0
ARTICLE |

Hypertension and Lead Exposure-Reply

Howard Hu, MD, MPH; David Sparrow, ScD; Antonio Aro, PhD; Marinelle Payton, MD, PhD; Susan Korrick, MD, MPH; Scott Weiss, MD, MS
JAMA. 1996;276(13):1038. doi:10.1001/jama.1996.03540130036025.
Text Size: A A A
Published online

In Reply.  —In response to Mr Glaser's comments, we repeated our multivariate analysis, controlling for 5 levels of education (reflecting socioeconomic status) and 3 levels of occupational status (lifetime blue collar, lifetime white collar, mixed blue collar and white collar). The effect estimate for tibia bone lead remained unchanged from that reported in Table 4 in our article, suggesting that these factors cannot explain the link between bone lead and hypertension.To address the first point of Dr Staessen and colleagues, lower blood pressure cutoff values (>140 mm Hg systolic and/or 90 mm Hg diastolic) were used to define hypertension. Tibia bone lead continued to contribute to the prediction of hypertension, and the magnitude of the effect was even higher as shown in Table 4. Our analysis of bone lead in relation to blood pressure as a continuous variable is still in progress.In the second point, Staessen et al raise the

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();