Cardiovascular Health and Incident Hypertension in Blacks

Booth, John N.; Abdalla, Marwah; Tanner, Rikki M.; Diaz, Keith M.; Bromfield, Samantha G.; Tajeu, Gabriel S; Correa, Adolfo; Sims, Mario; Ogedegbe, Gbenga; Bress, Adam P.; Spruill, Tanya M.; Shimbo, Daichi; Muntner, Paul

doi:10.1161/hypertensionaha.117.09278

Cited by 38 publications

(24 citation statements)

References 41 publications

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“…Also, higher levels of physical fitness were associated with a lower risk for developing hypertension in whites, but not blacks. Given the steep increase in weight occurring among black young adults as they grew older, previously reported in the CARDIA study, and the association between BMI and incident hypertension in the JHS, primordial prevention aimed at reducing BMI may be particularly effective 32, 33…”

Section: Discussionmentioning

confidence: 96%

“…Also, higher levels of physical fitness and adherence to DASH diet have been associated with reductions in BP and lower risk for hypertension among blacks and whites 30, 31. In the JHS (Jackson Heart Study), a cohort comprised exclusively of blacks, higher BMI and physical inactivity and a less heart healthy diet were all modifiable health behaviors associated with an increased risk for incident hypertension 32. In the current study, parental history of hypertension and higher BMI, serum uric acid level, and baseline SBP/DBP were each associated with developing hypertension in blacks and whites.…”

Section: Discussionmentioning

confidence: 99%

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Cumulative Incidence of Hypertension by 55 Years of Age in Blacks and Whites: The CARDIA Study

Thomas

Booth

Dai

et al. 2018

JAHA

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BackgroundBlacks have higher blood pressure levels compared with whites beginning in childhood. Few data are available on racial differences in the incidence of hypertension from young adulthood through middle age.Methods and ResultsWe calculated the cumulative incidence of hypertension from age 18 to 55 years among participants in the CARDIA (Coronary Artery Risk Development in Young Adults) study. Incident hypertension was defined by the first visit with mean systolic blood pressure ≥130 mm Hg, mean diastolic blood pressure ≥80 mm Hg, or self‐reported use of antihypertensive medication. Among 3890 participants without hypertension at baseline (aged 18–30 years), cumulative incidence of hypertension by age 55 years was 75.5%, 75.7%, 54.5%, and 40.0% in black men, black women, white men, and white women, respectively. Among participants with systolic blood pressure/diastolic blood pressure <110 and 70, 110 to 119/70 to 74, and 120 to 129/75 to 79 mm Hg at baseline, blacks were more likely than whites to develop hypertension: multivariable‐adjusted hazard ratios 1.97 (95% confidence interval, 1.65, 2.35), 1.80 (95% confidence interval, 1.52, 2.14), and 1.59 (95% confidence interval, 1.31, 1.93), respectively. Parental history of hypertension and higher body mass index, serum uric acid, and systolic blood pressure/diastolic blood pressure categories were associated with a higher risk for hypertension among blacks and whites. A higher Dietary Approaches to Stop Hypertension diet adherence score was associated with a lower risk for hypertension in blacks and whites.ConclusionsRegardless of blood pressure level in young adulthood, blacks have a substantially higher risk for hypertension compared with whites through 55 years of age.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Cumulative Incidence of Hypertension by 55 Years of Age in Blacks and Whites: The CARDIA Study

Thomas

Booth

Dai

et al. 2018

JAHA

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“…Regarding the various ways that smartphones or tablets may help people, participants with a self-reported history of hypertension were less likely to report that their smartphones and tablets helped them reach a health-related goal like quitting smoking, losing weight, or increasing physical activity. This finding is notable, given that lifestyle behaviors can help people manage hypertension [41] and that tracking behaviors is a common feature of many health apps [42].…”

Section: Discussionmentioning

confidence: 99%

Mobile Phone Ownership, Health Apps, and Tablet Use in US Adults With a Self-Reported History of Hypertension: Cross-Sectional Study

Langford¹,

Solid²,

Scott³

et al. 2019

JMIR Mhealth Uhealth

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Background Mobile phone and tablet ownership have increased in the United States over the last decade, contributing to the growing use of mobile health (mHealth) interventions to help patients manage chronic health conditions like diabetes. However, few studies have characterized mobile device ownership and the presence of health-related apps on mobile devices in people with a self-reported history of hypertension. Objective This study aimed to describe the prevalence of smartphone, tablet, and basic mobile phone ownership and the presence of health apps by sociodemographic factors and self-reported hypertension status (ie, history) in a nationally representative sample of US adults, and to describe whether mobile devices are associated with health goal achievement, medical decision making, and patient-provider communication. Methods Data from 3285 respondents from the 2017 Health Information National Trends Survey were analyzed. Participants were asked if they owned a smartphone, tablet, or basic mobile phone and if they had health apps on a smartphone or tablet. Participants were also asked if their smartphones or tablets helped them achieve a health-related goal like losing weight, make a decision about how to treat an illness, or talk with their health care providers. Chi-square analyses were conducted to test for differences in mobile device ownership, health app presence, and app helpfulness by patient characteristics. Results Approximately 1460 (37.6% weighted prevalence) participants reported a history of hypertension. Tablet and smartphone ownership were lower in participants with a history of hypertension than in those without a history of hypertension (55% vs 66%, P =.001, and 86% vs 68%, P <.001, respectively). Participants with a history of hypertension were more likely to own a basic mobile phone only as compared to those without a history of hypertension (16% vs 9%, P <.001). Among those with a history of hypertension exclusively, basic mobile phone, smartphone, and tablet ownership were associated with age and education, but not race or sex. Older adults were more likely to report having a basic mobile phone only, whereas those with higher education were more likely to report owning a tablet or smartphone. Compared to those without a history of hypertension, participants with a history of hypertension were less likely to have health-related apps on their smartphones or tablets (45% vs 30%, P <.001) and report that mobile devices helped them achieve a health-related goal (72% vs 63%, P =.01). Conclusions Despite the increasing use of smartphones, tablets, and health-related apps, these tools are used less among people with a self-reported history of hypertension. To reach the widest cross-section of patients, a mix of novel mHealth int...

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“…Other quality control measures included technician certification, recertification and procedural checklists [23]. As previously described, the random-zero sphygmomanometer used for BP measurements in Exam 1 was calibrated to the semiautomatic oscillometric device (Omron HEM-907XL; Omron Healthcare Inc., Lake Forest, Illinois, USA) [24] used for BP measurements at JHS Exams 2 (2005–2008) and 3 (2009–2013). To calibrate BP across two devices, a comparability substudy was conducted.…”

Section: Methodsmentioning

confidence: 99%

Masked hypertension and kidney function decline

Mwasongwe

Min

Booth

et al. 2018

Journal of Hypertension

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Background Hypertension diagnosed by blood pressure (BP) measured in the clinic is associated with rapid kidney function decline (RKFD) and incident chronic kidney disease (CKD). The extent to which hypertension defined using out-of-clinic BP measurements is associated with these outcomes is unclear. Methods We evaluated the association of any masked hypertension (daytime SBP/DBP ≥ 135/85 mmHg, night-time SBP/DBP ≥ 120/70 mmHg or 24-h SBP/DBP ≥ 130/80 mmHg) with RKFD and incident CKD among 676 African-Americans in the Jackson Heart Study with clinic-measured SBP/DBP less than 140/90 mmHg who completed ambulatory BP monitoring in 2000–2004. RKFD was defined as a decline in estimated glomerular filtration rate (eGFR) at least 30% and incident CKD was defined as development of eGFR less than 60 ml/min per 1.73 m2 with an at least 25% decline in eGFR between 2000–2004 and 2009–2013. Results The mean age of participants was 57.6 years, 28.8% were men and 52.7% had any masked hypertension. After a median follow-up of 8 years, 13.8 and 8.6% of participants had RKFD and incident CKD, respectively. In unadjusted analyses, masked hypertension was associated with an increased odds for incident CKD [odds ratio (OR) 2.20, 95% confidence interval (CI) 1.22, 3.97]. This association remained statistically significant after adjustment for demographic characteristics, baseline eGFR and albumin-to-creatinine ratio (OR 1.95, 95% CI 1.04, 3.67) but was eliminated after propensity score adjustment (OR 1.62, 95% CI 0.87, 3.00). There was no association between masked hypertension and RKFD. Conclusion Masked hypertension may be associated with the development of CKD in African-Americans.

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Cardiovascular Health and Incident Hypertension in Blacks

Cited by 38 publications

References 41 publications

Cumulative Incidence of Hypertension by 55 Years of Age in Blacks and Whites: The CARDIA Study

Cumulative Incidence of Hypertension by 55 Years of Age in Blacks and Whites: The CARDIA Study

Mobile Phone Ownership, Health Apps, and Tablet Use in US Adults With a Self-Reported History of Hypertension: Cross-Sectional Study

Masked hypertension and kidney function decline

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