Prevention and Treatment of Hypertension Study (PATHS). Rationale and design.

Abstract:

:Alcohol consumption has been recognized as an important correlate of blood pressure in many epidemiologic studies, but few interventional studies have been conducted to examine the effect of a reduction in alcohol intake on blood pressure. Because these studies have usually included few subjects and been of short duration, the National Heart, Lung, and Blood Institute (NHLBI), the National Institute on Alcohol Abuse and Alcoholism (NIAAA), and the Veterans Affairs (VA) Cooperative Studies Program have initiated a randomized, controlled, multicenter trial to determine whether blood pressure and left ventricular mass are lowered over 6 months of alcohol moderation in non-dependent moderate to heavy drinkers (three or more drinks per day average but not alcohol dependent) with above-average normal (80 to 89 mm Hg) and mildly hypertensive (90 to 99 mm Hg) levels of diastolic blood pressure, and whether a reduction in alcohol intake can be maintained for 2 years. Eligible veterans are randomized to either an alcohol reduction intervention or a control observation group at seven clinical sites. The projected sample size is 580 participants. Alcohol intake is assessed by self-report using a retrospective diary (Chronological Drinking Record) and by various biochemical markers, including apolipoproteins, HDL cholesterol (and subfractions), and carbohydrate deficient transferrin, analyzed at a central laboratory. The alcohol intervention technique is a cognitive-behavioral program, the intensive phase of which consists of six counseling sessions over 3 months. Echocardiograms are obtained at baseline and 6 months after randomization. This trial has important implications for both the prevention and treatment of hypertension.

journal_name

Am J Hypertens

authors

Cushman WC,Cutler JA,Bingham SF,Harford T,Hanna E,Dubbert P,Collins JF,Dufour M,Follman D,Allender PS

doi

10.1093/ajh/7.9.814

subject

Has Abstract

pub_date

1994-09-01 00:00:00

pages

814-23

issue

9 Pt 1

eissn

0895-7061

issn

1941-7225

pii

0895-7061(94)90034-5

journal_volume

7

pub_type

临床试验,杂志文章,随机对照试验
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  • Cognitive impairment is related to increased arterial stiffness and microvascular damage in patients with never-treated essential hypertension.

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  • Long-Term Changes in Blood Pressure After Pediatric Kidney Transplantation.

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    更新日期:2016-07-01 00:00:00

  • Twenty-Five-Year Changes in Office and Ambulatory Blood Pressure: Results from the Coronary Artery Risk Development in Young Adults (CARDIA) Study.

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    pub_type: 杂志文章

    doi:10.1093/ajh/hpaa189

    authors: Bundy JD,Jaeger BC,Huffman MD,Knox SS,Thomas SJ,Shimbo D,Booth Iii JN,Lewis CE,Edwards LJ,Schwartz JE,Muntner P

    更新日期:2020-11-17 00:00:00

  • Triacylglycerol molecular species are depleted to different extents in the myocardium of spontaneously hypertensive rats fed two oleic acid-rich oils.

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    pub_type: 杂志文章

    doi:10.1016/j.amjhyper.2004.11.012

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    更新日期:2005-01-01 00:00:00

  • High K diets markedly reduce atherosclerotic cholesterol ester deposition in aortas of rats with hypercholesterolemia and hypertension.

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    doi:10.1093/ajh/3.2.133

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    更新日期:1990-02-01 00:00:00

  • Relationship of insulin resistance to macro- and microvasculature reactivity in hypertension.

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    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1038/ajh.2010.3

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    更新日期:2010-05-01 00:00:00

  • Increase of calmodulin activator in hypertension. Modulation by dietary sodium and calcium.

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    pub_type: 杂志文章

    doi:10.1093/ajh/3.8.210

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    更新日期:1990-08-01 00:00:00

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    更新日期:1989-12-01 00:00:00

  • Characterization of a Na+/K+-ATPase inhibitor from human plasma: preliminary data.

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    doi:10.1093/ajh/1.3.56s

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    更新日期:1988-07-01 00:00:00

  • Endothelium-derived and intraneuronal nitric oxide-dependent inhibition of norepinephrine efflux from sympathetic nerves by bradykinin.

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    doi:10.1093/ajh/4.5.464

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    更新日期:1991-05-01 00:00:00

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    更新日期:1999-02-01 00:00:00

  • Adrenocortical activity in the newborn spontaneously hypertensive rat.

    abstract::Blood pressure is reportedly elevated in the spontaneously hypertensive rat (SHR) neonate, the etiology of which remains unclear. Aberrations in the hypothalamic-pituitary-adrenal axis have been implicated, as it is well accepted that excess corticosteroids are associated with hypertension. We examined aspects of adre...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1016/s0895-7061(99)00010-2

    authors: Malee MP,Wu KY

    更新日期:1999-05-01 00:00:00

  • Antihypertensive effects of oral calcium supplementation may be mediated through the potent vasodilator CGRP.

    abstract::Alteration of calcium metabolism and changes in the levels of calcium-regulating hormones have been described in essential hypertension. In the majority of the reported clinical trials, calcium supplementation has resulted in a decrease in blood pressure. However, the mechanisms by which such a response would be media...

    journal_title:American journal of hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1093/ajh/6.12.996

    authors: Wimalawansa SJ

    更新日期:1993-12-01 00:00:00

  • Evaluation of the IITC tail cuff blood pressure recorder in the rat against intraarterial pressure according to criteria for human devices.

    abstract::National standards govern the manufacture and marketing of medical devices in the United States, including those for indirect blood pressure measurement in man. There are no comparable standards for devices for recording in laboratory animals. Noninvasive tail cuff blood pressure (BP) recording in the rat is widely ac...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

    doi:10.1016/s0895-7061(96)00321-4

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    更新日期:1997-02-01 00:00:00

  • Association of the complement factor H Y402H polymorphism with cardiovascular disease is dependent upon hypertension status: The ARIC study.

    abstract:BACKGROUND:Complement factor H (CFH) is a plasma protein that is essential in the regulation of the alternative complement pathway and has been implicated as taking part in complement inhibition in atherogenesis. We evaluated the association of the Y402H polymorphism with incident coronary heart disease (CHD), incident...

    journal_title:American journal of hypertension

    pub_type: 杂志文章,多中心研究

    doi:10.1038/ajh.2007.81

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    更新日期:2008-05-01 00:00:00

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    abstract::The aim of this study was to assess the macrostructure of the kidney and the grade of heterogeneity in renal cortical circulation in the early stages of essential hypertension. The subjects consisted of 84 patients (<50 years old) who underwent dynamic computed tomography (CT) because of various abdominal diseases and...

    journal_title:American journal of hypertension

    pub_type: 杂志文章

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  • Dyslipidemia is associated with sympathetic nervous activation and impaired endothelial function in young females.

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  • Intracerebroventricular metformin attenuates salt-induced hypertension in spontaneously hypertensive rats.

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    pub_type: 杂志文章

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  • Aspirin test for differentiation of unilateral renovascular hypertension from hyperreninemic essential hypertension.

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    pub_type: 杂志文章

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    更新日期:1991-09-01 00:00:00

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    pub_type: 杂志文章

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    journal_title:American journal of hypertension

    pub_type: 杂志文章

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    更新日期:1990-01-01 00:00:00

  • Ionic basis of hypertension, insulin resistance, vascular disease, and related disorders. The mechanism of "syndrome X".

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    journal_title:American journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1093/ajh/6.4s.123s

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    更新日期:1993-04-01 00:00:00

  • Ostial renal artery stent placement in patients 75 years of age or older.

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    pub_type: 临床试验,杂志文章

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    pub_type: 杂志文章,评审

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    更新日期:2002-07-01 00:00:00

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    更新日期:1994-02-01 00:00:00

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    journal_title:American journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1016/0895-7061(94)P1709-9

    authors: Ménard J

    更新日期:1994-10-01 00:00:00