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Hostility and Impatience as Risk Factors for Hypertension
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To the Editor: Dr Yan and colleagues1 found that that the psychological variables of time urgency/impatience and hostility were associated with an increased 15-year risk of developing hypertension in young adults. However, the authors had previously reported that these data showed that hostility was not related to blood pressure (BP) at 7 years of follow-up, or was perhaps even inversely related.2 Although the current article followed up these individuals for a longer period of time, one would have expected at least a trend in the same direction after 7 years.
Samuel J. Mann, MD
sjmann@med.cornell.edu
New York Presbyterian Hospital—Weill Medical College of Cornell University
New York, NY
1. Yan LL, Liu K, Matthews KA, et al. Psychosocial factors and risk of hypertension: the Coronary Artery Risk Development in Young Adults (CARDIA) study. JAMA. 2003;290:2138-2148.
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2. Liu K, Ruth KJ, Flack JM, et al. Blood pressure in young blacks and whites: relevance of obesity and lifestyle factors in determining differences: the CARDIA study. Circulation. 1996;93:60-66.
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Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.
JAMA. 2004;291:692.
RELATED LETTER
Psychosocial Factors and Risk of Hypertension: The Coronary Artery Risk Development in Young Adults (CARDIA) Study
Lijing L. Yan, Kiang Liu, Karen A. Matthews, Martha L. Daviglus, T. Freeman Ferguson, and Catarina I. Kiefe
JAMA. 2003;290(16):2138-2148.
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RELATED ARTICLE
Hostility and Impatience as Risk Factors for Hypertension—Reply
Lijing L. Yan, Kiang Liu, Martha L. Daviglus, Karen A. Matthews, and Catarina I. Kiefe
JAMA. 2004;291(6):692.
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