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Hypertension in Pima Indians: prevalence and predictors.
Public Health Rep 1996; 111 Suppl 2:40-3PH

Abstract

THE PIMA INDIANS HAVE THE WORLD'S HIGHEST reported incidence of diabetes. Since 1965, this population has participated in a longitudinal epidemiological study of diabetes and its complications. The examinations have included a medical history for diabetes and other major health problems. The focus of this study is the correlation between the prevalence of hypertension and glucose tolerance in this population. Of the 4315 adults ages 18 and older, 50% had normal glucose tolerance; 12%, impaired glucose tolerance (IGT); 8%, newly diagnosed diabetes; and 31%, previously diagnosed diabetes of a mean duration of 11 years. Age-sex adjusted prevalence of hypertension was 24% in those with normal glucose tolerance, 34% in those with IGT, and 40% in those with diabetes. Hypertension was more common in men than in women and was positively related to obesity. Of the 2667 children ages 6 to 17 years, 4% had IGT, and 1% had diabetes. Blood pressure was higher in boys than girls and was associated with older age and worse glucose tolerance. Longitudinal analyses of data from 188 children ages 5 to 9 years who had their follow-up exam at ages 18 to 24 revealed no relationship between insulin concentration and blood pressure in either sex. In this group mean blood pressure at followup was positively correlated with relative weight, mean blood pressure, and 2-hour post-load plasma glucose concentration at baseline. In a multiple regression model, relative weight was the strongest predictor of mean blood pressure at the follow-up exam.

Authors+Show Affiliations

Diabetes and Arthritis Epidemiology Section, Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Phoenix, AZ 85014, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8898771

Citation

de Courten, M P., et al. "Hypertension in Pima Indians: Prevalence and Predictors." Public Health Reports (Washington, D.C. : 1974), vol. 111 Suppl 2, 1996, pp. 40-3.
de Courten MP, Pettitt DJ, Knowler WC. Hypertension in Pima Indians: prevalence and predictors. Public Health Rep. 1996;111 Suppl 2:40-3.
de Courten, M. P., Pettitt, D. J., & Knowler, W. C. (1996). Hypertension in Pima Indians: prevalence and predictors. Public Health Reports (Washington, D.C. : 1974), 111 Suppl 2, pp. 40-3.
de Courten MP, Pettitt DJ, Knowler WC. Hypertension in Pima Indians: Prevalence and Predictors. Public Health Rep. 1996;111 Suppl 2:40-3. PubMed PMID: 8898771.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hypertension in Pima Indians: prevalence and predictors. AU - de Courten,M P, AU - Pettitt,D J, AU - Knowler,W C, PY - 1996/1/1/pubmed PY - 1996/1/1/medline PY - 1996/1/1/entrez SP - 40 EP - 3 JF - Public health reports (Washington, D.C. : 1974) JO - Public Health Rep VL - 111 Suppl 2 N2 - THE PIMA INDIANS HAVE THE WORLD'S HIGHEST reported incidence of diabetes. Since 1965, this population has participated in a longitudinal epidemiological study of diabetes and its complications. The examinations have included a medical history for diabetes and other major health problems. The focus of this study is the correlation between the prevalence of hypertension and glucose tolerance in this population. Of the 4315 adults ages 18 and older, 50% had normal glucose tolerance; 12%, impaired glucose tolerance (IGT); 8%, newly diagnosed diabetes; and 31%, previously diagnosed diabetes of a mean duration of 11 years. Age-sex adjusted prevalence of hypertension was 24% in those with normal glucose tolerance, 34% in those with IGT, and 40% in those with diabetes. Hypertension was more common in men than in women and was positively related to obesity. Of the 2667 children ages 6 to 17 years, 4% had IGT, and 1% had diabetes. Blood pressure was higher in boys than girls and was associated with older age and worse glucose tolerance. Longitudinal analyses of data from 188 children ages 5 to 9 years who had their follow-up exam at ages 18 to 24 revealed no relationship between insulin concentration and blood pressure in either sex. In this group mean blood pressure at followup was positively correlated with relative weight, mean blood pressure, and 2-hour post-load plasma glucose concentration at baseline. In a multiple regression model, relative weight was the strongest predictor of mean blood pressure at the follow-up exam. SN - 0033-3549 UR - https://www.unboundmedicine.com/medline/citation/8898771/Hypertension_in_Pima_Indians:_prevalence_and_predictors_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/8898771/ DB - PRIME DP - Unbound Medicine ER -