Dannenberg A L, Garrison R J, Kannel W B
Division of Epidemiology and Clinical Applications, National Heart, Lung, and Blood Institute, Bethesda, MD 20892.
Am J Public Health. 1988 Jun;78(6):676-9. doi: 10.2105/ajph.78.6.676.
Incidence and trends in incidence of definite hypertension were analyzed based on 30 years follow-up of 5,209 subjects in the Framingham Heart Study cohort. Based on pooling of 15 two-year periods, hypertension incidence per biennium increased with age in men from 3.3 per cent at ages 30-39 to 6.2 per cent at ages 70-79, and in women from 1.5 per cent at ages 30-39 to 8.6 per cent at ages 70-79. No consistent trend in incidence rates was evident for either sex from the 1950s through the 1970s. The proportion of hypertensive subjects receiving antihypertensive medication has increased since 1954-58 and exceeded 80 per cent for both men and women ages 60-89 years in 1979-81. Incidence data presented in this report may serve as a baseline for assessing the impact of future public health efforts in the primary prevention of hypertension.
基于弗雷明汉心脏研究队列中5209名受试者的30年随访数据,分析了确诊高血压的发病率及发病率趋势。基于15个两年期的数据汇总,男性每两年的高血压发病率随年龄增长,从30 - 39岁时的3.3%增至70 - 79岁时的6.2%;女性从30 - 39岁时的1.5%增至70 - 79岁时的8.6%。从20世纪50年代到70年代,两性的发病率均未呈现出一致的趋势。自1954 - 1958年以来,接受降压药物治疗的高血压患者比例有所增加,在1979 - 1981年,60 - 89岁的男性和女性中这一比例均超过了80%。本报告中呈现的发病率数据可作为评估未来公共卫生工作在高血压一级预防中所产生影响的基线。