Hypertension in the Papago Indians

Strotz, Charles R.; Shorr, Gregory

doi:10.1161/01.cir.48.6.1299

Cited by 16 publications

(9 citation statements)

References 5 publications

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“…Studies conducted between 1953 and 1993 show that lower blood pressures and reduced prevalence of hypertension are characteristic among American Indians and Alaska natives (19)(20)(21)(22)(23)(24)(25) and that American Indians have rates significantly lower than those of their counterparts among the general U.S. population (26). Although they are comparatively low, it is important to note that mean blood pressure and hypertension rates are higher in those with diabetes (8).…”

Section: Discussionmentioning

confidence: 99%

Diabetes and Coronary Heart Disease in American Indians: The Strong Heart Study

Howard¹,

Lee

Fabsitz

et al. 1996

Diabetes

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Coronary heart disease (CHD) is the leading cause of death among American Indians. However, information on the prevalence of CHD and its association with known risk factors is limited. The purpose of the Strong Heart Study is to quantify CHD and its risk factors among three geographically diverse groups of American Indians. The population consists of 4,549 adults between 45 and 74 years of age in 13 Indian communities in Arizona, Oklahoma, and South and North Dakota. The phase I examination (1989-1991) revealed very high prevalence rates of diabetes that ranged from 33 to 72% in men and women in the three centers. Prevalence rates of definite myocardial infarction (MI) and definite CHD were higher in men than in women in all three centers (P < 0.0001) and in those with diabetes (P = 0.002 and P = 0.0003 in women and men respectively). Diabetes was associated with a relatively greater increase in prevalence of MI (prevalence rate = 3.8 vs. 1.9) and CHD (prevalence rate = 4.6 vs. 1.8) in women than in men. Logistic regression analysis indicated that the prevalence of CHD among American Indians was significantly related to age, diabetes, hypertension, albuminuria, percentage of body fat, smoking, high concentrations of plasma insulin, and low concentrations of HDL cholesterol. Lower prevalence rates of CHD were found in Arizona despite higher rates of diabetes, obesity, hypertension, and albuminuria; these lower rates may be in part related to lower smoking frequency and lower concentrations of total and LDL cholesterol. These findings from the baseline Strong Heart Study examination emphasize the relative importance of diabetes and its associated variables as risk factors for CHD among American Indian populations.

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Section: Discussionmentioning

confidence: 99%

Diabetes and Coronary Heart Disease in American Indians: The Strong Heart Study

Howard¹,

Lee

Fabsitz

et al. 1996

Diabetes

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“…A number of reports starting in the 1950s and extending to the present support the concept that hy pertension is as common in many Indian tribes as in the surrounding Anglo popula tion [51][52][53][54][55]. For example, Strotz and Shore [55] observed that approximately 20% of Papago Indians age 15 years and older had hypertension defined as a blood pressure in excess of 160/95 mm Hg. Moreover, these authors noted that hypertension was almost three times more common in diabetic than in nondiabetic patients.…”

Section: Hypertensionmentioning

confidence: 89%

Heart Disease in Native Americans

Alpert¹,

Goldberg²,

Taylor³

1991

Cardiology

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Cardiovascular disease is one of the major causes of death among native Americans. Ischemic heart disease has been relatively uncommon in the past, but this entity is rapidly becoming more frequent among Indians as a result of Western acculturation (Western high-fat diet, smoking, sedentary lifestyle). Hypertension remains a major problem in native American populations. Hypertension is often inadequately detected and treated in Indians. Rheumatic fever and rheumatic heart disease are moderately common and apparently in decline among native Americans. Finally, the fetal alcohol syndrome with its accompanying cardiac malformations is all too common among North American Indians. The amount of information available concerning cardiovascular disease in native Americans is rather small. Considerably more attention should be paid to this area in the future.

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“…Review of the literature disclosed two relevant research studies on hypertension in the Native American population. Hypertension was present in 20% of the study population of Papago Indians; the prevalence tended to peak during young adulthood (Strotz & Schorr, 1973). Navajo Indians had lower blood pressures and lower prevalence of hypertension than the white and black populations in the United States, according to DeStefano, Coulehan, and Wiant (1979).…”

mentioning

confidence: 86%

Blood Pressure Comparison in a Selected Native American and White Population

Helgeson

Berg

Juhl

1993

Public Health Nursing

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This study compared the frequency of blood pressure elevation in a selected Native American and white population. Three hundred individuals participated: 87 Native Americans, 210 whites, and 3 others. Data were gathered using a questionnaire that addressed residence, sex, age, race, occupation, height, smoking, alcohol use, tea/coffee consumption, medications, and past or present illness. Weight and blood pressure were measured by the researchers at the time of data collection. The sample mean for systolic blood pressure (SBP) was 124 mm Hg (SD 14.78) and diastolic blood pressure (DBP) was 77 mm Hg (SD 10.13). One-way analysis of variance showed age groups and sex to affect blood pressure significantly (P = 0.0001). Stepwise multiple regression indicated weight significantly predicted blood pressure (SBP multiple R = 0.39, P = 0.001; DBP multiple R = 0.43, P = 0.00001). The interaction of age, sex, tobacco, alcohol, and caffeine influenced SBP and DBP. Obviously, these findings have limited generalizeability due to the sampling frame used in this study.

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Hypertension in the Papago Indians

Cited by 16 publications

References 5 publications

Diabetes and Coronary Heart Disease in American Indians: The Strong Heart Study

Diabetes and Coronary Heart Disease in American Indians: The Strong Heart Study

Heart Disease in Native Americans

Blood Pressure Comparison in a Selected Native American and White Population

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