ArticleJournal of hypertension2011
Secular trends in blood pressure during early-to-middle adulthood: the Fels Longitudinal Study.
Article in Journal of hypertension, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed.
- Generational differences in longitudinal blood pressure trajectories by geographic region during socioeconomic transitions in China.International journal of public health · 2019Article
- The positive association of infant weight gain with adulthood body mass index has strengthened over time in the Fels Longitudinal Study.Pediatric obesity · 2018Article
- QUANTILE REGRESSION FOR MIXED MODELS WITH AN APPLICATION TO EXAMINE BLOOD PRESSURE TRENDS IN CHINA.The annals of applied statistics · 2015Article
- Associations between age, cohort, and urbanization with SBP and DBP in China: a population-based study across 18 years.Journal of hypertension · 2015Article
- Childhood obesity and cardiovascular disease: links and prevention strategies.Nature reviews. Cardiology · 2011Review
Corrections and comments
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Authors and funding
11 authors.
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Abstract
backgroundSome studies have shown a decline in blood pressure (BP) over the second half of the twentieth century. However, the increasing prevalence of obesity may have opposite effects on recent cohorts.
methodUsing serial BP data from the Fels Longitudinal Study, we examined secular trends in mean BP, the rate of change in BP with age (slopes), and the influence of obesity (i.e., BMI) and height on these trends during young-to-middle adulthood. The study sample consisted of 970 adults, aged 18-40 years, who were born between 1920 and 1979. Participants were grouped into birth decade cohorts and had up to 11 serial measurements of SBP, DBP, and BMI. Sex-stratified mixed longitudinal analyses were used to identify cohort effects on mean BP at ages 19, 29, and 39 years, and on the rate of change in BP with age.
resultsFor both sexes, mean SBP did not vary significantly by birth cohort, before and after adjusting for height and BMI. Mean DBP exhibited a U-shaped secular trend even after adjusting for BMI and height that was influenced by age-by-cohort effects. By age 39 years, those born most recently had the highest mean DBP.
conclusionThere were cohort effects on the rate of change in DBP with age, but not on rate of SBP change. The most recent cohorts had higher rates of DBP change with age compared to the earlier cohorts. The secular trend was partially influenced by the trends in BMI.
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