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Role of dietary factors in the hypertension of African Americans.

Abstract

Epidemiological and experimental data suggest that dietary constituents are among the causative factors that contribute to the higher prevalence and severity of hypertension in African Americans as compared with European Americans. Given the difficulty of cleanly separating a change in one dietary nutrient from concomitant changes in others, it has been difficult to reliably attribute an observed effect on blood pressure level and hypertension prevalence to the specific dietary constituent under study. Nevertheless, because hypertension is virtually nonexistent in societies whose dietary sodium chloride intake is very low, it appears that a sodium chloride intake in excess of that required to maintain adequate extracellular fluid volume is necessary but not sufficient for hypertension to be manifest. Additional factors are clearly necessary in the development of hypertension because most individuals, including African Americans, can ingest a high sodium chloride diet without developing hypertension. Evidence for the potential importance of other dietary constituents is also discussed, as are dietary strategies that effectively reduce blood pressure in hypertensive individuals. The data presented support the need for continued research into dietary constituents as potential factors contributing to the etiology of hypertension, as well as effective adjuncts to the management of this very common health problem.

Links

Authors+Show Affiliations

,

Department of Veterans Affairs Medical Center, Baylor College of Medicine, Houston, TX, USA.

Source

Seminars in nephrology 16:2 1996 Mar pg 94-101

MeSH

African Americans
African Continental Ancestry Group
Alcohol Drinking
Attitude to Health
Calcium, Dietary
Diet
Dietary Fats
Dietary Fiber
Energy Intake
Female
Humans
Hypertension
Incidence
Male
Potassium, Dietary
Risk Factors
Sodium, Dietary
United States

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

8668865

Citation

Adrogué, H J., and D E. Wesson. "Role of Dietary Factors in the Hypertension of African Americans." Seminars in Nephrology, vol. 16, no. 2, 1996, pp. 94-101.
Adrogué HJ, Wesson DE. Role of dietary factors in the hypertension of African Americans. Semin Nephrol. 1996;16(2):94-101.
Adrogué, H. J., & Wesson, D. E. (1996). Role of dietary factors in the hypertension of African Americans. Seminars in Nephrology, 16(2), pp. 94-101.
Adrogué HJ, Wesson DE. Role of Dietary Factors in the Hypertension of African Americans. Semin Nephrol. 1996;16(2):94-101. PubMed PMID: 8668865.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Role of dietary factors in the hypertension of African Americans. AU - Adrogué,H J, AU - Wesson,D E, PY - 1996/3/1/pubmed PY - 1996/3/1/medline PY - 1996/3/1/entrez SP - 94 EP - 101 JF - Seminars in nephrology JO - Semin. Nephrol. VL - 16 IS - 2 N2 - Epidemiological and experimental data suggest that dietary constituents are among the causative factors that contribute to the higher prevalence and severity of hypertension in African Americans as compared with European Americans. Given the difficulty of cleanly separating a change in one dietary nutrient from concomitant changes in others, it has been difficult to reliably attribute an observed effect on blood pressure level and hypertension prevalence to the specific dietary constituent under study. Nevertheless, because hypertension is virtually nonexistent in societies whose dietary sodium chloride intake is very low, it appears that a sodium chloride intake in excess of that required to maintain adequate extracellular fluid volume is necessary but not sufficient for hypertension to be manifest. Additional factors are clearly necessary in the development of hypertension because most individuals, including African Americans, can ingest a high sodium chloride diet without developing hypertension. Evidence for the potential importance of other dietary constituents is also discussed, as are dietary strategies that effectively reduce blood pressure in hypertensive individuals. The data presented support the need for continued research into dietary constituents as potential factors contributing to the etiology of hypertension, as well as effective adjuncts to the management of this very common health problem. SN - 0270-9295 UR - https://www.unboundmedicine.com/medline/citation/8668865/full_citation L2 - https://medlineplus.gov/africanamericanhealth.html DB - PRIME DP - Unbound Medicine ER -