Abstract
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.
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- Andre J. L., Monneau J. P., Gueguen R., Deschamps J. P. Five-year incidence of hypertension and its concomitants in a population of 11 355 adults unselected as to disease. Eur Heart J. 1982 Oct;3 (Suppl 100):53–58. doi: 10.1093/eurheartj/3.suppl_c.53. [DOI] [PubMed] [Google Scholar]
- Apostolides A. Y., Cutter G., Daugherty S. A., Detels R., Kraus J., Wassertheil-Smoller S., Ware J. Three-year incidence of hypertension in thirteen U.S. communities. On behalf of the Hypertension Detection and Follow-up Program cooperative group. Prev Med. 1982 Sep;11(5):487–499. doi: 10.1016/0091-7435(82)90063-9. [DOI] [PubMed] [Google Scholar]
- Buck C. W., Donner A. P. Factors affecting the incidence of hypertension. CMAJ. 1987 Feb 15;136(4):357–360. [PMC free article] [PubMed] [Google Scholar]
- Cupples L. A., D'Agostino R. B., Anderson K., Kannel W. B. Comparison of baseline and repeated measure covariate techniques in the Framingham Heart Study. Stat Med. 1988 Jan-Feb;7(1-2):205–222. doi: 10.1002/sim.4780070122. [DOI] [PubMed] [Google Scholar]
- Dannenberg A. L., Drizd T., Horan M. J., Haynes S. G., Leaverton P. E. Progress in the battle against hypertension. Changes in blood pressure levels in the United States from 1960 to 1980. Hypertension. 1987 Aug;10(2):226–233. doi: 10.1161/01.hyp.10.2.226. [DOI] [PubMed] [Google Scholar]
- Dannenberg A. L., Kannel W. B. Remission of hypertension. The 'natural' history of blood pressure treatment in the Framingham Study. JAMA. 1987 Mar 20;257(11):1477–1483. doi: 10.1001/jama.257.11.1477. [DOI] [PubMed] [Google Scholar]
- Dischinger P. C., Apostolides A. Y., Entwisle G., Hebel J. R. Hypertension incidence in an inner-city black population. J Chronic Dis. 1981;34(8):405–413. doi: 10.1016/0021-9681(81)90039-4. [DOI] [PubMed] [Google Scholar]
- Dunn J. P., Ipsen J., Elsom K. O., Ohtani M. Risk factors in coronary artery disease, hypertension and diabetes. Am J Med Sci. 1970 May;259(5):309–322. doi: 10.1097/00000441-197005000-00002. [DOI] [PubMed] [Google Scholar]
- Folsom A. R., Luepker R. V., Gillum R. F., Jacobs D. R., Prineas R. J., Taylor H. L., Blackburn H. Improvement in hypertension detection and control from 1973-1974 to 1980-1981. The Minnesota Heart Survey experience. JAMA. 1983 Aug 19;250(7):916–921. [PubMed] [Google Scholar]
- Freeman D. H., Jr, Ostfeld A. M., Hellenbrand K., Richards V. A., Tracy R. Changes in the prevalence distribution of hypertension: Connecticut adults 1978-79 to 1982. J Chronic Dis. 1985;38(2):157–164. doi: 10.1016/0021-9681(85)90088-8. [DOI] [PubMed] [Google Scholar]
- Garrison R. J., Kannel W. B., Stokes J., 3rd, Castelli W. P. Incidence and precursors of hypertension in young adults: the Framingham Offspring Study. Prev Med. 1987 Mar;16(2):235–251. doi: 10.1016/0091-7435(87)90087-9. [DOI] [PubMed] [Google Scholar]
- Kahn H. A., Medalie J. H., Neufeld H. N., Riss E., Goldbourt U. The incidence of hypertension and associated factors: the Israel ischemic heart disease study. Am Heart J. 1972 Aug;84(2):171–182. doi: 10.1016/0002-8703(72)90331-6. [DOI] [PubMed] [Google Scholar]
- Kannel W. B., Thom T. J. Declining cardiovascular mortality. Circulation. 1984 Sep;70(3):331–336. doi: 10.1161/01.cir.70.3.331. [DOI] [PubMed] [Google Scholar]
- Learoyd B. M., Taylor M. G. Alterations with age in the viscoelastic properties of human arterial walls. Circ Res. 1966 Mar;18(3):278–292. doi: 10.1161/01.res.18.3.278. [DOI] [PubMed] [Google Scholar]
- Paffenbarger R. S., Jr, Wing A. L., Hyde R. T., Jung D. L. Physical activity and incidence of hypertension in college alumni. Am J Epidemiol. 1983 Mar;117(3):245–257. doi: 10.1093/oxfordjournals.aje.a113537. [DOI] [PubMed] [Google Scholar]
- Prior I. A., Evans J. G., Harvey H. P., Davidson F., Lindsey M. Sodium intake and blood pressure in two Polynesian populations. N Engl J Med. 1968 Sep 5;279(10):515–520. doi: 10.1056/NEJM196809052791004. [DOI] [PubMed] [Google Scholar]
- Robitaille N. M., Dagenais G. R., Rochon J., Lupien P. J. Incidence d'hypertension artérielle dans la région de Québec. Clin Invest Med. 1983;6(1):39–42. [PubMed] [Google Scholar]
- Schroll M., Hagerup L. Ten year incidence of hypertension in the 1914-population in Glostrup. Acta Med Scand Suppl. 1981;646:15–18. doi: 10.1111/j.0954-6820.1981.tb02614.x. [DOI] [PubMed] [Google Scholar]
- Weissfeld J. L., Kuller L. H. Methodologic evaluation of incidence rates for hypertension: calculated for Pittsburgh's MRFIT usual care men. J Chronic Dis. 1985;38(11):915–925. doi: 10.1016/0021-9681(85)90127-4. [DOI] [PubMed] [Google Scholar]