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Association of Blood Pressure With Stroke Risk, Stratified by Age and Stroke Type, in a Low-Income Population in China: A 27-Year Prospective Cohort Study

Association of stroke risk with new blood pressure criterion 2017 is unknown in China. We assessed the association between blood pressure (BP) values and stroke risk in a low-income population in Tianjin, China. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) values were categorized...

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Autores principales: Du, Xin, Wang, Conglin, Ni, Jingxian, Gu, Hongfei, Liu, Jie, Pan, Jing, Tu, Jun, Wang, Jinghua, Yang, Qing, Ning, Xianjia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6548813/
https://www.ncbi.nlm.nih.gov/pubmed/31191445
http://dx.doi.org/10.3389/fneur.2019.00564
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author Du, Xin
Wang, Conglin
Ni, Jingxian
Gu, Hongfei
Liu, Jie
Pan, Jing
Tu, Jun
Wang, Jinghua
Yang, Qing
Ning, Xianjia
author_facet Du, Xin
Wang, Conglin
Ni, Jingxian
Gu, Hongfei
Liu, Jie
Pan, Jing
Tu, Jun
Wang, Jinghua
Yang, Qing
Ning, Xianjia
author_sort Du, Xin
collection PubMed
description Association of stroke risk with new blood pressure criterion 2017 is unknown in China. We assessed the association between blood pressure (BP) values and stroke risk in a low-income population in Tianjin, China. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) values were categorized into five strata and strokes were recorded as stroke, ischemic stroke, and hemorrhagic stroke. Stroke risk was analyzed according to blood pressure stratum using Cox regression analysis. Overall, 4,017 residents (age, ≥18 years) were included in this prospective cohort study. Over a 27-year follow-up period (total, 86,515.78 person-years), 638 participants experienced first-ever strokes. The stroke risk was higher among individuals with SBPs ≥140 mmHg or DBPs ≥90 mmHg than among those with SBPs < 130 mmHg or DBPs < 80 mmHg (reference group), after adjusting for covariates. However, hemorrhagic stroke risk increased only in participants with SBPs ≥160 mmHg. The stroke risk increased for individuals < 65-years-old having BP values ≥130/80 mmHg and for individuals ≥65-years-old with BP values ≥160/90 mmHg. To reduce the stroke burden in China, target BP goals must be established for adults, with different targets for the middle-aged and the elderly segments of the population. These results are very important for guiding clinical practice and may be generalized to other developing countries experiencing rapid economic development and where transitions in the spectrum of prevalent diseases have occurred.
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spelling pubmed-65488132019-06-12 Association of Blood Pressure With Stroke Risk, Stratified by Age and Stroke Type, in a Low-Income Population in China: A 27-Year Prospective Cohort Study Du, Xin Wang, Conglin Ni, Jingxian Gu, Hongfei Liu, Jie Pan, Jing Tu, Jun Wang, Jinghua Yang, Qing Ning, Xianjia Front Neurol Neurology Association of stroke risk with new blood pressure criterion 2017 is unknown in China. We assessed the association between blood pressure (BP) values and stroke risk in a low-income population in Tianjin, China. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) values were categorized into five strata and strokes were recorded as stroke, ischemic stroke, and hemorrhagic stroke. Stroke risk was analyzed according to blood pressure stratum using Cox regression analysis. Overall, 4,017 residents (age, ≥18 years) were included in this prospective cohort study. Over a 27-year follow-up period (total, 86,515.78 person-years), 638 participants experienced first-ever strokes. The stroke risk was higher among individuals with SBPs ≥140 mmHg or DBPs ≥90 mmHg than among those with SBPs < 130 mmHg or DBPs < 80 mmHg (reference group), after adjusting for covariates. However, hemorrhagic stroke risk increased only in participants with SBPs ≥160 mmHg. The stroke risk increased for individuals < 65-years-old having BP values ≥130/80 mmHg and for individuals ≥65-years-old with BP values ≥160/90 mmHg. To reduce the stroke burden in China, target BP goals must be established for adults, with different targets for the middle-aged and the elderly segments of the population. These results are very important for guiding clinical practice and may be generalized to other developing countries experiencing rapid economic development and where transitions in the spectrum of prevalent diseases have occurred. Frontiers Media S.A. 2019-05-29 /pmc/articles/PMC6548813/ /pubmed/31191445 http://dx.doi.org/10.3389/fneur.2019.00564 Text en Copyright © 2019 Du, Wang, Ni, Gu, Liu, Pan, Tu, Wang, Yang and Ning. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Du, Xin
Wang, Conglin
Ni, Jingxian
Gu, Hongfei
Liu, Jie
Pan, Jing
Tu, Jun
Wang, Jinghua
Yang, Qing
Ning, Xianjia
Association of Blood Pressure With Stroke Risk, Stratified by Age and Stroke Type, in a Low-Income Population in China: A 27-Year Prospective Cohort Study
title Association of Blood Pressure With Stroke Risk, Stratified by Age and Stroke Type, in a Low-Income Population in China: A 27-Year Prospective Cohort Study
title_full Association of Blood Pressure With Stroke Risk, Stratified by Age and Stroke Type, in a Low-Income Population in China: A 27-Year Prospective Cohort Study
title_fullStr Association of Blood Pressure With Stroke Risk, Stratified by Age and Stroke Type, in a Low-Income Population in China: A 27-Year Prospective Cohort Study
title_full_unstemmed Association of Blood Pressure With Stroke Risk, Stratified by Age and Stroke Type, in a Low-Income Population in China: A 27-Year Prospective Cohort Study
title_short Association of Blood Pressure With Stroke Risk, Stratified by Age and Stroke Type, in a Low-Income Population in China: A 27-Year Prospective Cohort Study
title_sort association of blood pressure with stroke risk, stratified by age and stroke type, in a low-income population in china: a 27-year prospective cohort study
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6548813/
https://www.ncbi.nlm.nih.gov/pubmed/31191445
http://dx.doi.org/10.3389/fneur.2019.00564
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