Seventh Report of the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7)

Lenfant, Claude; Chobanian, Aram V.; Jones, Daniel W.; Roccella, Edward J.

doi:10.1161/01.hyp.0000075790.33892.ae

Cited by 415 publications

(252 citation statements)

References 3 publications

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“…In the present study, the finding that the age-related increase of baPWV was augmented in the Prehypertensive stage was consistent with a previous report that the highest rate of progression to hypertension occurred in older individuals with prehypertension (16). The JNC-7 guidelines recommended lifestyle modification even in subjects categorized as having prehypertension to improve prognosis and/or to prevent and slow progression to hypertension (11,19). Increased arterial stiffness, reflected by an increased PWV, leads to worsening of myocardial ischemia as a result of increased afterload or impaired coronary blood supply due to a fall in DBP, and it also acts as an atherogenic factor (4,7,20,21).…”

Section: Discussionsupporting

confidence: 92%

The Age-Related Increase in Arterial Stiffness Is Augmented in Phases According to the Severity of Hypertension

et al. 2004

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Although blood pressure and age are major determinants of arterial stiffness, it is still unclear whether age- viduals with mild hypertension and in the elderly (5-7). However, it is still unclear whether age-related changes in arterial stiffness are similar among subjects with different degrees of severity of hypertension. Resolving this issue may provide useful information for the management of hypertension.A simple method of measuring brachial-ankle PWV (baPWV) has recently been made available (8-10), and we demonstrated its applicability for a large population (9). Moreover, baPWV is a marker related to the severity of ath-

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Section: Discussionsupporting

confidence: 92%

The Age-Related Increase in Arterial Stiffness Is Augmented in Phases According to the Severity of Hypertension

et al. 2004

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“…Hypertension, hypercholesterolemia, and diabetes mellitus were defined according to the Joint National Committee, Adult Treatment Panel III, and American Diabetes Association criteria, respectively, and smoking habits were recorded 17, 18, 19. Ten‐year risks for coronary death or nonfatal myocardial infarction were estimated by the Framingham risk score (FRS), atherosclerotic cardiovascular disease (ASCVD) in adults 20, 21…”

Section: Methodsmentioning

confidence: 99%

Effects of a Health‐Partner Intervention on Cardiovascular Risk

Mheid

Kelli

et al. 2016

JAHA

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BackgroundLifestyle modifications are first‐line measures for cardiovascular disease prevention. Whether lifestyle intervention also preserves cardiovascular health is less clear. Our study examined the role of a Health Partner–administered lifestyle intervention on metrics of ideal cardiovascular health.Methods and ResultsA total of 711 university employees (48±11 years; 66% women, 72% Caucasian/22.5% African Americans) enrolled in a program that promoted healthier lifestyles at Emory University (Atlanta, GA). Anthropometric, laboratory, and physical activity measurements were performed at baseline and at 6 months, 1 year, and 2 years of follow‐up. Results were utilized by the Health Partner to generate a personalized plan aimed at meeting ideal health metrics. Compared to baseline, at each of the 6‐month, 1‐year, and 2‐year follow‐up visits, systolic blood pressure was lower by 3.6, 4.6, and 3.3 mm Hg (P<0.001), total cholesterol decreased by 5.3, 6.5, and 6.4 mg/dL (P<0.001), body mass index declined by 0.33, 0.45, and 0.38 kg/m2 (P<0.001), and the percentage of smokers decreased by 1.3%, 3.5%, and 3.5% (P<0.01), respectively. Changes were greater in those with greater abnormalities at baseline. Finally, the American Heart Association “Life's Simple 7” ideal cardiovascular health score increased by 0.28, 0.40, and 0.33 at 6 month, 1 year, and 2 years, respectively, compared to baseline visit.ConclusionsA personalized, goal‐directed Health Partner intervention significantly improved the cardiometabolic risk profile and metrics of cardiovascular health. These effects were evident at 6 months following enrollment and were sustained for 2 years. Whether the Health Partner intervention improves long‐term morbidity and mortality and is cost‐effective needs further investigation.

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“…4 First, an attempt to simplify the message regarding treatment and control was desired. Despite much effort by the National High Blood Pressure Education Program and others, and despite clear evidence of the benefit of lowering blood pressure, blood pressure management in the United States has not been good.…”

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confidence: 99%

Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure and Evidence From New Hypertension Trials

2004

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Seventh Report of the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7)

Cited by 415 publications

References 3 publications

The Age-Related Increase in Arterial Stiffness Is Augmented in Phases According to the Severity of Hypertension

The Age-Related Increase in Arterial Stiffness Is Augmented in Phases According to the Severity of Hypertension

Effects of a Health‐Partner Intervention on Cardiovascular Risk

Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure and Evidence From New Hypertension Trials

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