Predictors for Blood Pressure Reduction in American Latinos: Secondary Analysis of the Adelgaza Program Data.
Predictors for Blood Pressure Reduction in American Latinos: Secondary Analysis of the Adelgaza Program Data.
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DOI：
10.1177/1540415319869936
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发表时间：
2020-06
期刊：
影响因子：
--
通讯作者：
Fukuoka Y
中科院分区：
文献类型：
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作者：
Li WW;Vittinghoff E;Fukuoka Y
关于预测超重的美国拉丁裔人血压（BP）降低的因素知之甚少。该二次分析的目的是使用Adelgaza试验期间收集的数据，在54名超重的美国拉丁裔样本中探索8周减肥干预期间平均收缩压和舒张压变化的预测因素。基线BP、运动能量使用（以任务的代谢当量为单位）、体重变化、平均每日从饮料中摄入的卡路里、平均每日从脂肪中摄入的卡路里、年龄和性别被认为是基线、3周和8周时测量的BP降低的潜在预测因素。基线特征如下：平均年龄45.3（SD = 10.8）岁，31.5%为男性，61.1%出生于美国。平均基线收缩压和舒张压分别为122.1（SD = 14.4）mmHg和76.6（SD = 9.8）mmHg。基线收缩压和舒张压均预测在调整其他因素后收缩压的降低（p <0.001）。9个变量均不能预测舒张压的降低（p > 0.05）。这一发现表明，超重的美国拉美裔人与较高的基线收缩压或舒张压应确定和提供早期干预教育，以实现更好的高血压管理或预防。
Little is known about factors that predict blood pressure (BP) reduction in overweight American Latinos. The aim of this secondary analysis was to explore predictors of changes in mean systolic and diastolic BPs over an 8-week weight loss intervention period in a sample of 54 overweight American Latinos using data collected during the Adelgaza trial. Baseline BP, exercise energy use (in units of metabolic equivalent of task), weight change, average daily intake of calories from beverages, average daily intake of calories from fat, age, and gender were considered as potential predictors of reductions in BP, as measured at baseline, 3, and 8 weeks. Baseline characteristics were as follows: mean age 45.3 (SD = 10.8) years, 3I.5% male, 61.1% born in the United States. Mean baseline systolic and diastolic BPs were 122.1 (SD = 14.4) mmHg and 76.6 (SD = 9.8) mmHg, respectively. Both baseline systolic and diastolic BPs predicted reductions in systolic BP after adjusting for other factors (p < .001). None of the nine variables predicted reductions in diastolic BP (p > .05). This finding suggests that overweight American Latinos with higher baseline systolic or diastolic BP should be identified and provided with early intervention education to achieve better hypertension management or prevention.