Comparison of the Framingham Heart Study Hypertension Model With Blood Pressure Alone in the Prediction of Risk of Hypertension
Why the study?
Does the Framingham Heart Study Hypertension Model improve the prediction of incident hypertension compared to systolic blood pressure alone in adults without hypertension or diabetes?
Population
3,013 participants in the Multi-Ethnic Study of Atherosclerosis without hypertension or diabetes mellitus…
Comparison
Framingham Heart Study Hypertension prediction… vs Systolic blood pressure alone and age-specific…
Design
Cohort
Follow-up
median of 1.6 years between examinations
Authors
Discussion
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Member takes
Implication
SBP alone suffices for hypertension prediction; leaves open whether refined models add value in diverse cohorts.
Structured PICO
Does the Framingham Heart Study Hypertension Model improve the prediction of incident hypertension compared to systolic blood pressure alone in adults without hypertension or diabetes?
P
Population
3,013 participants in the Multi-Ethnic Study of Atherosclerosis (MESA) without hypertension or diabetes mellitus, mean age 58.5 years, 53% women, US adults.
I
Intervention
Framingham Heart Study (FHS) Hypertension prediction model
C
Comparator
Systolic blood pressure (SBP) alone and age-specific diastolic blood pressure categories
O
Outcome
Incidence of hypertension (SBP ≥140 mm Hg and/or diastolic blood pressure ≥90 mm Hg and/or the initiation of antihypertensive medication)composite
In a multiethnic cohort of US adults, the Framingham Heart Study hypertension prediction model did not substantially improve the prediction of incident hypertension compared to using systolic blood pressure alone.
Cite This Study
Muntner et al. (2010) studied this question.