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Serum potassium concentration and its association with hypertension among Ghanaian migrants and non-migrants: The RODAM study.
Atherosclerosis. 2022 02; 342:36-43.A

Abstract

BACKGROUND AND AIMS

Low serum potassium concentration is associated with hypertension, but whether the same association can be found in African origin populations, is unknown. We assessed serum potassium concentration, and its association with hypertension among Ghanaians living in different geographical locations.

METHODS

Baseline data of 962 rural, 1420 urban, and 2947 migrant Ghanaians from the Research on Obesity and Diabetes among African Migrants study were analysed. Mean serum potassium concentration was compared between the groups, and the association between serum potassium and hypertension was assessed using multivariate regression analyses.

RESULTS

Mean serum potassium concentration was higher in rural Ghana (4.28, 95% confidence interval 4.25-4.32 mmol/L) than in Ghanaians living in Amsterdam (3.90, 3.88-3.92 mmol/L) and London (4.11, 4.07-4.14 mmol/L), but lower than in Ghanaians living in urban Ghana (4.38, 4.34-4.42 mmol/L) and Berlin (4.57, 4.51-4.62 mmol/L) in both sexes. In the age-adjusted analyses, serum potassium was associated with hypertension in urban- (odds ratio 0.44, 0.23-0.82), London- (0.34, 0.17-0.64) and Amsterdam-Ghanaian males (0.41, 0.20-0.86), and in rural- (0.49, 0.28-0.84), London- (0.29, 0.17-0.49) and Amsterdam-Ghanaian females (0.33, 0.17-0.64). However, after adjustment for demographic, lifestyle, and health factors, serum potassium was associated with hypertension in Amsterdam-Ghanaian males only (0.12, 0.02-0.59).

CONCLUSIONS

This study shows differences in mean serum potassium among Ghanaian populations living in different locations in Europe and Ghana, and different associations with hypertension between sites. Further research should focus on elucidating the mechanism underlying potassium handling and blood pressure regulation in African populations, in order to mitigate the burden of hypertension among these populations.

Authors+Show Affiliations

Department of Public & Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.Department of Public & Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands; Department of Internal Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, the Netherlands. Electronic address: e.l.vanderlinden@amsterdamumc.nl.Department of Public & Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.Department of Public & Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands; Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA.Institute for Social Medicine, Epidemiology and Health Economics, Charité Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt Universitaet zu Berlin, and Berlin Institute of Health, Berlin, Germany; Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbrücke, Nuthetal, Germany.MKPGMS-Uganda Martyrs University, Kampala, Uganda.Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, the Netherlands; Division of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbrücke, Nuthetal, Germany.Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom.Department of Public & Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands; Department of Internal Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, the Netherlands.Department of Public & Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.

Pub Type(s)

Journal Article
Research Support, N.I.H., Intramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

34952692

Citation

Ndong, Amie K., et al. "Serum Potassium Concentration and Its Association With Hypertension Among Ghanaian Migrants and Non-migrants: the RODAM Study." Atherosclerosis, vol. 342, 2022, pp. 36-43.
Ndong AK, van der Linden EL, Beune EJAJ, et al. Serum potassium concentration and its association with hypertension among Ghanaian migrants and non-migrants: The RODAM study. Atherosclerosis. 2022;342:36-43.
Ndong, A. K., van der Linden, E. L., Beune, E. J. A. J., Meeks, K. A. C., Danquah, I., Bahendeka, S., Klipstein-Grobusch, K., Schulze, M. B., Addo, J., van den Born, B. H., & Agyemang, C. (2022). Serum potassium concentration and its association with hypertension among Ghanaian migrants and non-migrants: The RODAM study. Atherosclerosis, 342, 36-43. https://doi.org/10.1016/j.atherosclerosis.2021.12.006
Ndong AK, et al. Serum Potassium Concentration and Its Association With Hypertension Among Ghanaian Migrants and Non-migrants: the RODAM Study. Atherosclerosis. 2022;342:36-43. PubMed PMID: 34952692.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Serum potassium concentration and its association with hypertension among Ghanaian migrants and non-migrants: The RODAM study. AU - Ndong,Amie K, AU - van der Linden,Eva L, AU - Beune,Erik J A J, AU - Meeks,Karlijn A C, AU - Danquah,Ina, AU - Bahendeka,Silver, AU - Klipstein-Grobusch,Kerstin, AU - Schulze,Matthias B, AU - Addo,Juliet, AU - van den Born,Bert-Jan H, AU - Agyemang,Charles, Y1 - 2021/12/12/ PY - 2021/08/30/received PY - 2021/11/26/revised PY - 2021/12/10/accepted PY - 2021/12/26/pubmed PY - 2022/2/2/medline PY - 2021/12/25/entrez KW - Blood pressure KW - Europe KW - Ghana KW - Hypertension KW - Migration KW - Research on Obesity and diabetes among African migrants study KW - Serum potassium KW - Sub-Sahara Africa SP - 36 EP - 43 JF - Atherosclerosis JO - Atherosclerosis VL - 342 N2 - BACKGROUND AND AIMS: Low serum potassium concentration is associated with hypertension, but whether the same association can be found in African origin populations, is unknown. We assessed serum potassium concentration, and its association with hypertension among Ghanaians living in different geographical locations. METHODS: Baseline data of 962 rural, 1420 urban, and 2947 migrant Ghanaians from the Research on Obesity and Diabetes among African Migrants study were analysed. Mean serum potassium concentration was compared between the groups, and the association between serum potassium and hypertension was assessed using multivariate regression analyses. RESULTS: Mean serum potassium concentration was higher in rural Ghana (4.28, 95% confidence interval 4.25-4.32 mmol/L) than in Ghanaians living in Amsterdam (3.90, 3.88-3.92 mmol/L) and London (4.11, 4.07-4.14 mmol/L), but lower than in Ghanaians living in urban Ghana (4.38, 4.34-4.42 mmol/L) and Berlin (4.57, 4.51-4.62 mmol/L) in both sexes. In the age-adjusted analyses, serum potassium was associated with hypertension in urban- (odds ratio 0.44, 0.23-0.82), London- (0.34, 0.17-0.64) and Amsterdam-Ghanaian males (0.41, 0.20-0.86), and in rural- (0.49, 0.28-0.84), London- (0.29, 0.17-0.49) and Amsterdam-Ghanaian females (0.33, 0.17-0.64). However, after adjustment for demographic, lifestyle, and health factors, serum potassium was associated with hypertension in Amsterdam-Ghanaian males only (0.12, 0.02-0.59). CONCLUSIONS: This study shows differences in mean serum potassium among Ghanaian populations living in different locations in Europe and Ghana, and different associations with hypertension between sites. Further research should focus on elucidating the mechanism underlying potassium handling and blood pressure regulation in African populations, in order to mitigate the burden of hypertension among these populations. SN - 1879-1484 UR - https://www.unboundmedicine.com/medline/citation/34952692/Serum_potassium_concentration_and_its_association_with_hypertension_among_Ghanaian_migrants_and_non_migrants:_The_RODAM_study_ DB - PRIME DP - Unbound Medicine ER -