Ethnicity and Arterial Stiffness in Brazil

Carregando...
Imagem de Miniatura
Citações na Scopus
54
Tipo de produção
article
Data de publicação
2011
Título da Revista
ISSN da Revista
Título do Volume
Editora
OXFORD UNIV PRESS
Citação
AMERICAN JOURNAL OF HYPERTENSION, v.24, n.3, p.278-284, 2011
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
BACKGROUND The impact of increased central arterial stiffness as a predictor of morbidity and mortality, independently of other cardiovascular (CV) risk factors, has been established. The main aim of the present work was to investigate the association of ethnicity on arterial stiffness in different ethnic groups from the Brazilian population. METHODS A total of 1,427 individuals from the general population were randomly selected from the Vitoria City metropolitan area and 588 Amerindians from a native community in Brazil. The ethnicity of the general population was classified by a standard questionnaire as Caucasian descent, African descent, or Mulattos (considered racially mixed subjects). Pulse wave velocity (PWV) was measured with a noninvasive automatic device (Complior, Colson; Garges les Gonesses, France). RESULTS Hemodynamic data of PWV, systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean blood pressure (MBP) was higher in African descent individuals than in the other groups (P < 0.001). These results were still observed after adjustment for age and mean arterial pressure (P < 0.001). In addition, studying only normotensive individuals, PWV adjusted levels were higher in African descent individuals, and lower in Amerindians when compared with other ethnic groups (P < 0.01), showing, without the possible confounder effects of time and severity of hypertension or medication use, that PWV is associated with ethnicity in our population. CONCLUSION The study of different ethnic groups from a highly admixtured population was able to demonstrate an association between ethnicity and arterial stiffness.
Palavras-chave
arterial compliance, blood pressure, Brazilian Amerindian, ethnicity, hypertension
Referências
  1. Stein CM, 1997, CLIN PHARMACOL THER, V62, P436, DOI 10.1016/S0009-9236(97)90122-3
  2. BURT VL, 1995, HYPERTENSION, V25, P305
  3. LANG CC, 1995, NEW ENGL J MED, V333, P155, DOI 10.1056/NEJM199507203330304
  4. Zion AS, 2003, AM J PHYSIOL-HEART C, V285, pH457, DOI 10.1152/ajpheart.00497.2002
  5. VAITKEVICIUS PV, 1993, CIRCULATION, V88, P1456
  6. De Angelis L, 2004, HYPERTENSION, V44, P67, DOI 10.1161/01.HYP.0000130482.81883.fd
  7. ASMAR R, 1995, HYPERTENSION, V26, P485
  8. CORNONIHUNTLEY J, 1989, ARCH INTERN MED, V149, P780, DOI 10.1001/archinte.149.4.780
  9. Zoungas S, 2007, CLIN EXP PHARMACOL P, V34, P647, DOI 10.1111/j.1440-1681.2007.04654.x
  10. McClelland RL, 2006, CIRCULATION, V113, P30, DOI 10.1161/CIRCULATIONAHA.105.580696
  11. ARNETT DK, 1994, AM J EPIDEMIOL, V140, P669
  12. Chen W, 2007, AM J HYPERTENS, V20, P1251, DOI 10.1016/j.amjhyper.2007.09.002
  13. Pereira AC, 2006, ATHEROSCLEROSIS, V184, P193, DOI 10.1016/j.atherosclerosis.2005.03.035
  14. Mitchell GF, 2004, HYPERTENSION, V43, P151, DOI 10.1161/01.HYP.0000114581.77705.29
  15. Sytkowski PA, 1996, CIRCULATION, V93, P697
  16. Bild DE, 2005, CIRCULATION, V111, P1313, DOI 10.1161/01.CIR.0000157730.94423.4B
  17. Guerin AP, 2001, CIRCULATION, V103, P987
  18. Mattace-Raso FUS, 2006, CIRCULATION, V113, P657, DOI 10.1161/CIRCULATIONAHA.105.555235
  19. LEUNG DYM, 1976, SCIENCE, V191, P475
  20. Li SX, 2004, HYPERTENSION, V43, P541, DOI 10.1161/01.HYP.0000115922.98155.23
  21. Vlachopoulos C, 2010, J AM COLL CARDIOL, V55, P1318, DOI 10.1016/j.jacc.2009.10.061
  22. Ferreira AVL, 1999, J HYPERTENS, V17, P631, DOI 10.1097/00004872-199917050-00006
  23. Din-Dzietham R, 2004, AM J HYPERTENS, V17, P304, DOI 10.1016/j.amjhyper.2003.12.004
  24. Laurent S, 2001, HYPERTENSION, V37, P1236
  25. Stewart AD, 2006, HYPERTENSION, V48, P404, DOI 10.1161/01.HYP.0000237669.64066.c5
  26. Pavan L, 1999, J HYPERTENS, V17, P749, DOI 10.1097/00004872-199917060-00005
  27. BURT VL, 1995, HYPERTENSION, V26, P60
  28. Meaume S, 2001, ARTERIOSCL THROM VAS, V21, P2046, DOI 10.1161/hq1201.100226
  29. TUNSTALLPEDOE H, 1994, CIRCULATION, V90, P583
  30. Chaturvedi N, 2004, J HYPERTENS, V22, P1731, DOI 10.1097/00004872-200409000-00017
  31. Laurent S, 2003, STROKE, V34, P1203, DOI 10.1161/01.STR.0000065428.03209.64
  32. Whincup PH, 2005, CIRCULATION, V112, P1789, DOI 10.1161/CIRCULATIONHA.104.5632663
  33. Lacolley P, 2009, CARDIOVASC RES, V81, P637, DOI 10.1093/cvr/cvn353
  34. Gunarathne A, 2008, J HYPERTENS, V26, P1420, DOI 10.1097/HJH.0b013e3282ffb42a
  35. Collins RT, 2008, PEDIATR CARDIOL, V29, P929, DOI 10.1007/s00246-008-9239-7
  36. Hlaing WM, 2006, ETHNIC DIS, V16, P837
  37. Intersalt Cooperative Research Group, 1988, BMJ, V297, P319
  38. Lessa I, 1997, Arq Bras Cardiol, V68, P443
  39. CARVALHO JJM, 1989, HYPERTENSION, V14, P238
  40. Mendlein JM, 1997, J NUTR, V127, pS2099
  41. Meyer A C, 1965, S Afr Med J, V39, P1017
  42. Meyerfreunda D, 2009, J HYPERTENS, V27, P1753, DOI 10.1097/HJH.0b013e32832e0b2b
  43. Pimenta JR, 2006, HUM HERED, V62, P190, DOI 10.1159/000096872
  44. Chalmers J, 1999, J HYPERTENS, V17, P151
  45. Yasmin, 2006, ARTERIOSCL THROM VAS, V26, P1799, DOI 10.1161/01.ATV.0000227717.46157.32