · Scholarly Commons (University of Pennsylvania)
Heart rate in patients with or without hypertension: A retrospective study
Vasista, S. (2020) · Heart India · doi:10.4103/heartindia.heartindia_3_20
Synthetic Data Sharing and Estimation of Viable Dynamic Treatment Regimes with Observational Data
Zhou, N. (2020) · Deep Blue (University of Michigan) · doi:10.7302/36
Aleynikova, T. V. (2016) · Health and Ecology Issues · doi:10.51523/2708-6011.2016-13-2-12
Smoking across adolescence and adulthood with cardiovascular risk among American Indian peoples.
Clawson, A. H., Cole, A. B., Ruppe, N. M., Nwankwo, C. N., Blair, A. L., Berlin, K. S., & Naifeh, M. M. (2022) · Health Psychology · doi:10.1037/hea0001227
McKinley, C. E. (2023) · Springer eBooks · doi:10.1007/978-3-031-18583-0_21
Sleep Deficit as a Risk Factor for Hypertension in Korean Adults
Lee, M. J., Seo, B.-J., & Song, I. (2023) · Sustainability · doi:10.3390/su15032586
Spousal age difference and risk of hypertension in women: evidence from India
Datta, B. K., Tiwari, A., Jahan, M., Torres, N., & Attari, S. (2024) · Journal of Human Hypertension · doi:10.1038/s41371-024-00959-6 · Cited by 1
“Common risk factors for hypertension include an unhealthy diet, physical inactivity, tobacco-and alcohol-consumption, and being overweight or obese [1].”
Hu, N., Feng, Y., & He, L. (2024) · medRxiv · doi:10.1101/2024.10.22.24315955
Akasa, J. A., Wondaya, S., & Befikadu, S. (2024) · Journal of Research in Health Sciences · doi:10.34172/jrhs.2025.172
“…and SBP of the patients were positively associated, revealing that a one-year increase in age was associated with a normal increase of SBP. 4,13,31,32 Concerning the anti-hypertensive drugs that patients took, a combination of amlodipine and enalapril was negatively associated with SBP,…”
Jahani, M. A., Safaie, S., Gharayagh-Zandi, M., Soltani, S.-A., Hashemi, S.-N., Mahmoudi, A.-R., & Mahmoudi, G. (2025) · BMC Research Notes · doi:10.1186/s13104-025-07283-3
“In Wang’s study [29], it was shown that people with high blood pressure, overweight, and obesity have 1.3 and 1.51 times the risk of cardiovascular disease, respectively; The differences may arise from variations in sample population characteristics, study settings, and methodologies.”
InfluentialBlood concentrations of volatile organic compounds and hypertension in the GuLF Study
Koenigsmark, F., Lawrence, K. G., Kwok, R. K., Christenbury, K. E., Sandler, D. P., & Engel, L. S. (2025) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2025.180505
Mortality of American Indian and Alaska Native workers by occupation and industry, 2020–2022
Wingate, K. C., McCanlies, E. C., Steege, A. L., Sieber, W. K., & Dalsey, E. (2025) · Journal of Safety Research · doi:10.1016/j.jsr.2025.10.025
Mohanty, P., Patnaik, L., Nayak, G., & Dutta, A. (2022) · Figshare · doi:10.6084/m9.figshare.20472600
Mohanty, P., Patnaik, L., Nayak, G., & Dutta, A. (2022) · Figshare · doi:10.6084/m9.figshare.20472606
Mohanty, P., Patnaik, L., Nayak, G., & Dutta, A. (2022) · Figshare · doi:10.6084/m9.figshare.20472603
Chen, S., Zhu, Y., Jin, S., Zhao, D., Guo, J., Chen, L., & Huang, Y. (2023) · Figshare · doi:10.6084/m9.figshare.24286501
Wu, D., Wang, Q., Wen, F., Chen, Y., Chen, H., Wu, Y., He, Z., & Liang, C. (2025) · Endocrine · doi:10.1007/s12020-025-04539-7
Šileikienė, V., Perone, F., Badarienė, J., Šeštokaitė, E., Puronaitė, R., Dzenkeviciute, V., Laucevičius, A., Butkevičiūtė, E., Berūkštis, A., Čypienė, A., et al. (2026) · Journal of Hypertension · doi:10.1097/hjh.0000000000004241
Shrestha, N., Cheng, T. D., Worley, M. M., Lin, C. J., Young, H., Russo, M., & Wei, Y.-J. J. (2026) · BMC Geriatrics · doi:10.1186/s12877-026-07475-x
“Health-related behaviours included self-reported presence of influenza vaccination, cholesterol screening, alcohol use, and smoking [20, 31, 32].”
Metadata
- Authors
- Wang, W., Lee, E. T., Fabsitz, R. R., Devereux, R., Best, L., Welty, T. K., & Howard, B. V.
- Affiliations
- Cornell University (US)
- Venue
- Hypertension
- Published
- 2006-03
- Volume
- 47
- Issue
- 3
- Pages
- 403-409
- ISSN
- 0194-911X (ISSN-L)
- 1524-4563
- OpenAlex
- W2057641540
- Cited by
- 228
- References
- 52
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 12 · 2023: 14 · 2022: 11 · 2021: 8 · 2020: 16 · 2019: 14 · 2018: 6 · 2017: 15 · 2016: 5 · 2015: 9 · 2014: 18 · 2013: 17 · 2012: 14
- FWCI
- 7.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Hypertension (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (U01HL041652, U01HL041654, U01 HL-41642, U01HL 41652, UL01HL41654, U01HL041642)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Keywords
- cardiovascular disease, hypertension risk factors, Native Americans, Strong Heart Study, prehypertension, albuminuria, microalbuminuria, diabetes mellitus, obesity, alcohol consumption, smoking, systolic blood pressure, antihypertensive drugs, hypertension incidence
- MeSH terms
- Aged, Aging, Albuminuria, Alcohol Drinking, Cardiovascular Diseases, Female, Humans, Hypertension, Indians, North American, Longitudinal Studies, Male, Middle Aged, Obesity, Risk Factors, Smoking, Cohort Studies, Diabetes Complications, Overweight
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review