Hypertension and lifetime risk of stroke

Tanvir Chowdhury Turin, Tomonori Okamura, Arfan Raheen Afzal, Nahid Rumana, Makoto Watanabe, Aya Higashiyama, Yoko Nakao, Michikazu Nakai, Misa Takegami, Kunihiro Nishimura, Yoshihiro Kokubo, Akira Okayama, Yoshihiro Miyamoto

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Background: The lifetime risk (LTR) articulates the probability of disease in the residual lifetime for an index age. These estimates can be useful for general audience-targeted knowledge translation activities against hypertension. There are only a few reports on lifetime of impact of hypertension on stroke events in Asians in whom stroke incidence is higher than Westerners. Methods: The Suita Study, a cohort study of cardiovascular diseases in Japan, was established in 1989. We included all participants who were stroke free at baseline. Age (in years) was used as the time scale. Age-specific incidence rates were calculated with person-year method within 10-year bands. We estimated the sex and index-age specific LTR of first-ever stroke with taking the competing risk of death into account. Results: We followed 5783 men and women during 1989-2007 for 74 933 person-years. During the follow-up period, 276 (149 men and 127 women) participants had incident stroke. Of them, majority were cerebral infarction; 166 (102 men and 64 women). The LTR of stroke, accounted for competing risk of death, at 45 years of age for men without hypertension was 17.21% and it was 32.79% for hypertensive men. Among the hypertensive patients, participants with stage 2 or greater hypertension had higher LTR of stroke than the participants with stage 1 hypertension. This increased LTR of stroke for hypertensive patients were also observed among women and across all index ages for stroke. Conclusion: In this urban community-based population, we observed that hypertension has significant effect on the residual LTR of stroke among both men and women of middle age, specifically for ischemic stroke.

Original languageEnglish
Pages (from-to)116-122
Number of pages7
JournalJournal of Hypertension
Volume34
Issue number1
DOIs
Publication statusPublished - 2016 Jan 1

Fingerprint

Stroke
Hypertension
Translational Medical Research
Incidence
Cerebral Infarction
Risk-Taking
Japan
Cohort Studies
Cardiovascular Diseases
Population

Keywords

  • cohort
  • hypertension
  • lifetime risk
  • stroke

ASJC Scopus subject areas

  • Internal Medicine
  • Physiology
  • Cardiology and Cardiovascular Medicine

Cite this

Turin, T. C., Okamura, T., Afzal, A. R., Rumana, N., Watanabe, M., Higashiyama, A., ... Miyamoto, Y. (2016). Hypertension and lifetime risk of stroke. Journal of Hypertension, 34(1), 116-122. https://doi.org/10.1097/HJH.0000000000000753

Hypertension and lifetime risk of stroke. / Turin, Tanvir Chowdhury; Okamura, Tomonori; Afzal, Arfan Raheen; Rumana, Nahid; Watanabe, Makoto; Higashiyama, Aya; Nakao, Yoko; Nakai, Michikazu; Takegami, Misa; Nishimura, Kunihiro; Kokubo, Yoshihiro; Okayama, Akira; Miyamoto, Yoshihiro.

In: Journal of Hypertension, Vol. 34, No. 1, 01.01.2016, p. 116-122.

Research output: Contribution to journalArticle

Turin, TC, Okamura, T, Afzal, AR, Rumana, N, Watanabe, M, Higashiyama, A, Nakao, Y, Nakai, M, Takegami, M, Nishimura, K, Kokubo, Y, Okayama, A & Miyamoto, Y 2016, 'Hypertension and lifetime risk of stroke', Journal of Hypertension, vol. 34, no. 1, pp. 116-122. https://doi.org/10.1097/HJH.0000000000000753
Turin TC, Okamura T, Afzal AR, Rumana N, Watanabe M, Higashiyama A et al. Hypertension and lifetime risk of stroke. Journal of Hypertension. 2016 Jan 1;34(1):116-122. https://doi.org/10.1097/HJH.0000000000000753
Turin, Tanvir Chowdhury ; Okamura, Tomonori ; Afzal, Arfan Raheen ; Rumana, Nahid ; Watanabe, Makoto ; Higashiyama, Aya ; Nakao, Yoko ; Nakai, Michikazu ; Takegami, Misa ; Nishimura, Kunihiro ; Kokubo, Yoshihiro ; Okayama, Akira ; Miyamoto, Yoshihiro. / Hypertension and lifetime risk of stroke. In: Journal of Hypertension. 2016 ; Vol. 34, No. 1. pp. 116-122.
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abstract = "Background: The lifetime risk (LTR) articulates the probability of disease in the residual lifetime for an index age. These estimates can be useful for general audience-targeted knowledge translation activities against hypertension. There are only a few reports on lifetime of impact of hypertension on stroke events in Asians in whom stroke incidence is higher than Westerners. Methods: The Suita Study, a cohort study of cardiovascular diseases in Japan, was established in 1989. We included all participants who were stroke free at baseline. Age (in years) was used as the time scale. Age-specific incidence rates were calculated with person-year method within 10-year bands. We estimated the sex and index-age specific LTR of first-ever stroke with taking the competing risk of death into account. Results: We followed 5783 men and women during 1989-2007 for 74 933 person-years. During the follow-up period, 276 (149 men and 127 women) participants had incident stroke. Of them, majority were cerebral infarction; 166 (102 men and 64 women). The LTR of stroke, accounted for competing risk of death, at 45 years of age for men without hypertension was 17.21{\%} and it was 32.79{\%} for hypertensive men. Among the hypertensive patients, participants with stage 2 or greater hypertension had higher LTR of stroke than the participants with stage 1 hypertension. This increased LTR of stroke for hypertensive patients were also observed among women and across all index ages for stroke. Conclusion: In this urban community-based population, we observed that hypertension has significant effect on the residual LTR of stroke among both men and women of middle age, specifically for ischemic stroke.",
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