{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T12:43:20Z","timestamp":1765370600242,"version":"3.41.2"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T00:00:00Z","timestamp":1742428800000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["HL071981","HL034594","HL126024"],"award-info":[{"award-number":["HL071981","HL034594","HL126024"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["DK115679","DK091718","DK100383","DK078616"],"award-info":[{"award-number":["DK115679","DK091718","DK100383","DK078616"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000057","name":"National Institute of General Medical Sciences","doi-asserted-by":"publisher","award":["2P20GM109036-06A1"],"award-info":[{"award-number":["2P20GM109036-06A1"]}],"id":[{"id":"10.13039\/100000057","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To investigate whether the excess premature mortality risk related to hypertension could be reduced or eliminated through joint risk factor control.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A total of 70\u2009898 hypertensive participants and 224\u2009069 matched non-hypertensive participants without cancer or cardiovascular disease (CVD) at baseline were included and followed from 2006 to 2022. The degree of joint risk factor control was evaluated based on the major cardiovascular risk factors, including blood pressure, body mass index, waist circumference, low-density lipoprotein cholesterol, glycated haemoglobin, albuminuria, smoking, and physical activity. Cox proportional hazards models were used to investigate the relationship between degree of risk factor control and premature mortality.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Each additional risk factor control was associated with a 15%, 12%, 24%, and 11% lower risk of premature all-cause mortality, premature cancer mortality, premature CVD mortality, and premature other mortality, respectively. Optimal risk factor control (\u22656 risk factors) was associated with a 55% [hazard ratio (HR): 0.45, 95% confidence interval (CI): 0.40\u20130.51], 50% (HR: 0.50, 95% CI: 0.41\u20130.60), 67% (HR: 0.33, 95% CI: 0.26\u20130.42), and 50% (HR: 0.50, 95% CI: 0.40\u20130.62) lower risk of premature all-cause mortality, premature cancer mortality, premature CVD mortality, and premature other mortality, respectively. Hypertensive participants with 3, 2, 4, and 2 or more controlled risk factors showed no excess risk of premature all-cause mortality, premature cancer mortality, premature CVD mortality, and premature other mortality, respectively, compared to matched non-hypertensive participants.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>In this cohort study of UK Biobank participants, degree of joint risk factor control shows gradient inverse association with risk of premature mortality in hypertensive participants; optimal risk factor control may eliminate hypertension-related excess risk of premature mortality.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pcmedi\/pbaf006","type":"journal-article","created":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T02:57:21Z","timestamp":1742439441000},"source":"Crossref","is-referenced-by-count":1,"title":["Degree of joint risk factor control and premature mortality in hypertensive participants"],"prefix":"10.1093","volume":"8","author":[{"given":"Jian","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Orthopedics, The Second Xiangya Hospital of Central South University , Changsha 410011 ,","place":["China"]},{"name":"Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine , New Orleans, LA 70112 ,","place":["USA"]},{"name":"Postdoctoral Mobile Station of Clinical Medicine, The Second Xiangya Hospital of Central South University , Changsha, Hunan 410011 ,","place":["China"]},{"name":"National Clinical Research Center for Metabolic Diseases, The Second Xiangya Hospital of Central South University , Changsha ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minghao","family":"Kou","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine , New Orleans, LA 70112 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine , New Orleans, LA 70112 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine , New Orleans, LA 70112 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine , New Orleans, LA 70112 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine , New Orleans, LA 70112 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoriko","family":"Heianza","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine , New Orleans, LA 70112 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8041-7791","authenticated-orcid":false,"given":"Lu","family":"Qi","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine , New Orleans, LA 70112 ,","place":["USA"]},{"name":"Department of Nutrition, Harvard T.H. 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