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. 1992 Mar-Apr;107(2):193–201.

Epidemiology of resting pulse rate of persons ages 25-74--data from NHANES 1971-74.

R F Gillum 1
PMCID: PMC1403631  PMID: 1561303

Abstract

Data from the first National Health and Nutrition Examination Survey (NHANES) were examined to produce national estimates for pulse rate distributions, confirm previously reported associations with pulse rate, and to perform analyses of associations of pulse rate with dietary, biochemical, hematological, and other variables that might shed light on the nature of the associations of heart rate with hypertension and mortality. Among persons 25-74 years in the NHANES Survey, women had slightly higher resting pulse rates than men. Age had no consistent effects. Pulse rate was slightly higher in whites than in blacks among women and 25-44-year-old men. Resting pulse rate was slightly higher in fall and winter than in spring and summer and in the afternoon and evening than in the morning. Blood pressure and body temperature were significantly positively associated with pulse rate independent of multiple confounders. Heart beats per minute as recorded by electrocardiogram were slightly higher among smokers than nonsmokers after adjustment for multiple confounders. Of a large number of dietary, biochemical, and hematological variables, only total white blood cell count, hemoglobin, and serum uric acid showed consistent, independent associations with resting pulse or heart rate; these findings require confirmation in other populations.

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Selected References

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  1. Bush H. L., Jr, Gelband H., Hoffman B. F., Malm J. R. Electrophysiological basis for supraventricular arrhythmias: following surgical procedures for aortic stenosis. Arch Surg. 1971 Nov;103(5):620–625. doi: 10.1001/archsurg.1971.01350110122020. [DOI] [PubMed] [Google Scholar]
  2. Carel R. S., Eviatar J. Factors affecting leukocyte count in healthy adults. Prev Med. 1985 Sep;14(5):607–619. doi: 10.1016/0091-7435(85)90081-7. [DOI] [PubMed] [Google Scholar]
  3. Conway J. Blood pressure and heart rate variability. J Hypertens. 1986 Jun;4(3):261–263. doi: 10.1097/00004872-198606000-00001. [DOI] [PubMed] [Google Scholar]
  4. Conway J. Hemodynamic aspects of essential hypertension in humans. Physiol Rev. 1984 Apr;64(2):617–660. doi: 10.1152/physrev.1984.64.2.617. [DOI] [PubMed] [Google Scholar]
  5. Dyer A. R., Persky V., Stamler J., Paul O., Shekelle R. B., Berkson D. M., Lepper M., Schoenberger J. A., Lindberg H. A. Heart rate as a prognostic factor for coronary heart disease and mortality: findings in three Chicago epidemiologic studies. Am J Epidemiol. 1980 Dec;112(6):736–749. doi: 10.1093/oxfordjournals.aje.a113046. [DOI] [PubMed] [Google Scholar]
  6. Dyer A. R., Stamler J., Paul O., Berkson D. M., Lepper M. H., McKean H., Shekelle R. B., Lindberg H. A., Garside D. Alcohol consumption, cardiovascular risk factors, and mortality in two Chicago epidemiologic studies. Circulation. 1977 Dec;56(6):1067–1074. doi: 10.1161/01.cir.56.6.1067. [DOI] [PubMed] [Google Scholar]
  7. Fiorica V., Kem D. C. Plasma norepinephrine, blood pressure and heart rate response to graded change in body position. Aviat Space Environ Med. 1985 Dec;56(12):1166–1171. [PubMed] [Google Scholar]
  8. Fleg J. L. Alterations in cardiovascular structure and function with advancing age. Am J Cardiol. 1986 Feb 12;57(5):33C–44C. doi: 10.1016/0002-9149(86)91025-8. [DOI] [PubMed] [Google Scholar]
  9. Gillum R. F. Heart rate of black and white youths aged 12-17 years: associations with blood pressure and other cardiovascular risk factors. J Natl Med Assoc. 1988 Sep;80(9):953–960. [PMC free article] [PubMed] [Google Scholar]
  10. Gillum R. F. Resting pulse rate of children aged 1-5 years. J Natl Med Assoc. 1991 Feb;83(2):153–158. [PMC free article] [PubMed] [Google Scholar]
  11. Gillum R. F. Resting pulse rate of children and young adults associated with blood pressure and other cardiovascular risk factors. Public Health Rep. 1991 Jul-Aug;106(4):400–410. [PMC free article] [PubMed] [Google Scholar]
  12. Gillum R. F. The association of body fat distribution with hypertension, hypertensive heart disease, coronary heart disease, diabetes and cardiovascular risk factors in men and women aged 18-79 years. J Chronic Dis. 1987;40(5):421–428. doi: 10.1016/0021-9681(87)90175-5. [DOI] [PubMed] [Google Scholar]
  13. Gillum R. F. The epidemiology of resting heart rate in a national sample of men and women: associations with hypertension, coronary heart disease, blood pressure, and other cardiovascular risk factors. Am Heart J. 1988 Jul;116(1 Pt 1):163–174. doi: 10.1016/0002-8703(88)90262-1. [DOI] [PubMed] [Google Scholar]
  14. Green M. S., Jucha E., Luz Y. Inconsistencies in the correlates of blood pressure and heart rate. J Chronic Dis. 1986;39(4):261–270. doi: 10.1016/0021-9681(86)90048-2. [DOI] [PubMed] [Google Scholar]
  15. Grimm R. H., Jr, Neaton J. D., Ludwig W. Prognostic importance of the white blood cell count for coronary, cancer, and all-cause mortality. JAMA. 1985 Oct 11;254(14):1932–1937. [PubMed] [Google Scholar]
  16. Jorde L. B., Williams R. R. Innovative blood pressure measurements yield information not reflected by sitting measurements. Hypertension. 1986 Mar;8(3):252–257. doi: 10.1161/01.hyp.8.3.252. [DOI] [PubMed] [Google Scholar]
  17. Jorde L. B., Williams R. R., Kuida H. Factor analysis suggesting contrasting determinants for different blood pressure measurements. Hypertension. 1986 Mar;8(3):243–251. doi: 10.1161/01.hyp.8.3.243. [DOI] [PubMed] [Google Scholar]
  18. Karjalainen J., Viitasalo M. Fever and cardiac rhythm. Arch Intern Med. 1986 Jun;146(6):1169–1171. [PubMed] [Google Scholar]
  19. Koga Y., Gillum R. F., Knutsen S., Lee J. Y., Halberg F. Chronopsies assess the within-day variability of blood pressure and pulse. Jpn Heart J. 1982 Sep;23(5):661–675. doi: 10.1536/ihj.23.661. [DOI] [PubMed] [Google Scholar]
  20. Koga Y., Gillum R. F., Kubicek W. G. An impedance cardiographic study of the mechanism of blood pressure fall after moderate dietary sodium restriction. Jpn Heart J. 1985 Mar;26(2):197–207. doi: 10.1536/ihj.26.197. [DOI] [PubMed] [Google Scholar]
  21. Messerli F. H. Osler's maneuver, pseudohypertension, and true hypertension in the elderly. Am J Med. 1986 May;80(5):906–910. doi: 10.1016/0002-9343(86)90636-4. [DOI] [PubMed] [Google Scholar]
  22. Paffenbarger R. S., Jr, Thorne M. C., Wing A. L. Chronic disease in former college students. VIII. Characteristics in youth predisposing to hypertension in later years. Am J Epidemiol. 1968 Jul;88(1):25–32. doi: 10.1093/oxfordjournals.aje.a120864. [DOI] [PubMed] [Google Scholar]
  23. Persky V. W., Dyer A. R., Stamler J., Shekelle R. B., Schoenberger J. A. Racial patterns of heart rate in an employed adult population. Am J Epidemiol. 1979 Sep;110(3):274–280. doi: 10.1093/oxfordjournals.aje.a112812. [DOI] [PubMed] [Google Scholar]
  24. Persky V., Dyer A. R., Leonas J., Stamler J., Berkson D. M., Lindberg H. A., Paul O., Shekelle R. B., Lepper M. H., Schoenberger J. A. Heart rate: a risk factor for cancer? Am J Epidemiol. 1981 Oct;114(4):477–487. doi: 10.1093/oxfordjournals.aje.a113213. [DOI] [PubMed] [Google Scholar]
  25. Romano M., Carella G., Cotecchia M. R., Di Maro T., Indolfi C., Ferro G., Chiariello M. Abnormal systolic time intervals in obesity and their relationship with the amount of overweight. Am Heart J. 1986 Aug;112(2):356–360. doi: 10.1016/0002-8703(86)90275-9. [DOI] [PubMed] [Google Scholar]
  26. Rowe J. W., Troen B. R. Sympathetic nervous system and aging in man. Endocr Rev. 1980 Spring;1(2):167–179. doi: 10.1210/edrv-1-2-167. [DOI] [PubMed] [Google Scholar]
  27. Waddington J. L., MacCulloch M. J., Sambrooks J. E. Resting heartrate variability in man declines with age. Experientia. 1979 Sep 15;35(9):1197–1198. doi: 10.1007/BF01963285. [DOI] [PubMed] [Google Scholar]

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