Table 3.

Relative Risks For Incident Primary Hyperparathyroidism among Those with a History of Hypertension According to Classes of Antihypertensive Medication Use

Thiazide DiureticFurosemideCalcium Channel Blockerβ-Adrenergic Receptor AntagonistACE Inhibitor
No. of incident P-HPTH cases5522427250
Person-years of follow-up120 93229 98697 142149 811109 333
Age-adjusted RR (95% CI)1.25 (0.91–1.72)1.79 (1.15–2.79)1.15 (0.82–1.62)1.31 (0.99–1.74)1.02 (0.74–1.41)
Multivariate-adjusted RR (95% CI)a1.20 (0.88–1.66)1.77 (1.12–2.78)1.10 (0.78–1.55)1.26 (0.95–1.67)1.01 (0.73–1.39)
Multivariate + antihypertensive medication–adjusted RR (95% CI)b1.21 (0.88–1.67)1.71 (1.08–2.71)1.10 (0.78–1.55)1.26 (0.95–1.68)1.05 (0.76–1.46)
Thiazide DiureticFurosemideCalcium Channel Blockerβ-Adrenergic Receptor AntagonistACE Inhibitor
No. of incident P-HPTH cases5522427250
Person-years of follow-up120 93229 98697 142149 811109 333
Age-adjusted RR (95% CI)1.25 (0.91–1.72)1.79 (1.15–2.79)1.15 (0.82–1.62)1.31 (0.99–1.74)1.02 (0.74–1.41)
Multivariate-adjusted RR (95% CI)a1.20 (0.88–1.66)1.77 (1.12–2.78)1.10 (0.78–1.55)1.26 (0.95–1.67)1.01 (0.73–1.39)
Multivariate + antihypertensive medication–adjusted RR (95% CI)b1.21 (0.88–1.67)1.71 (1.08–2.71)1.10 (0.78–1.55)1.26 (0.95–1.68)1.05 (0.76–1.46)
a

The multivariable model includes age, BMI categories (<22, 22–24.9, 25–29.9, or ≥30 kg/m2), race, smoking status (past, current, or never), menopausal status (premenopausal or postmenopausal), postmenopausal hormone use (yes or no), physical examination in prior 2 years, physical activity (quintiles), history of diabetes, dietary calcium intake, supplemental calcium intake, total vitamin D and vitamin A intake, alcohol intake, dietary magnesium intake, and dietary protein intake.

b

Includes all variables in the multivariable model in addition to other individual antihypertensive medication classes: thiazide diuretics, furosemide, calcium channel blockers, β-adrenergic receptor antagonists, ACE inhibitors, and other antihypertensive classes.

Table 3.

Relative Risks For Incident Primary Hyperparathyroidism among Those with a History of Hypertension According to Classes of Antihypertensive Medication Use

Thiazide DiureticFurosemideCalcium Channel Blockerβ-Adrenergic Receptor AntagonistACE Inhibitor
No. of incident P-HPTH cases5522427250
Person-years of follow-up120 93229 98697 142149 811109 333
Age-adjusted RR (95% CI)1.25 (0.91–1.72)1.79 (1.15–2.79)1.15 (0.82–1.62)1.31 (0.99–1.74)1.02 (0.74–1.41)
Multivariate-adjusted RR (95% CI)a1.20 (0.88–1.66)1.77 (1.12–2.78)1.10 (0.78–1.55)1.26 (0.95–1.67)1.01 (0.73–1.39)
Multivariate + antihypertensive medication–adjusted RR (95% CI)b1.21 (0.88–1.67)1.71 (1.08–2.71)1.10 (0.78–1.55)1.26 (0.95–1.68)1.05 (0.76–1.46)
Thiazide DiureticFurosemideCalcium Channel Blockerβ-Adrenergic Receptor AntagonistACE Inhibitor
No. of incident P-HPTH cases5522427250
Person-years of follow-up120 93229 98697 142149 811109 333
Age-adjusted RR (95% CI)1.25 (0.91–1.72)1.79 (1.15–2.79)1.15 (0.82–1.62)1.31 (0.99–1.74)1.02 (0.74–1.41)
Multivariate-adjusted RR (95% CI)a1.20 (0.88–1.66)1.77 (1.12–2.78)1.10 (0.78–1.55)1.26 (0.95–1.67)1.01 (0.73–1.39)
Multivariate + antihypertensive medication–adjusted RR (95% CI)b1.21 (0.88–1.67)1.71 (1.08–2.71)1.10 (0.78–1.55)1.26 (0.95–1.68)1.05 (0.76–1.46)
a

The multivariable model includes age, BMI categories (<22, 22–24.9, 25–29.9, or ≥30 kg/m2), race, smoking status (past, current, or never), menopausal status (premenopausal or postmenopausal), postmenopausal hormone use (yes or no), physical examination in prior 2 years, physical activity (quintiles), history of diabetes, dietary calcium intake, supplemental calcium intake, total vitamin D and vitamin A intake, alcohol intake, dietary magnesium intake, and dietary protein intake.

b

Includes all variables in the multivariable model in addition to other individual antihypertensive medication classes: thiazide diuretics, furosemide, calcium channel blockers, β-adrenergic receptor antagonists, ACE inhibitors, and other antihypertensive classes.

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