Blood pressure and body mass index in an ethnically diverse sample of adolescents in Paramaribo, Suriname
Blood pressure and body mass index in an ethnically diverse sample of adolescents in Paramaribo, Suriname
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DOI：
10.1186/1471-2261-9-19
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发表时间：
2009-05-21
影响因子：
2.1
通讯作者：
Stronks, Karien
中科院分区：
文献类型：
--
作者：
Agyemang, Charles;Oudeman, Eline;Stronks, Karien
背景：高血压（BP）现在是非工业化国家的一个重要公共卫生问题。有限的证据表明，在一些非工业化国家的成人BP种族不平等。然而，目前还不清楚这些种族的不平等，BP模式在成年人反映在青少年。因此，我们评估了种族差异的BP，与身体质量指数（BMI）之间的关联，年龄在12-17岁的青少年在Paramaribo.Methods：横断面研究与人体测量和血压测量。855名青少年（167印度斯坦人，169克里奥尔人，128爪哇人，91马龙人和300混合种族）的随机样本进行了研究。种族是基于自我报告的ethnicorigin.Results：在男孩中，马龙有一个较低的年龄和身高调整收缩压比克里奥尔人，舒张压比其他种族群体。然而，在进一步调整BMI后，只有马龙人的舒张压显著低于爪哇人（67.1与70.9 mmHg）。调整年龄、身高和BMI后，克里奥尔男孩的舒张压低于印度斯坦男孩（67.3比70.2 mmHg）和爪哇男孩。在女孩中，不同种族之间的收缩压没有显著差异。然而，栗色女孩的舒张压（65.6 mmHg）低于印度斯坦女孩（69.1 mmHg）、爪哇女孩（71.2 mmHg）和混血女孩（68.3 mmHg），但仅在调整BMI差异后。爪哇人的舒张压高于克里奥尔人（71.2比66.8 mmHg）和混血女孩。BMI与BP在所有的种族群体，除了舒张压在Maroon girls.Conclusion：研究结果表明，爪哇和印度斯坦的青少年与他们的非洲裔同龄人相比，平均血压水平较高。这些发现与苏里南爪哇人和印度斯坦人成年人群中报告的相对较低的BP形成对比，并强调需要在生命早期采取公共卫生措施，以预防高血压及其在晚年的后遗症。
Background: High blood pressure (BP) is now an important public health problem in non-industrialised countries. The limited evidence suggests ethnic inequalities in BP in adults in some non-industrialised countries. However, it is unclear whether these ethnic inequalities in BP patterns in adults reflect on adolescents. Hence, we assessed ethnic differences in BP, and the association of BP with body mass index (BMI) among adolescents aged 12-17 years in Paramaribo, Suriname.Methods: Cross-sectional study with anthropometric and blood pressure measurements. A random sample of 855 adolescents (167 Hindustanis, 169 Creoles, 128 Javanese, 91 Maroons and 300 mixed-ethnicities) were studied. Ethnicity was based on self-reported ethnic origin.Results: Among boys, Maroons had a lower age- and height-adjusted systolic BP than Creoles, and a lower diastolic BP than other ethnic groups. However, after further adjustment for BMI, only diastolic BP in Maroons was significantly lower than in Javanese (67.1 versus 70.9 mmHg). Creole boys had a lower diastolic BP than Hindustani (67.3 versus 70.2 mmHg) and Javanese boys after adjustment for age, height and BMI. Among girls, there were no significant differences in systolic BP between the ethnic groups. Maroon girls, however, had a lower diastolic BP (65.6 mmHg) than Hindustani (69.1 mmHg), Javanese (71.2 mmHg) and Mixed-ethnic (68.3 mmHg) girls, but only after differences in BMI had been adjusted for. Javanese had a higher diastolic BP than Creoles (71.2 versus 66.8 mmHg) and Mixed-ethnicity girls. BMI was positively associated with BP in all the ethnic groups, except for diastolic BP in Maroon girls.Conclusion: The study findings indicate higher mean BP levels among Javanese and Hindustani adolescents compared with their African descent peers. These findings contrast the relatively low BP reported in Javanese and Hindustani adult populations in Suriname and underscore the need for public health measures early in life to prevent high BP and its sequelae in later life.