About 40% of this American Indian cohort had hypertension at baseline, and prevalence of hypertension was higher in older and obese study participants.
Chart Explanation: About 40% of this American Indian cohort had hypertension at baseline. Prevalence of hypertension was significantly higher among older and obese study participants, relative to their counterparts, but hypertension did not differ by gender.
The Strong Heart Study consisted of several components and three study exams (baseline, 1989-1992; second exam, 1993-1995; and third exam, 1998-1999), followed by morbidity and mortality surveillance of 4,500 tribal participants. Strong Heart enrolled men and women aged 45-74 at baseline from 13 American Indian tribes/communities in Arizona, Oklahoma, and the Dakotas. A total of 4,533 Strong Heart participants had baseline information on hypertension status, by self-reported diagnosis, measured blood pressure >140/>90 mmHg, or reported use of antihypertensive medications.
| Field | Data |
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| Description of Measure | Prevalence of hypertension
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| Data Source | Strong Heart Study
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| Type of Data Source | Private
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| Data Set | SHS
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| Health Care System Data | No
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| Regional or National? | National
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| Demographic Group | American Indians aged 45-74 from 13 tribes/communities
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| Numerator | Number of participants existing hypertension at baseline exam
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| Denominator | All participants at baseline exam
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| Definition of CKD | ---
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| Glomerular filtration rate | ---
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| Proteinuria | ---
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| Primary Data Source Indicator | Percentage of participants with existing hypertension at baseline exam, as indicated by self-reported diagnosis, use of antihypertensives, or measured blood pressure >140/>90 mmHg
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| Primary Indicator Method of Measurement | Questionnaire, Exam
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| Frequency of Measurement (Primary) | Once (cross-sectional at baseline exam)
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| U.S. Region Covered by Primary Variable | Arizona, Oklahoma, and the Dakotas
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| Period Currently Available | 1989–1992 |
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| Pending Data | Possible continued passive follow-up only
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| Additional Data Items of Interest | Age, gender, obesity, diabetes
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| Limitations of Indicator | Possible misclassification
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| Analytical Considerations | Analysis performed by SHS investigators; denominators for each study exam and indicator must be defined properly
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