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Pregled bibliografske jedinice broj: 436589

Cholesterol, diastolic blood pressure, and stroke: 13000 strokes in 450000 people in 45 prospective cohorts

Qizilbash, N.; Lewington, S.; Duffy, S; Peto, R.; Smith, T.; Spiegelhalter, D.; Iso, H.; Shimamoto, T.; Komachi, Y.; Iida, M. et al.
Cholesterol, diastolic blood pressure, and stroke: 13000 strokes in 450000 people in 45 prospective cohorts // Lancet, 346 (1995), 8991-2; 1647-1653 doi:10.1016/S0140-6736(95)92836-7 (međunarodna recenzija, članak, znanstveni)

CROSBI ID: 436589 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
Cholesterol, diastolic blood pressure, and stroke: 13000 strokes in 450000 people in 45 prospective cohorts

Autori
Qizilbash, N. ; Lewington, S. ; Duffy, S ; Peto, R. ; Smith, T. ; Spiegelhalter, D. ; Iso, H. ; Shimamoto, T. ; Komachi, Y. ; Iida, M. ; Doyle, J. ; Strogatz, D. ; Ebrahim, S. ; Wannamethee, G. ; Whincup, P. ; Burke, V. ; Cullen, K. ; Knuiman, M. ; Welborn, T. ; Bainton, D. ; Baker, I. ; Elwood, P. ; Sweetnam, P. ; Yarnell, J. ; Keil, J. ; Sutherland, S. ; Hames, C. ; Tyroler, H. ; DAgostino, R. ; Kannel, W. ; Wolf, P. ; Aromaa, A. ; Knekt, P. ; Maatela, J. ; Reunanen, A. ; Puska, P. ; Sarti, C. ; Tamminen, M. ; Tuomilehto, J. ; Vartiainen, E. ; Bengtsson, C. ; Bjorkelund, C. ; Lissner, L. ; Kodama, K. ; Shimizu, Y. ; Kagan, A. ; Popper, J. ; Reed, D. ; Yano, K. ; Goldbourt, U. ; Medalie, J. ; Yaari, S. ; Criqui, M. ; Davis, C. ; Blackburn, Henry ; Jacobs, D. ; Leupker, R. ; Harris, T. ; Madans, J. ; Ofstedal, M. ; Bjartveit, K. ; Stensvold, I. ; Tverdal, A. ; Garrow, K. ; Meade, T. ; Ruddock, V. ; Haheim, L. ; Hjermann, I. ; Holme, I. ; Leren, P. ; Cambien, F. ; Ducimetiere, P. ; Richard, J. ; Assmann, G. ; BarrettConnor, E. ; Langer, R. ; Gillis, C. ; Hart, C. ; Hawthorne, V. ; Hole D. ; Isles, C. ; Lever, A. ; Smith, G. D. ; Aravanis, C. ; Buzina, Ratko ; Dontas, A. ; Fidanza, F. ; Giampaoli, S. ; Karvonen, M. ; Keys, Ancel ; Kromhout, D. ; Lanti, M. ; Menotti, Alessandro ; Mohaček, Ivan ; Nedeljković, S. ; Nissinen, A. ; Punsar, S. ; Seccareccia, F. ; Toshima, H. ; Chen, Z. ; Collins, R. ; Li, W. ; Lu, J. ; Date, C. ; Nakayama, T. ; Tanaka, H. ; Yokoyama, T. ; Yoshiike, N. ; Brown, C. ; TunstallPedoe, H. ; Higgins, M. ; Keller, J. ; Carstensen, J. ; Tornberg, S. ; Marmot, M. ; Shipley, M.

Izvornik
Lancet (0140-6736) 346 (1995), 8991-2; 1647-1653

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
cholesterol ; diastolic blood pressure ; stroke ; seven countries study

Sažetak
Individual studies of stroke have not clearly answered two questions: on the relation, if any, between total blood cholesterol and stroke ; and on how the strength of the relation between diastolic blood pressure and stroke varies with age. The associations of blood cholesterol and diastolic blood pressure with subsequent stroke rates were investigated by review of 45 prospective observational cohorts involving 450 000 individuals with 5-30 years of follow-up (mean 16 years, total 7·3 million person-years of observation), during which 13 397 participants were recorded as having had a stroke. Most of these were fatal strokes in studies that recorded only mortality and not incidence, but about one- quarter were from studies that recorded both fatal and non-fatal strokes. After standardisation for age, there was no association between blood cholesterol and stroke except, perhaps, in those under 45 years of age when screened. This lack of association was not influenced by adjustment for sex, diastolic blood pressure, history of coronary heart disease, or ethnicity (Asian or non-Asian). However, because the types of the strokes were not centrally available, the lack of any overall relation might conceal a positive association with ischaemic stroke together with a negative association with haemorrhagic stroke. When the highest and the lowest of the six blood pressure categories were compared, the difference in usual diastolic blood pressure was 27 mm Hg (102 vs 75 mm Hg), and there was a fivefold difference in stroke risk. This fivefold difference was seen both in those with a pre-existing history of coronary heart disease and in those without it. The proportional difference in stroke risk, however, was more extreme in middle than in old age. Among those aged <45, 45-64, and 65+ when screened, the differences in the relative risks of stroke (between the highest diastolic blood pressure category and a combination of the lowest two categories) were tenfold, fivefold, and twofold, respectively. However, because the absolute stroke risks are greater in old age, the absolute differences in the annual stroke rates showed an opposite pattern, being 2, 5, and 8 per thousand, respectively. This suggests that the effects of therapeutic blood pressure reductions should be assessed separately in middle age and in old age.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti



POVEZANOST RADA

Ustanove:
KBC Split

Profili:

Avatar Url Ivan Mohaček (autor)

Avatar Url Ratko Buzina (autor)

Poveznice na cjeloviti tekst rada:

doi

Citiraj ovu publikaciju:

Qizilbash, N.; Lewington, S.; Duffy, S; Peto, R.; Smith, T.; Spiegelhalter, D.; Iso, H.; Shimamoto, T.; Komachi, Y.; Iida, M. et al.
Cholesterol, diastolic blood pressure, and stroke: 13000 strokes in 450000 people in 45 prospective cohorts // Lancet, 346 (1995), 8991-2; 1647-1653 doi:10.1016/S0140-6736(95)92836-7 (međunarodna recenzija, članak, znanstveni)
Qizilbash, N., Lewington, S., Duffy, S., Peto, R., Smith, T., Spiegelhalter, D., Iso, H., Shimamoto, T., Komachi, Y. & Iida, M. (1995) Cholesterol, diastolic blood pressure, and stroke: 13000 strokes in 450000 people in 45 prospective cohorts. Lancet, 346 (8991-2), 1647-1653 doi:10.1016/S0140-6736(95)92836-7.
@article{article, author = {Qizilbash, N. and Lewington, S. and Duffy, S and Peto, R. and Smith, T. and Spiegelhalter, D. and Iso, H. and Shimamoto, T. and Komachi, Y. and Iida, M. and Doyle, J. and Strogatz, D. and Ebrahim, S. and Wannamethee, G. and Whincup, P. and Burke, V. and Cullen, K. and Knuiman, M. and Welborn, T. and Bainton, D. and Baker, I. and Elwood, P. and Sweetnam, P. and Yarnell, J. and Keil, J. and Sutherland, S. and Hames, C. and Tyroler, H. and DAgostino, R. and Kannel, W. and Wolf, P. and Aromaa, A. and Knekt, P. and Maatela, J. and Reunanen, A. and Puska, P. and Sarti, C. and Tamminen, M. and Tuomilehto, J. and Vartiainen, E. and Bengtsson, C. and Bjorkelund, C. and Lissner, L. and Kodama, K. and Shimizu, Y. and Kagan, A. and Popper, J. and Reed, D. and Yano, K. and Goldbourt, U. and Medalie, J. and Yaari, S. and Criqui, M. and Davis, C. and Blackburn, Henry and Jacobs, D. and Leupker, R. and Harris, T. and Madans, J. and Ofstedal, M. and Bjartveit, K. and Stensvold, I. and Tverdal, A. and Garrow, K. and Meade, T. and Ruddock, V. and Haheim, L. and Hjermann, I. and Holme, I. and Leren, P. and Cambien, F. and Ducimetiere, P. and Richard, J. and Assmann, G. and BarrettConnor, E. and Langer, R. and Gillis, C. and Hart, C. and Hawthorne, V. and Isles, C. and Lever, A. and Smith, G. D. and Aravanis, C. and Buzina, Ratko and Dontas, A. and Fidanza, F. and Giampaoli, S. and Karvonen, M. and Keys, Ancel and Kromhout, D. and Lanti, M. and Menotti, Alessandro and Moha\v{c}ek, Ivan and Nedeljkovi\'{c}, S. and Nissinen, A. and Punsar, S. and Seccareccia, F. and Toshima, H. and Chen, Z. and Collins, R. and Li, W. and Lu, J. and Date, C. and Nakayama, T. and Tanaka, H. and Yokoyama, T. and Yoshiike, N. and Brown, C. and TunstallPedoe, H. and Higgins, M. and Keller, J. and Carstensen, J. and Tornberg, S. and Marmot, M. and Shipley, M.}, year = {1995}, pages = {1647-1653}, DOI = {10.1016/S0140-6736(95)92836-7}, keywords = {cholesterol, diastolic blood pressure, stroke, seven countries study}, journal = {Lancet}, doi = {10.1016/S0140-6736(95)92836-7}, volume = {346}, number = {8991-2}, issn = {0140-6736}, title = {Cholesterol, diastolic blood pressure, and stroke: 13000 strokes in 450000 people in 45 prospective cohorts}, keyword = {cholesterol, diastolic blood pressure, stroke, seven countries study} }
@article{article, author = {Qizilbash, N. and Lewington, S. and Duffy, S and Peto, R. and Smith, T. and Spiegelhalter, D. and Iso, H. and Shimamoto, T. and Komachi, Y. and Iida, M. and Doyle, J. and Strogatz, D. and Ebrahim, S. and Wannamethee, G. and Whincup, P. and Burke, V. and Cullen, K. and Knuiman, M. and Welborn, T. and Bainton, D. and Baker, I. and Elwood, P. and Sweetnam, P. and Yarnell, J. and Keil, J. and Sutherland, S. and Hames, C. and Tyroler, H. and DAgostino, R. and Kannel, W. and Wolf, P. and Aromaa, A. and Knekt, P. and Maatela, J. and Reunanen, A. and Puska, P. and Sarti, C. and Tamminen, M. and Tuomilehto, J. and Vartiainen, E. and Bengtsson, C. and Bjorkelund, C. and Lissner, L. and Kodama, K. and Shimizu, Y. and Kagan, A. and Popper, J. and Reed, D. and Yano, K. and Goldbourt, U. and Medalie, J. and Yaari, S. and Criqui, M. and Davis, C. and Blackburn, Henry and Jacobs, D. and Leupker, R. and Harris, T. and Madans, J. and Ofstedal, M. and Bjartveit, K. and Stensvold, I. and Tverdal, A. and Garrow, K. and Meade, T. and Ruddock, V. and Haheim, L. and Hjermann, I. and Holme, I. and Leren, P. and Cambien, F. and Ducimetiere, P. and Richard, J. and Assmann, G. and BarrettConnor, E. and Langer, R. and Gillis, C. and Hart, C. and Hawthorne, V. and Isles, C. and Lever, A. and Smith, G. D. and Aravanis, C. and Buzina, Ratko and Dontas, A. and Fidanza, F. and Giampaoli, S. and Karvonen, M. and Keys, Ancel and Kromhout, D. and Lanti, M. and Menotti, Alessandro and Moha\v{c}ek, Ivan and Nedeljkovi\'{c}, S. and Nissinen, A. and Punsar, S. and Seccareccia, F. and Toshima, H. and Chen, Z. and Collins, R. and Li, W. and Lu, J. and Date, C. and Nakayama, T. and Tanaka, H. and Yokoyama, T. and Yoshiike, N. and Brown, C. and TunstallPedoe, H. and Higgins, M. and Keller, J. and Carstensen, J. and Tornberg, S. and Marmot, M. and Shipley, M.}, year = {1995}, pages = {1647-1653}, DOI = {10.1016/S0140-6736(95)92836-7}, keywords = {cholesterol, diastolic blood pressure, stroke, seven countries study}, journal = {Lancet}, doi = {10.1016/S0140-6736(95)92836-7}, volume = {346}, number = {8991-2}, issn = {0140-6736}, title = {Cholesterol, diastolic blood pressure, and stroke: 13000 strokes in 450000 people in 45 prospective cohorts}, keyword = {cholesterol, diastolic blood pressure, stroke, seven countries study} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Social Science Citation Index (SSCI)
    • SCI-EXP, SSCI i/ili A&HCI
  • MEDLINE

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