--老年高血压刘力生(英文)

Men
No. of participants age follow up years Stroke mortality（％） IHD mortality（％）
Age groups 70-73 year 74-77 year ≧78 year
1000 71.7± 0.9 5.0±3.0
7.0 1.9
881 75.2±1.2 4.8±2.9
DBP=80-89 mmHg,％） Hypertension (SBP ≧ 140 or DBP≧90 mmHg,％） TC（mean ±SD,mmoUL） Stroke mortality（％） IHD mortality(％)
Age groups
70-73 year 74-77 year
≧78 year
Hypertension in the Very Elderly
Lisheng LIU
• Epidemiology • HYVET Study
The prevalence of hypertension in elderly population for China & Japan from the national surveys conducted in 1992 & 1993
4000
3500
3000
2500
2000
1500
1000
500
0 1986
1991
Hong Kong Singapore
1996
2001
Year
Japan
China_rural
2006
Korea China_urban
Blood pressure and stroke mortality in the Chinese elderly cohort (n=4814)
22.6
68.5 4.90±1.32
6.0 2.6
66.7 4.52±1.28
8.6 2.6
XH Zhang, BHLI 2009
The effects of BP on the risk of stroke mortality by age gr. in the elderly (Cox proportional hazard regression model, controlled for
142.4±26.4 81.8±13.0
32.0
54.6 4.51±1.15
7.0 1.9
144.2±26.1 144.4±25.3 80.8±13.0 79.6±12.5
29.7
27.9
56.6 4.22±1.10
8.2 2.5
61.5 4.14±1.19
9.6 2.4
XH Zhang, BHLI 2009
XH Zhang, BHLI 2009
The effect of SBP on stroke mortality by age groups in Chinese elderly populations
RR of stroke mortality
16.0
Age>=78y Age=74-77y
8.0
Blood pressure and stroke mortality in the Chinese elderly cohort (n=4814)
Women
No. of participants Age (mean1SD, year) Years of follow up (mean1SD) SBP (mean1SD, mmHg) DBP (mean1SD, mmHg) High normal BP (SBP=120-139 &
8.2 2.5
737 81.5±3.3 4.1±2.6
9.6 2.4
SBP (mean ±SD, mmHg) DBP (mean ±SD, mmHg)
High normal BP (SBP=120-139 & DBP=80-89 mmHg)（％）
Hypertension (SBP ≧ 140 or DBP≧90 mmHg)（％） TC（mean ± SD，mmol/L） Stroke mortality（％） IHD mortality（％）
768 71.6±0.9 5.1±2.8 148.2±27.2 80.3±13.0
27.1
62.5 5.21±1.44
5.1 1.3
729 75.1±1.2 4.9±2.9 151.4±27.9 81.4±13.2
699 82.5±3.5 4.2±2.3 149.5±27.1 78.9±13.3
21.1
Men
Women
Japan 60-69y: 25.1% 70y+: 29.8% 60-69y: 24.9%; 70y+: 28.6 (1993)
China 65-74y: 26.0%; 75y+: 29.1% 65-74y: 28.0%; 75y+: 34.2% (1992)
Japan definition: 160/95 mmHg; China definition: 160/95 mmHg or under antihypertensive treatment
Age=70-73y
4.0
2.0
1.0
0.5 <140
140-159
160-179
>=180
SBP (mmHg) XH Zhang, BHLI 2009
Stroke mortality in Asian men
from 1987 to 2007
Mortality, per 100,000
5000 4500 4000 3500 3000 2500 2000 1500 1000
age and smoking, stratified by sex)
Predictors Catego Age= 70-73 (year)
Age=74-77 (year)
Age>=78 (year)
-ries HR(95%CI) P value HR (95%CI) P value HR (95%CI) P value
500 0 1986
1991
Hong Kong Singapore
1996
2001
Year Japan China_rural
ຫໍສະໝຸດ Baidu
2006
Korea China_urban
Stroke mortality in Asian women
from 1987 to 2007
Mortality, per 100,000