2018
DOI: 10.1001/jama.2018.16501
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Association of Blood Pressure Classification in Korean Young Adults According to the 2017 American College of Cardiology/American Heart Association Guidelines With Subsequent Cardiovascular Disease Events

Abstract: Among young adults, the association of the 2017 American College of Cardiology/American Heart Association (ACC/AHA) High Blood Pressure Clinical Practice Guidelines with risk of cardiovascular disease (CVD) later in life is uncertain.OBJECTIVE To determine the association of blood pressure categories before age 40 years with risk of CVD later in life.

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Cited by 184 publications
(151 citation statements)
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“…First, the prevalence of belonging to a prehypertension group and prediabetes group was significantly higher for male and female workers than normal adults [29,30]. When individuals belonging to a prehypertension group or prediabetes group neglect their health, they are more prone to progress to hypertension or diabetes [40,41], and their risk of CVD development increases [3,42]. However, workers belonging to the prehypertension group or prediabetes group were either unaware of or uninterested in their disease state, and thus had a reduced desire to maintain good health, which leads to insufficient care [41,43].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…First, the prevalence of belonging to a prehypertension group and prediabetes group was significantly higher for male and female workers than normal adults [29,30]. When individuals belonging to a prehypertension group or prediabetes group neglect their health, they are more prone to progress to hypertension or diabetes [40,41], and their risk of CVD development increases [3,42]. However, workers belonging to the prehypertension group or prediabetes group were either unaware of or uninterested in their disease state, and thus had a reduced desire to maintain good health, which leads to insufficient care [41,43].…”
Section: Discussionmentioning
confidence: 99%
“…The general characteristics of the subjects included gender and age. Age was categorized as: under 30 (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29), 30s (30)(31)(32)(33)(34)(35)(36)(37)(38)(39), 40s (40)(41)(42)(43)(44)(45)(46)(47)(48)(49), 50s (50-59), or 60s (60-69).…”
Section: General Characteristics and Socioeconomic Statusmentioning
confidence: 99%
“…Third, the definition of CVD could not be validated by medical records. Although the operational definition for CVD was adopted from previous studies that also used the NHIS database [11,12], future studies with a narrower definition of CVD, perhaps by using procedural codes for cardiovascular interventions or coronary artery bypass grafting operations are needed. Fourth, we could not adjust for certain potential confounders such as education due to the lack of information.…”
Section: Discussionmentioning
confidence: 99%
“…The definition of depression was adapted from another study [10]. CVD was defined when a participant was hospitalized for at least 2 days or died due to CVD, which was adapted from previous studies that used the NHIS database [11,12]. CVD included CHD (ICD-10 codes I20-I25) and stroke (ICD-10 codes I60-I69).…”
Section: Key Variablesmentioning
confidence: 99%
“…Pre‐HTN was also found to be associated with increases in the risks of stroke morbidity (Huang et al, ) and mortality (Bundy et al, ), as well as the risks of composite cardiovascular disease, suggesting the need for more intensive control of systolic BP among adults with pre‐HTN. Previously, HTN was defined as systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg, whereas pre‐HTN was defined as systolic BP 130–139 mmHg and/or diastolic BP 80–89 mmHg (Son et al, ). In 2017, however, the American Heart Association (AHA) guidelines defined elevated BP as systolic BP 120–129 mmHg and diastolic BP < 80 mmHg and stage 1 HTN as systolic BP 130–139 mmHg or diastolic BP 80–89 mmHg (Reboussin et al, ).…”
Section: Discussionmentioning
confidence: 99%