高血压巴西人群中非裔后裔和其他种族人群血压控制和人体测量差异。

IF 3.1 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Global Heart Pub Date : 2025-07-11 eCollection Date: 2025-01-01 DOI:10.5334/gh.1448

Maicon Borges Euzébio, Priscila Valverde de Oliveira Vitorino, Andréa Araújo Brandão, Eduardo Costa Duarte Barbosa, Audes Diógenes M Feitosa, Marcus Vinícius Bolivar Malachias, Marco Mota Gomes, Celso Amodeo, Rui Manoel Dos Santos Póvoa, Renato Delascio Lopes, Paulo César Brandão Veiga Jardim, Ana Luiza Lima Sousa, Ana Carolina Arantes, Antonio Coca, Weimar Kunz Sebba Barroso

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引用次数: 0

摘要

背景：高血压（HT）患病率和血压（BP）控制在不同种族人群中存在差异，但在巴西黑人人群中关于这一问题以及BP与体重指数（BMI）之间相关性的研究很少。方法：对巴西第一高血压登记处的个体进行横断面研究。变量之间的关系采用二元逻辑回归分析。结果：该研究评估了2.191（82.9%）名非非洲后裔参与者和452（17.1%）名非洲后裔参与者。前队列的中位年龄为61.9岁（女性占55.3%），BMI为28.4 kg/m²，腰围（WC）为93 cm。非裔组中位年龄为62.5岁（女性占57.5%），BMI为29.8 kg/m²，WC为98 cm。BMI与办公室舒张压（DBP）之间存在显著相关性(R = 0.126；p = 0.007)。这些人肥胖的几率是其他种族的1.40倍(95% CI: 1.14-1.72；P < 0.001)。非洲裔男性肥胖的几率是女性的0.78倍(95% CI: 0.66-0.90；p = 0.002)，概率高出1.49倍(95% CI = 1.21-1.82；p < 0.001)，与非裔女性无差异(HR 0.91；95% ci = 0.78-1.07；P < 0.258)。结论：办公室血压、BMI和体重之间没有相关性，除了巴西非洲裔后裔的DBP和BMI之间存在非常弱的相关性，尽管他们肥胖的可能性是其他人群的1.40倍。相反，在非非洲后裔中观察到收缩压和BMI之间的显著相关性。血压控制方面的差异并没有在每一组的性别之间确定，而只是在种族之间确定，非洲人后裔的高血压失控风险是非非洲人后裔的1.49倍。

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Blood Pressure Control and Anthropometric Differences in Afro-Descendants and Other Ethnic Groups in Hypertensive Brazilian Populations.

Background: The prevalence of hypertension (HT) and blood pressure (BP) control varies among ethnic-racial groups, but studies on this issue and correlations between BP and body mass index (BMI) in the black Brazilian population are scarce.

Methods: Cross-sectional study in individuals included in the First Brazilian Hypertension Registry. Relationships between variables were analysed by a binary logistic regression analysis.

Results: The study evaluated 2.191 (82.9%) non-Afro-descendant participants and 452 (17.1%) Afro-descendants. The median age was 61.9 years (55.3% women), the BMI was 28.4 kg/m² and the waist circumference (WC) was 93 cm in the former cohort. In the Afro-descendant group, the median age was 62.5 years (57.5% women), the was BMI 29.8 kg/m² and the was WC 98 cm. A significant correlation was identified between BMI and office diastolic BP (DBP) (R = 0.126; p = 0.007) in Afro-descendants. These individuals had 1.40 times the chance of being obese compared to those of other ethnicities (95% CI: 1.14-1.72; p < 0.001). Afro-descendant men had 0.78 times fewer chance of being obese compared to women (95% CI: 0.66-0.90; p = 0.002), and 1.49 times higher chance (95% CI = 1.21-1.82; p < 0.001) of having uncontrolled BP, with no differences with Afro-descendant women (HR 0.91; 95% CI = 0.78-1.07; p < 0.258).

Conclusion: No correlations were found between office BP, BMI and WC, except for a very weak correlation between DBP and BMI in the Brazilian Afro-descendants, although they were 1.40 times more likely to be obese. In contrast, a significant correlation between SBP and BMI was observed in the non-Afro-descendants. Differences in blood pressure control were not identified between the sexes within each group, but only between ethnic groups, with people of African descent having a 1.49 times greater risk of uncontrolled hypertension compared to non-Afro-descendants.

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来源期刊

Global Heart Medicine-Cardiology and Cardiovascular Medicine

CiteScore

5.70

自引率

5.40%

发文量

审稿时长

5 weeks

期刊介绍： Global Heart offers a forum for dialogue and education on research, developments, trends, solutions and public health programs related to the prevention and control of cardiovascular diseases (CVDs) worldwide, with a special focus on low- and middle-income countries (LMICs). Manuscripts should address not only the extent or epidemiology of the problem, but also describe interventions to effectively control and prevent CVDs and the underlying factors. The emphasis should be on approaches applicable in settings with limited resources. Economic evaluations of successful interventions are particularly welcome. We will also consider negative findings if important. While reports of hospital or clinic-based treatments are not excluded, particularly if they have broad implications for cost-effective disease control or prevention, we give priority to papers addressing community-based activities. We encourage submissions on cardiovascular surveillance and health policies, professional education, ethical issues and technological innovations related to prevention. Global Heart is particularly interested in publishing data from updated national or regional demographic health surveys, World Health Organization or Global Burden of Disease data, large clinical disease databases or registries. Systematic reviews or meta-analyses on globally relevant topics are welcome. We will also consider clinical research that has special relevance to LMICs, e.g. using validated instruments to assess health-related quality-of-life in patients from LMICs, innovative diagnostic-therapeutic applications, real-world effectiveness clinical trials, research methods (innovative methodologic papers, with emphasis on low-cost research methods or novel application of methods in low resource settings), and papers pertaining to cardiovascular health promotion and policy (quantitative evaluation of health programs.