Journal Article Epublish
PubMed: 40655031 DOI: 10.5334/gh.1448
Blood Pressure Control and Anthropometric Differences in Afro-Descendants and Other Ethnic Groups in Hypertensive Brazilian Populations.
Glob Heart 20(1):60
Authors: 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
Affiliations
- Unidade de Hipertensão Arterial da Universidade Federal de Goiás e Instituto Federal de Goiás, Brazil.
- Pontifícia Universidade Católica de Goiás, Brazil.
- Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
- Instituto de Cardiologia de Porto Alegre, Porto Alegre, Brazil.
- Serviço de Emergência em Cardiologia da Universidade de Pernambuco, Universidade de Pernambuco, Recife, Brazil.
- Escola de Ciências Médicas de Minas Gerais, Fundação Educacional Lucas Machado, Belo Horizonte, Brazil.
- Universidade Estadual de Ciências da Saúde de Alagoas, Maceió, Brazil.
- Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil.
- Universidade Federal de São Paulo, São Paulo, Brazil.
- Duke University, Division of Cardiology, County Durham, United States of America.
- Unidade de Hipertensão Arterial da Universidade Federal de Goiás, Brazil.
- Abat Oliba CEU University, Barcelona, Spain.
Abstract
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.
MeSH
Hypertension, Blood, Blood Pressure