Predictors of Blood Pressure and Left Ventricular Mass in the Young: The Hypertension in Pregnancy Offspring Study

Himmelmänn, Anders; Svensson, Anders; Sigström, L; Hansson, Lennart

doi:10.1093/ajh/7.5.381

Cited by 25 publications

(23 citation statements)

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“…1 Gender differences in blood pressure emerge during adolescence and persist through adulthood. 7,8 In all ethnic groups, younger men tend to have higher mean systolic and diastolic blood pressure than younger women (by 6-7 mm Hg and 3-5 mm Hg respectively), and through middle age, hypertension is more prevalent among men than women ( Figure 1). 9 However, hypertension is more prevalent among women than men after age 59.…”

Section: Epidemiologymentioning

confidence: 99%

Hypertension in women

Rosenthal

Oparil

2000

J Hum Hypertens

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Hypertension in women has received less attention than hypertension in men, and the major controlled trials of antihypertensive therapy have been carried out in populations made up predominantly of and have emphasised outcomes in men. Recently it has been recognised that women develop high blood pressure, particularly systolic hypertension, at an increased rate as they age, and that this age-related blood pressure increase is exaggerated by the menopause. The age-related rise in blood pressure, particularly systolic blood pressure and pulse pressure, contributes substantially to the age-related increase in risk of heart attack, heart failure, and stroke in middle-aged and elderly women. This article reviews

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Section: Epidemiologymentioning

confidence: 99%

Hypertension in women

Rosenthal

Oparil

2000

J Hum Hypertens

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“…Further research should focusIntroduction Most European studies have consistently shown lower blood pressure (BP) levels in women than in men. [1][2][3][4] This sex difference in BP in populations of European descent appears during adolescence and persists up to the age of 60 years. 3,5 The mechanisms underlying the sex difference in BP are not well understood, but sex hormones have been suggested as a possible cause.…”

mentioning

confidence: 99%

“…[1][2][3][4] This sex difference in BP in populations of European descent appears during adolescence and persists up to the age of 60 years. 3,5 The mechanisms underlying the sex difference in BP are not well understood, but sex hormones have been suggested as a possible cause. [6][7][8] The favourable position among women in terms of BP and hypertension is not as clearly observed in South Asian descent populations compared with others.…”

mentioning

confidence: 99%

Sex difference in blood pressure among South Asian diaspora in Europe and North America and the role of BMI: a meta-analysis

et al. 2010

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It is unclear whether the sex difference that is known to occur in blood pressure (BP) is similar in some South Asian populations. This study presents a meta-analysis of the sex difference in BP, hypertension and the role of body mass index (BMI) in South Asian diaspora compared with populations of European descent. We systematically searched for studies that reported BP and hypertension among South Asian descent populations living in Europe and North America. Weighted mean differences in BP and risk ratios (RR) for hypertension were calculated for men and women. We included 11 studies in this meta-analysis. In general, men had a higher BP and prevalence of hypertension than women, for example, systolic BP was higher in men than in women among the Indian (7.21 mm Hg, 95% confidence interval (CI): 4.46-9.95) and European populations (6.12 mm Hg, 95% CI: 4.45-7.80). The difference was less in the Pakistani population (4.00 mm Hg, 95% CI: 2.65-5.36). The Bangladeshi population showed a comparatively small sex difference in systolic (2.93 mm Hg, 95% CI: 1.20-4.66) and diastolic BP (0.68 mm Hg, 95% CI: À1.76 to 3.12) and prevalence of hypertension (RR 1.28, 95% CI: 0.66-2.46). Sex differences in BMI for the South Asian populations were greater than those in Europeans. The Indian population had similar sex differences in BP and hypertension compared with Europeans, but Pakistani and Bangladeshi had smaller sex differences. Sex differences in BMI might relate to the blunted sex differences in BP in Pakistani and Bangladeshi populations. Further research should focus on factors that underlie this intriguing sex difference among South Asian populations.

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“…The sex difference in hypertension was widely observed in various populations (28). Most European studies have shown lower blood pressure levels in women than in men (29)(30)(31)(32). Such sex differences in hypertension between European populations appear during adolescence and persist up to the age of 60 (33,34).…”

Section: What Is Knownmentioning

confidence: 99%

Prevalence and Correlates of Hypertension in A Transitional Southeastern European Population: Results from the Albanian Demographic and Health Survey

Petrela

Burazeri

Pupuleku

et al. 2013

Archives of Industrial Hygiene and Toxicology

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We assessed the prevalence and socioeconomic and behavioural correlates of hypertension in the young to middle-aged population of Albania, a transitional post-communist country in the Western Balkans. We analysed a sample of 2,837 men and 3,580 women aged 15 to 49 from the 2008/2009 Albanian Demographic and Health Survey. Hypertension was defi ned as SBP≥140 mm Hg, or DBP≥90 mm Hg, or if the subjects were under treatment for hypertension. Data on demographic and socioeconomic characteristics and behavioural factors were also collected. Logistic regression was used to assess the association of hypertension with covariates. Hypertension was signifi cantly higher among men (27.3 %) than women (20.0 %), and signifi cantly increased with age. The harmful effect of excessive weight and obesity on hypertension was stronger among women than among men and this effect increased with age, especially in women. Smoking and alcohol were risk factors for hypertension in men, but not women. Education had a protective effect on hypertension in women but not in men. KEY WORDS: blood pressure, obesity, risk factors, socioeconomic and behavioural correlates of hypertensionHypertension is one of the most important challenges to public health worldwide, especially in developed countries. It is a risk factor for circulatory system diseases, primarily ischemic heart and cerebrovascular diseases, which are major causes of death in Albania. Hypertension is also a contributory factor to kidney disease (1, 2). It has been identifi ed as a leading risk factor for mortality and ranked third as a cause of disability-adjusted life-years (3, 4).Analysis of the global hypertension burden reveals that over 25 % of the world's adult population in 2000 suffered from hypertension and this proportion is expected to increase to 29 % by 2025 (5). Limited data on the trends of prevalence of hypertension suggest Unauthenticated Download Date | 5/11/18 1:13 AM

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Predictors of Blood Pressure and Left Ventricular Mass in the Young: The Hypertension in Pregnancy Offspring Study

Cited by 25 publications

References 0 publications

Hypertension in women

Hypertension in women

Sex difference in blood pressure among South Asian diaspora in Europe and North America and the role of BMI: a meta-analysis

Prevalence and Correlates of Hypertension in A Transitional Southeastern European Population: Results from the Albanian Demographic and Health Survey

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