Decreased prevalence of hypertension in Mexican-Americans.

Decreased prevalence of hypertension in Mexican-Americans.
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墨西哥裔美国人的高血压患病率降低。

DOI:
10.1161/01.hyp.16.3.225
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发表时间:
1990
期刊:
Hypertension (Dallas, Tex. : 1979)
影响因子:
--
通讯作者:
Patterson,JK
Patterson,JK
中科院分区:
--
文献类型:
--
作者:
Haffner,SM;Mitchell,BD;Stern,MP;Hazuda,HP;Patterson,JK

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在墨西哥裔美国人中进行的高血压研究相对较少,这一人群的特点是肥胖和非胰岛素依赖型糖尿病的发病率很高。因此,我们比较了来自圣安东尼奥心脏研究(一项以人群为基础的心血管疾病和糖尿病研究)的3,297名墨西哥裔美国人和1,873名非西班牙裔白人中四种不同定义的高血压患病率。根据所有四种定义,墨西哥裔美国人的高血压粗患病率低于非西班牙裔白人,尽管八个成对比较中只有两个具有统计学意义。然而,在调整了年龄、体重指数和非胰岛素依赖型糖尿病的潜在混杂效应后,墨西哥裔美国人的收缩期和舒张期高血压患病率在统计学上显著低于非西班牙裔白人(比值比范围为0.66至0.71,取决于高血压的定义)。这种低患病率的原因尚不清楚,但对高血压危险因素(肥胖、高胰岛素血症和糖尿病)水平升高的这一种族群体的研究可能会为高血压的病因学提供更多的见解。
Relatively few studies of hypertension have been carried out in Mexican-Americans, a population characterized by high rates of obesity and non-insulin-dependent diabetes mellitus. We therefore compared the prevalence of hypertension according to four different definitions in 3,297 Mexican-Americans and in 1,873 non-Hispanic whites from the San Antonio Heart Study, a population-based study of cardiovascular disease and diabetes. By all four definitions, the crude prevalence of hypertension in both sexes was lower in Mexican-Americans than in non-Hispanic whites, although only two of the eight pairwise comparisons were statistically significant. However, after adjusting for the potentially confounding effects of age, body mass index, and non-insulin-dependent diabetes mellitus, Mexican-Americans did have a statistically significant lower prevalence of both systolic and diastolic hypertension than did non-Hispanic whites in both sexes (odds ratios ranging from 0.66 to 0.71 depending on the definition of hypertension). The cause of this lower prevalence is unknown, but study of this ethnic group with elevated levels of risk factors for hypertension (obesity, hyperinsulinemia, and diabetes) may provide additional insights into the etiology of hypertension.
德克萨斯州斯塔尔县墨西哥裔美国人的高血压和血压变异的来源。
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