Blood pressure and lifestyle on Saba, Netherlands Antilles.
Blood pressure and lifestyle on Saba, Netherlands Antilles.
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DOI：
10.1002/ajhb.20862
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发表时间：
2009-05
影响因子：
2.9
通讯作者：
Garruto, Ralph M.
中科院分区：
文献类型：
--
作者：
Soloway, Laura E.;Demerath, Ellen W.;Ochs, Natalie;James, Gary D.;Little, Michael A.;Bindon, James R.;Garruto, Ralph M.
20世纪期间，传染病发病率和死亡率普遍下降，而慢性退行性疾病在全球一级造成的负担越来越大。荷属安的列斯群岛萨巴岛的人口最近经历了这样的流行病学转变，据报道高血压非常高，尽管没有报道患病率，也没有探索与快速现代化相关的生活方式因素的关系。在这项研究中，收集了278名年龄在18-91岁之间的萨班男性和女性的医学和人口调查问卷以及身体成分和血压测量数据。调整年龄和性别后，48%的人患有高血压。年龄、身体质量指数和非裔加勒比人后裔都与高血压有关。在第二阶段，278人中的124人被邀请接受一份关于个人受到诸如旅行和教育等现代化影响的较长问卷。较高的血压与过去居住的地方较少有关；那些只住在萨巴岛或斯塔提亚岛的人比那些住在更现代化地区的人血压更高。然而，在调整年龄和BMI后，这在统计学上不再显著。生活方式不一致与高血压呈正相关，物质财富和收入不一致的人更容易患高血压，在调整了年龄和肥胖因素后，这一数据仍然具有统计学意义。总之，高血压在萨巴岛非常普遍，并且往往与较大的年龄、肥胖、非裔加勒比血统和生活方式不一致有关。
During the 20th century, infectious disease morbidity and mortality generally waned while chronic degenerative diseases posed a growing burden at the global level. The population on Saba, Netherlands Antilles, has recently experienced such an epidemiologic transition, and hypertension was reported to be extraordinarily high, although no prevalences have been reported and relationships with lifestyle factors associated with rapid modernization have not been explored. In this study, a medical and demographic questionnaire, as well as body composition and blood pressure measures were collected from 278 Saban men and women aged 18-91 years. When age and sex adjusted, 48% of the population was hypertensive. Age, BMI and Afro-Caribbean descent were all associated with higher blood pressures. In a second phase, 124 individuals of the 278 were invited to receive a longer questionnaire on individual exposure to modernizing influences such as travel and education. Higher blood pressure was associated with having lived in fewer different places in the past; those who stayed only on Saba or Statia had higher blood pressures than those who had also lived in more modernized areas. However, this was no longer statistically significant after adjustment for age and BMI. Lifestyle incongruity was positively associated with higher blood pressure in that those with more discord between material wealth and income were more likely to be hypertensive, and this remained statistically significant after adjustment for age and adiposity. In summary, hypertension is highly prevalent on Saba, and tended to be associated with greater age, adiposity, Afro-Caribbean ancestry and lifestyle incongruity.
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影响因子：
5.1
作者：
Collins, R;Winkleby, MA
通讯作者：
Winkleby, MA
影响因子：
3.5
作者：
DRESSLER, WW;DOSSANTOS, JE;VITERI, FE
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6.3
作者：
Miller, GJ;Maude, GH;Beckles, GLA
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影响因子：
8.3
作者：
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5
作者：
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通讯作者：
STALLONES, R