Risk factors and the incidence of hypertension in black physicians: The Meharry Cohort Study
A prospective longitudinal study of black medical students was conducted to determine the predictive value of hypertension precursors. Follow-up examinations, averaging 22.5 years later, were performed on 341 subjects (78.8%); 25 (5.8%) additional subjects were identified as dead out of 433 original...
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| Veröffentlicht in: | The American heart journal 1985-09, Vol.110 (3), p.637-645 |
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| container_title | The American heart journal |
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| creator | Thomas, John Semenya, Kofi A. Neser, William B. Thomas, D.Johniene Green, Donald R. Gillum, Richard F. |
| description | A prospective longitudinal study of black medical students was conducted to determine the predictive value of hypertension precursors. Follow-up examinations, averaging 22.5 years later, were performed on 341 subjects (78.8%); 25 (5.8%) additional subjects were identified as dead out of 433 original participants. Results are reported on 313 reexamined men. A remarkable 43.8% of the physicians had elevated blood pressure higher than
140
90
mm Hg or gave a history of hypertension and treatment. Correlation coefficients, quintile distributions, and regressions all confirmed the ability of baseline SBP and DBP to predict their respective pressures on follow-up examination. Discriminant function tests yielded baseline SBP, DBP, smoking, and parental history of stroke or hypertension to be the most significant precursors distinguishing hypertensive from normotensive groups, and the model correctly classified 69.7% of the subjects. Baseline cholesterol and Quetelet index levels did not reach statistical significance. The cold pressor test was not predictive but interim weight gain was highly significant. Results are discussed in relation to comparable studies on white populations. |
| doi_str_mv | 10.1016/0002-8703(85)90087-0 |
| format | Article |
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140
90
mm Hg or gave a history of hypertension and treatment. Correlation coefficients, quintile distributions, and regressions all confirmed the ability of baseline SBP and DBP to predict their respective pressures on follow-up examination. Discriminant function tests yielded baseline SBP, DBP, smoking, and parental history of stroke or hypertension to be the most significant precursors distinguishing hypertensive from normotensive groups, and the model correctly classified 69.7% of the subjects. Baseline cholesterol and Quetelet index levels did not reach statistical significance. The cold pressor test was not predictive but interim weight gain was highly significant. Results are discussed in relation to comparable studies on white populations.</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/0002-8703(85)90087-0</identifier><identifier>PMID: 4036789</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; African Americans ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure ; Body Height ; Body Weight ; Cardiology. Vascular system ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Cold Temperature ; Exercise Test ; Heart Rate ; Humans ; Hypertension - epidemiology ; Hypertension - etiology ; Hypertension - genetics ; Male ; Medical sciences ; Physicians ; Prospective Studies ; Risk ; Students, Medical ; Tennessee</subject><ispartof>The American heart journal, 1985-09, Vol.110 (3), p.637-645</ispartof><rights>1985</rights><rights>1985 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-b69e43ee6835f7c4acdb7b853557f7003066c8c7aaf69dc96bfe628d5d57abf03</citedby><cites>FETCH-LOGICAL-c452t-b69e43ee6835f7c4acdb7b853557f7003066c8c7aaf69dc96bfe628d5d57abf03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-8703(85)90087-0$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9279400$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/4036789$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thomas, John</creatorcontrib><creatorcontrib>Semenya, Kofi A.</creatorcontrib><creatorcontrib>Neser, William B.</creatorcontrib><creatorcontrib>Thomas, D.Johniene</creatorcontrib><creatorcontrib>Green, Donald R.</creatorcontrib><creatorcontrib>Gillum, Richard F.</creatorcontrib><title>Risk factors and the incidence of hypertension in black physicians: The Meharry Cohort Study</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>A prospective longitudinal study of black medical students was conducted to determine the predictive value of hypertension precursors. Follow-up examinations, averaging 22.5 years later, were performed on 341 subjects (78.8%); 25 (5.8%) additional subjects were identified as dead out of 433 original participants. Results are reported on 313 reexamined men. A remarkable 43.8% of the physicians had elevated blood pressure higher than
140
90
mm Hg or gave a history of hypertension and treatment. Correlation coefficients, quintile distributions, and regressions all confirmed the ability of baseline SBP and DBP to predict their respective pressures on follow-up examination. Discriminant function tests yielded baseline SBP, DBP, smoking, and parental history of stroke or hypertension to be the most significant precursors distinguishing hypertensive from normotensive groups, and the model correctly classified 69.7% of the subjects. Baseline cholesterol and Quetelet index levels did not reach statistical significance. The cold pressor test was not predictive but interim weight gain was highly significant. Results are discussed in relation to comparable studies on white populations.</description><subject>Adult</subject><subject>African Americans</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Pressure</subject><subject>Body Height</subject><subject>Body Weight</subject><subject>Cardiology. Vascular system</subject><subject>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</subject><subject>Cold Temperature</subject><subject>Exercise Test</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - etiology</subject><subject>Hypertension - genetics</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Physicians</subject><subject>Prospective Studies</subject><subject>Risk</subject><subject>Students, Medical</subject><subject>Tennessee</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1r3DAQhkVpSTdp_kELOpSSHJyOV9aHcyiUJUkDCYE2vRWELI2wGq-1kbwF__va2WWPOQ3ifeZl9BDysYSLEkrxFQCWhZLAzhQ_rwGULOANWZRQy0LIqnpLFgfkPTnO-e_0FEsljshRBUxIVS_In58hP1Fv7BBTpqZ3dGiRht4Gh71FGj1txw2mAfscYj8ltOmMfaKbdszBBtPnS_o4rdxja1Ia6Sq2MQ3017B14wfyzpsu4-l-npDf11ePqx_F3cPN7er7XWErvhyKRtRYMUShGPfSVsa6RjaKM86llwAMhLDKSmO8qJ2tReNx-ofjjkvTeGAn5Muud5Pi8xbzoNchW-w602PcZi0FE4yLcgKrHWhTzDmh15sU1iaNugQ9S9WzMT0b04rrF6l67v-07982a3SHpb3FKf-8z022pvPJTP7yAauXsq5grvm2w3By8S9g0tmG2bILCe2gXQyv3_EfNgqTUA</recordid><startdate>198509</startdate><enddate>198509</enddate><creator>Thomas, John</creator><creator>Semenya, Kofi A.</creator><creator>Neser, William B.</creator><creator>Thomas, D.Johniene</creator><creator>Green, Donald R.</creator><creator>Gillum, Richard F.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198509</creationdate><title>Risk factors and the incidence of hypertension in black physicians: The Meharry Cohort Study</title><author>Thomas, John ; Semenya, Kofi A. ; Neser, William B. ; Thomas, D.Johniene ; Green, Donald R. ; Gillum, Richard F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-b69e43ee6835f7c4acdb7b853557f7003066c8c7aaf69dc96bfe628d5d57abf03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Adult</topic><topic>African Americans</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Pressure</topic><topic>Body Height</topic><topic>Body Weight</topic><topic>Cardiology. Vascular system</topic><topic>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</topic><topic>Cold Temperature</topic><topic>Exercise Test</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Hypertension - epidemiology</topic><topic>Hypertension - etiology</topic><topic>Hypertension - genetics</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Physicians</topic><topic>Prospective Studies</topic><topic>Risk</topic><topic>Students, Medical</topic><topic>Tennessee</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thomas, John</creatorcontrib><creatorcontrib>Semenya, Kofi A.</creatorcontrib><creatorcontrib>Neser, William B.</creatorcontrib><creatorcontrib>Thomas, D.Johniene</creatorcontrib><creatorcontrib>Green, Donald R.</creatorcontrib><creatorcontrib>Gillum, Richard F.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thomas, John</au><au>Semenya, Kofi A.</au><au>Neser, William B.</au><au>Thomas, D.Johniene</au><au>Green, Donald R.</au><au>Gillum, Richard F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors and the incidence of hypertension in black physicians: The Meharry Cohort Study</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>1985-09</date><risdate>1985</risdate><volume>110</volume><issue>3</issue><spage>637</spage><epage>645</epage><pages>637-645</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>A prospective longitudinal study of black medical students was conducted to determine the predictive value of hypertension precursors. Follow-up examinations, averaging 22.5 years later, were performed on 341 subjects (78.8%); 25 (5.8%) additional subjects were identified as dead out of 433 original participants. Results are reported on 313 reexamined men. A remarkable 43.8% of the physicians had elevated blood pressure higher than
140
90
mm Hg or gave a history of hypertension and treatment. Correlation coefficients, quintile distributions, and regressions all confirmed the ability of baseline SBP and DBP to predict their respective pressures on follow-up examination. Discriminant function tests yielded baseline SBP, DBP, smoking, and parental history of stroke or hypertension to be the most significant precursors distinguishing hypertensive from normotensive groups, and the model correctly classified 69.7% of the subjects. Baseline cholesterol and Quetelet index levels did not reach statistical significance. The cold pressor test was not predictive but interim weight gain was highly significant. Results are discussed in relation to comparable studies on white populations.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>4036789</pmid><doi>10.1016/0002-8703(85)90087-0</doi><tpages>9</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult African Americans Arterial hypertension. Arterial hypotension Biological and medical sciences Blood and lymphatic vessels Blood Pressure Body Height Body Weight Cardiology. Vascular system Clinical manifestations. Epidemiology. Investigative techniques. Etiology Cold Temperature Exercise Test Heart Rate Humans Hypertension - epidemiology Hypertension - etiology Hypertension - genetics Male Medical sciences Physicians Prospective Studies Risk Students, Medical Tennessee |
| title | Risk factors and the incidence of hypertension in black physicians: The Meharry Cohort Study |
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