schliessen

Filtern

 

Bibliotheken

Comparison of the Framingham Heart Study Hypertension Model With Blood Pressure Alone in the Prediction of Risk of Hypertension: The Multi-Ethnic Study of Atherosclerosis

A prediction model, developed in the Framingham Heart Study (FHS), has been proposed for use in estimating a given individualʼs risk of hypertension. We compared this model with systolic blood pressure (SBP) alone and age-specific diastolic blood pressure categories for the prediction of hypertensio... Full description

Journal Title: Hypertension (Dallas Tex. 1979), 2010-06, Vol.55 (6), p.1339-1345
Main Author: Muntner, Paul
Other Authors: Woodward, Mark , Mann, Devin M , Shimbo, Daichi , Michos, Erin D , Blumenthal, Roger S , Carson, April P , Chen, Haiying , Arnett, Donna K
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Hagerstown, MD: American Heart Association, Inc
ID: ISSN: 0194-911X
Zum Text:
SendSend as email Add to Book BagAdd to Book Bag
Staff View
recordid: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3023992
title: Comparison of the Framingham Heart Study Hypertension Model With Blood Pressure Alone in the Prediction of Risk of Hypertension: The Multi-Ethnic Study of Atherosclerosis
format: Article
creator:
  • Muntner, Paul
  • Woodward, Mark
  • Mann, Devin M
  • Shimbo, Daichi
  • Michos, Erin D
  • Blumenthal, Roger S
  • Carson, April P
  • Chen, Haiying
  • Arnett, Donna K
subjects:
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Antihypertensive Agents - therapeutic use
  • Arterial hypertension. Arterial hypotension
  • Article
  • Biological and medical sciences
  • Blood and lymphatic vessels
  • Blood Pressure Determination
  • Cardiology. Vascular system
  • Clinical manifestations. Epidemiology. Investigative techniques. Etiology
  • Cohort Studies
  • Confidence Intervals
  • Coronary Artery Disease - diagnosis
  • Coronary Artery Disease - drug therapy
  • Coronary Artery Disease - ethnology
  • Diastole - physiology
  • diastolic blood pressure
  • epidemiology
  • Ethnic Groups - statistics & numerical data
  • Female
  • Follow-Up Studies
  • Humans
  • hypertension
  • Hypertension - diagnosis
  • Hypertension - drug therapy
  • Hypertension - ethnology
  • Incidence
  • Linear Models
  • Male
  • Medical sciences
  • Middle Aged
  • Models, Cardiovascular
  • Predictive Value of Tests
  • Probability
  • Risk Assessment
  • risk prediction
  • Severity of Illness Index
  • Sex Distribution
  • Systole - physiology
  • systolic blood pressure
ispartof: Hypertension (Dallas, Tex. 1979), 2010-06, Vol.55 (6), p.1339-1345
description: A prediction model, developed in the Framingham Heart Study (FHS), has been proposed for use in estimating a given individualʼs risk of hypertension. We compared this model with systolic blood pressure (SBP) alone and age-specific diastolic blood pressure categories for the prediction of hypertension. Participants in the Multi-Ethnic Study of Atherosclerosis, without hypertension or diabetes mellitus (n=3013), were followed for the incidence of hypertension (SBP ≥140 mm Hg and/or diastolic blood pressure ≥90 mm Hg and/or the initiation of antihypertensive medication). The predicted probability of developing hypertension among 4 adjacent study examinations, with a median of 1.6 years between examinations, was determined. The mean (SD) age of participants was 58.5 (9.7) years, and 53% were women. During follow-up, 849 incident cases of hypertension occurred. The c statistic for the FHS model was 0.788 (95% CI0.773 to 0.804) compared with 0.768 (95% CI0.751 to 0.785; P=0.096 compared with the FHS model) for SBP alone and 0.699 (95% CI0.681 to 0.717; P
language: eng
source:
identifier: ISSN: 0194-911X
fulltext: no_fulltext
issn:
  • 0194-911X
  • 1524-4563
url: Link


@attributes
NO1
SEARCH_ENGINEprimo_central_multiple_fe
SEARCH_ENGINE_TYPEPrimo Central Search Engine
RANK2.4597464
LOCALfalse
PrimoNMBib
record
control
sourceidpubmed_opena
recordidTN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3023992
sourceformatXML
sourcesystemPC
sourcerecordid20439822
originalsourceidFETCH-LOGICAL-15033-1cd6908af3c7494e4f94d1273075b4e526bab024fd6dd0da652f1ffe395e7680
addsrcrecordideNpdkt1u0zAYhiMEYmVwC8hC4jCd_-LEO0Dqqo5M2p-2SsCR5cT2YpbGle0y9Za4yrmkjA1L9id_fr_Hf2-WfUJwihBDR_WP68XNcnF5e3Z1OatnUwT5FFHOIH-VTVCBaU4LRl5nE4g4zTlC3w-ydyH8hBBRSsu32QGGlPAK40n2e-5Wa-ltcANwBsROg1MvV3a46-QK1Fr6CG7jRm1BvV1rH_UQbJJeOKV78M3GDpz0zilw7XUIG6_BrHeDBnb4g0pZZdtoR_iNDfe7-Jx0DJZJd7Hpo80XsRtsu98u6WYJ4V1o-91ow_vsjZF90B_28TBbni6W8zo_v_p6Np-d56iAhOSoVYzDShrSlpRTTQ2nCuGSwLJoqC4wa2QDMTWKKQWVZAU2yBhNeKFLVsHD7MuIXW-alVatHqKXvVh7u5J-K5y04uXKYDtx534JAjHhHCdAPQLcWg_Sev2iVg06CqcEZqVoSpgKqqJRvGW0oLg0xkCFqoJVpmp2qOMR1aYXCF6bJxSCYucF8Z8XUp6L0Qup-OPzizyV_v38JPi8F8jQyt54ObQ2_NOlk5HknqSjo-7B9VH7cN9vHrQXnZZ97ARMjWJW5RgiCFma5akjAh8BPzPRqw
sourcetypeOpen Access Repository
isCDItrue
recordtypearticle
display
typearticle
titleComparison of the Framingham Heart Study Hypertension Model With Blood Pressure Alone in the Prediction of Risk of Hypertension: The Multi-Ethnic Study of Atherosclerosis
creatorMuntner, Paul ; Woodward, Mark ; Mann, Devin M ; Shimbo, Daichi ; Michos, Erin D ; Blumenthal, Roger S ; Carson, April P ; Chen, Haiying ; Arnett, Donna K
creatorcontribMuntner, Paul ; Woodward, Mark ; Mann, Devin M ; Shimbo, Daichi ; Michos, Erin D ; Blumenthal, Roger S ; Carson, April P ; Chen, Haiying ; Arnett, Donna K
descriptionA prediction model, developed in the Framingham Heart Study (FHS), has been proposed for use in estimating a given individualʼs risk of hypertension. We compared this model with systolic blood pressure (SBP) alone and age-specific diastolic blood pressure categories for the prediction of hypertension. Participants in the Multi-Ethnic Study of Atherosclerosis, without hypertension or diabetes mellitus (n=3013), were followed for the incidence of hypertension (SBP ≥140 mm Hg and/or diastolic blood pressure ≥90 mm Hg and/or the initiation of antihypertensive medication). The predicted probability of developing hypertension among 4 adjacent study examinations, with a median of 1.6 years between examinations, was determined. The mean (SD) age of participants was 58.5 (9.7) years, and 53% were women. During follow-up, 849 incident cases of hypertension occurred. The c statistic for the FHS model was 0.788 (95% CI0.773 to 0.804) compared with 0.768 (95% CI0.751 to 0.785; P=0.096 compared with the FHS model) for SBP alone and 0.699 (95% CI0.681 to 0.717; P<0.001 compared with the FHS model) for age-specific diastolic blood pressure categories. The relative integrated discrimination improvement index for the FHS model versus SBP alone was 10.0% (95% CI−1.7% to 22.7%) and versus age-specific diastolic blood pressure categories was 146.0% (95% CI116.0% to 181.0%). Using the FHS model, there were significant differences between observed and predicted hypertension risks (Hosmer-Lemeshow goodness of fitP<0.001); recalibrated and best-fit models produced a better model fit (P=0.064 and 0.245, respectively). In this multiethnic cohort of US adults, the FHS model was not substantially better than SBP alone for predicting hypertension.
identifier
0ISSN: 0194-911X
1EISSN: 1524-4563
2DOI: 10.1161/HYPERTENSIONAHA.109.149609
3PMID: 20439822
4CODEN: HPRTDN
languageeng
publisherHagerstown, MD: American Heart Association, Inc
subjectAge Distribution ; Aged ; Aged, 80 and over ; Antihypertensive Agents - therapeutic use ; Arterial hypertension. Arterial hypotension ; Article ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure Determination ; Cardiology. Vascular system ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Cohort Studies ; Confidence Intervals ; Coronary Artery Disease - diagnosis ; Coronary Artery Disease - drug therapy ; Coronary Artery Disease - ethnology ; Diastole - physiology ; diastolic blood pressure ; epidemiology ; Ethnic Groups - statistics & numerical data ; Female ; Follow-Up Studies ; Humans ; hypertension ; Hypertension - diagnosis ; Hypertension - drug therapy ; Hypertension - ethnology ; Incidence ; Linear Models ; Male ; Medical sciences ; Middle Aged ; Models, Cardiovascular ; Predictive Value of Tests ; Probability ; Risk Assessment ; risk prediction ; Severity of Illness Index ; Sex Distribution ; Systole - physiology ; systolic blood pressure
ispartofHypertension (Dallas, Tex. 1979), 2010-06, Vol.55 (6), p.1339-1345
rights
02010 American Heart Association, Inc.
12015 INIST-CNRS
lds50peer_reviewed
oafree_for_read
citesFETCH-LOGICAL-15033-1cd6908af3c7494e4f94d1273075b4e526bab024fd6dd0da652f1ffe395e7680
links
openurl$$Topenurl_article
thumbnail$$Usyndetics_thumb_exl
backlink
0$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22853911$$DView record in Pascal Francis
1$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20439822$$D View this record in MEDLINE/PubMed
search
creatorcontrib
0Muntner, Paul
1Woodward, Mark
2Mann, Devin M
3Shimbo, Daichi
4Michos, Erin D
5Blumenthal, Roger S
6Carson, April P
7Chen, Haiying
8Arnett, Donna K
title
0Comparison of the Framingham Heart Study Hypertension Model With Blood Pressure Alone in the Prediction of Risk of Hypertension: The Multi-Ethnic Study of Atherosclerosis
1Hypertension (Dallas, Tex. 1979)
addtitleHypertension
descriptionA prediction model, developed in the Framingham Heart Study (FHS), has been proposed for use in estimating a given individualʼs risk of hypertension. We compared this model with systolic blood pressure (SBP) alone and age-specific diastolic blood pressure categories for the prediction of hypertension. Participants in the Multi-Ethnic Study of Atherosclerosis, without hypertension or diabetes mellitus (n=3013), were followed for the incidence of hypertension (SBP ≥140 mm Hg and/or diastolic blood pressure ≥90 mm Hg and/or the initiation of antihypertensive medication). The predicted probability of developing hypertension among 4 adjacent study examinations, with a median of 1.6 years between examinations, was determined. The mean (SD) age of participants was 58.5 (9.7) years, and 53% were women. During follow-up, 849 incident cases of hypertension occurred. The c statistic for the FHS model was 0.788 (95% CI0.773 to 0.804) compared with 0.768 (95% CI0.751 to 0.785; P=0.096 compared with the FHS model) for SBP alone and 0.699 (95% CI0.681 to 0.717; P<0.001 compared with the FHS model) for age-specific diastolic blood pressure categories. The relative integrated discrimination improvement index for the FHS model versus SBP alone was 10.0% (95% CI−1.7% to 22.7%) and versus age-specific diastolic blood pressure categories was 146.0% (95% CI116.0% to 181.0%). Using the FHS model, there were significant differences between observed and predicted hypertension risks (Hosmer-Lemeshow goodness of fitP<0.001); recalibrated and best-fit models produced a better model fit (P=0.064 and 0.245, respectively). In this multiethnic cohort of US adults, the FHS model was not substantially better than SBP alone for predicting hypertension.
subject
0Age Distribution
1Aged
2Aged, 80 and over
3Antihypertensive Agents - therapeutic use
4Arterial hypertension. Arterial hypotension
5Article
6Biological and medical sciences
7Blood and lymphatic vessels
8Blood Pressure Determination
9Cardiology. Vascular system
10Clinical manifestations. Epidemiology. Investigative techniques. Etiology
11Cohort Studies
12Confidence Intervals
13Coronary Artery Disease - diagnosis
14Coronary Artery Disease - drug therapy
15Coronary Artery Disease - ethnology
16Diastole - physiology
17diastolic blood pressure
18epidemiology
19Ethnic Groups - statistics & numerical data
20Female
21Follow-Up Studies
22Humans
23hypertension
24Hypertension - diagnosis
25Hypertension - drug therapy
26Hypertension - ethnology
27Incidence
28Linear Models
29Male
30Medical sciences
31Middle Aged
32Models, Cardiovascular
33Predictive Value of Tests
34Probability
35Risk Assessment
36risk prediction
37Severity of Illness Index
38Sex Distribution
39Systole - physiology
40systolic blood pressure
issn
00194-911X
11524-4563
fulltextfalse
rsrctypearticle
creationdate2010
recordtypearticle
recordideNpdkt1u0zAYhiMEYmVwC8hC4jCd_-LEO0Dqqo5M2p-2SsCR5cT2YpbGle0y9Za4yrmkjA1L9id_fr_Hf2-WfUJwihBDR_WP68XNcnF5e3Z1OatnUwT5FFHOIH-VTVCBaU4LRl5nE4g4zTlC3w-ydyH8hBBRSsu32QGGlPAK40n2e-5Wa-ltcANwBsROg1MvV3a46-QK1Fr6CG7jRm1BvV1rH_UQbJJeOKV78M3GDpz0zilw7XUIG6_BrHeDBnb4g0pZZdtoR_iNDfe7-Jx0DJZJd7Hpo80XsRtsu98u6WYJ4V1o-91ow_vsjZF90B_28TBbni6W8zo_v_p6Np-d56iAhOSoVYzDShrSlpRTTQ2nCuGSwLJoqC4wa2QDMTWKKQWVZAU2yBhNeKFLVsHD7MuIXW-alVatHqKXvVh7u5J-K5y04uXKYDtx534JAjHhHCdAPQLcWg_Sev2iVg06CqcEZqVoSpgKqqJRvGW0oLg0xkCFqoJVpmp2qOMR1aYXCF6bJxSCYucF8Z8XUp6L0Qup-OPzizyV_v38JPi8F8jQyt54ObQ2_NOlk5HknqSjo-7B9VH7cN9vHrQXnZZ97ARMjWJW5RgiCFma5akjAh8BPzPRqw
startdate201006
enddate201006
creator
0Muntner, Paul
1Woodward, Mark
2Mann, Devin M
3Shimbo, Daichi
4Michos, Erin D
5Blumenthal, Roger S
6Carson, April P
7Chen, Haiying
8Arnett, Donna K
general
0American Heart Association, Inc
1Lippincott Williams & Wilkins
scope
0IQODW
1CGR
2CUY
3CVF
4ECM
5EIF
6NPM
7AAYXX
8CITATION
9BOBZL
10CLFQK
115PM
sort
creationdate201006
titleComparison of the Framingham Heart Study Hypertension Model With Blood Pressure Alone in the Prediction of Risk of Hypertension: The Multi-Ethnic Study of Atherosclerosis
authorMuntner, Paul ; Woodward, Mark ; Mann, Devin M ; Shimbo, Daichi ; Michos, Erin D ; Blumenthal, Roger S ; Carson, April P ; Chen, Haiying ; Arnett, Donna K
facets
frbrtype5
frbrgroupidcdi_FETCH-LOGICAL-15033-1cd6908af3c7494e4f94d1273075b4e526bab024fd6dd0da652f1ffe395e7680
rsrctypearticles
prefilterarticles
languageeng
creationdate2010
topic
0Age Distribution
1Aged
2Aged, 80 and over
3Antihypertensive Agents - therapeutic use
4Arterial hypertension. Arterial hypotension
5Article
6Biological and medical sciences
7Blood and lymphatic vessels
8Blood Pressure Determination
9Cardiology. Vascular system
10Clinical manifestations. Epidemiology. Investigative techniques. Etiology
11Cohort Studies
12Confidence Intervals
13Coronary Artery Disease - diagnosis
14Coronary Artery Disease - drug therapy
15Coronary Artery Disease - ethnology
16Diastole - physiology
17diastolic blood pressure
18epidemiology
19Ethnic Groups - statistics & numerical data
20Female
21Follow-Up Studies
22Humans
23hypertension
24Hypertension - diagnosis
25Hypertension - drug therapy
26Hypertension - ethnology
27Incidence
28Linear Models
29Male
30Medical sciences
31Middle Aged
32Models, Cardiovascular
33Predictive Value of Tests
34Probability
35Risk Assessment
36risk prediction
37Severity of Illness Index
38Sex Distribution
39Systole - physiology
40systolic blood pressure
toplevelpeer_reviewed
creatorcontrib
0Muntner, Paul
1Woodward, Mark
2Mann, Devin M
3Shimbo, Daichi
4Michos, Erin D
5Blumenthal, Roger S
6Carson, April P
7Chen, Haiying
8Arnett, Donna K
collection
0Pascal-Francis
1Medline
2MEDLINE
3MEDLINE (Ovid)
4MEDLINE
5MEDLINE
6PubMed
7CrossRef
8OpenAIRE (Open Access)
9OpenAIRE
10PubMed Central (Full Participant titles)
jtitleHypertension (Dallas, Tex. 1979)
delivery
delcategoryRemote Search Resource
fulltextno_fulltext
addata
au
0Muntner, Paul
1Woodward, Mark
2Mann, Devin M
3Shimbo, Daichi
4Michos, Erin D
5Blumenthal, Roger S
6Carson, April P
7Chen, Haiying
8Arnett, Donna K
formatjournal
genrearticle
ristypeJOUR
atitleComparison of the Framingham Heart Study Hypertension Model With Blood Pressure Alone in the Prediction of Risk of Hypertension: The Multi-Ethnic Study of Atherosclerosis
jtitleHypertension (Dallas, Tex. 1979)
addtitleHypertension
date2010-06
risdate2010
volume55
issue6
spage1339
epage1345
pages1339-1345
issn0194-911X
eissn1524-4563
codenHPRTDN
abstractA prediction model, developed in the Framingham Heart Study (FHS), has been proposed for use in estimating a given individualʼs risk of hypertension. We compared this model with systolic blood pressure (SBP) alone and age-specific diastolic blood pressure categories for the prediction of hypertension. Participants in the Multi-Ethnic Study of Atherosclerosis, without hypertension or diabetes mellitus (n=3013), were followed for the incidence of hypertension (SBP ≥140 mm Hg and/or diastolic blood pressure ≥90 mm Hg and/or the initiation of antihypertensive medication). The predicted probability of developing hypertension among 4 adjacent study examinations, with a median of 1.6 years between examinations, was determined. The mean (SD) age of participants was 58.5 (9.7) years, and 53% were women. During follow-up, 849 incident cases of hypertension occurred. The c statistic for the FHS model was 0.788 (95% CI0.773 to 0.804) compared with 0.768 (95% CI0.751 to 0.785; P=0.096 compared with the FHS model) for SBP alone and 0.699 (95% CI0.681 to 0.717; P<0.001 compared with the FHS model) for age-specific diastolic blood pressure categories. The relative integrated discrimination improvement index for the FHS model versus SBP alone was 10.0% (95% CI−1.7% to 22.7%) and versus age-specific diastolic blood pressure categories was 146.0% (95% CI116.0% to 181.0%). Using the FHS model, there were significant differences between observed and predicted hypertension risks (Hosmer-Lemeshow goodness of fitP<0.001); recalibrated and best-fit models produced a better model fit (P=0.064 and 0.245, respectively). In this multiethnic cohort of US adults, the FHS model was not substantially better than SBP alone for predicting hypertension.
copHagerstown, MD
pubAmerican Heart Association, Inc
pmid20439822
doi10.1161/HYPERTENSIONAHA.109.149609
oafree_for_read