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Systolic blood pressure longitudinal trajectory and its influencing factors in community hypertensive patients during 4 years
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Cai-yun DONG1, Hui-zi SUN1, Cong QI2, Liang-xia CHEN2, Dong-shan ZHU1, Gao-hui ZHANG2
Modern Preventive Medicine | 2024, 51(6) : 1024 - 1031
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Modern Preventive Medicine | 2024, 51(6): 1024-1031
Primary Health Services
Systolic blood pressure longitudinal trajectory and its influencing factors in community hypertensive patients during 4 years
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Cai-yun DONG1, Hui-zi SUN1, Cong QI2, Liang-xia CHEN2, Dong-shan ZHU1, Gao-hui ZHANG2
Affiliations
  • School of Public Health, Shandong University, Jinan, Shandong 250012, China
Published: 2024-03-25 doi: 10.20043/j.cnki.MPM.202308260
Outline
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Objective

To explore the longitudinal trajectory of systolic blood pressure (SBP) and its influencing factors in community hypertensive patients.

Methods

We used data from national basic public health services for nine counties in Shandong Province to conduct a prospective cohort study. Group-Based Trajectory Modeling (GBTM) was used to explore the trajectory of systolic blood pressure. Repeated measurement analysis of variance was used to describe the changes in trajectories, and multinomial logistic regression was used to explore the influencing factors of the trajectories.

Results

A total of 104 402 hypertension patients were included. The systolic blood pressure trajectories could be divided into four groups: Stage-1 high blood pressure gradually decreased group (21.8%), Stage-1 high blood pressure stable group (55.5%), Stage-2 high blood pressure gradually decreased group (7.2%) and Stage-2 high blood pressure increased group (15.6%). The results of repeated measures analysis of variance showed that there was a significant difference in systolic blood pressure values at different time points or different groups (P<0.001, P<0.001). The results of multinomial logistic regression showed that compared with the group with Stage-1 high blood pressure gradually decreased, the people with less education(OR=82.68, 95% CI:75.60-90.42), physical inactivity(OR=2.77, 95% CI:2.19-3.50), high frequency of drinking(OR=1.39, 95% CI:1.17-1.64), general compliance behavior(OR=1.44, 95% CI:1.18-1.75), intermittent medication(OR=2.15, 95% CI:1.98-2.34) were more likely to be classified into the group with Stage-2 high blood pressure increased. People with increased age (OR=1.03, 95% CI:1.02-1.03), and regular medication (OR=1.94, 95% CI:1.79-2.11) were more likely to be classified into the group with Stage-2 high blood pressure gradually decreased.

Conclusion

The systolic blood pressure trajectories in hypertensive patients can be divided into 4 categories. In the future, we should make more efficient assessments and interventions based on homogeneous populations of systolic blood pressure trajectories and their risk factors.

Hypertensive patients  /  Blood pressure control  /  Risk factors  /  Longitudinal study  /  Group-based trajectory model
Cai-yun DONG, Hui-zi SUN, Cong QI, Liang-xia CHEN, Dong-shan ZHU, Gao-hui ZHANG. Systolic blood pressure longitudinal trajectory and its influencing factors in community hypertensive patients during 4 years[J]. Modern Preventive Medicine, 2024 , 51 (6) : 1024 -1031 . DOI: 10.20043/j.cnki.MPM.202308260
Year 2024 volume 51 Issue 6
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Article Info
doi: 10.20043/j.cnki.MPM.202308260
  • Receive Date:2023-08-16
  • Online Date:2026-03-16
  • Published:2024-03-25
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  • Received:2023-08-16
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    School of Public Health, Shandong University, Jinan, Shandong 250012, China
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表12种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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Genus
种数
Number of
species
占总种数比例
Percentage of total
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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