dc.contributor.author | Breet, Yolandi | |
dc.contributor.author | Kruger, Iolanthé M. | |
dc.contributor.author | Schutte, Aletta E. | |
dc.contributor.author | Lackland, Daniel T. | |
dc.contributor.author | Ovbiagele, Bruce | |
dc.date.accessioned | 2019-08-07T06:51:32Z | |
dc.date.available | 2019-08-07T06:51:32Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Breet, Y. et al. 2019. Is the cardiovascular health of South Africans today comparable with African Americans 45 years ago? Journal of hypertension, 37(8):1606-1614. [https://doi.org/10.1097/HJH.0000000000002082] | en_US |
dc.identifier.issn | 0263-6352 | |
dc.identifier.issn | 1473-5598 (Online) | |
dc.identifier.uri | http://hdl.handle.net/10394/33150 | |
dc.identifier.uri | https://journals.lww.com/jhypertension/Fulltext/2019/08000/Is_the_cardiovascular_health_of_South_Africans.11.aspx#pdf-link | |
dc.identifier.uri | https://doi.org/10.1097/HJH.0000000000002082 | |
dc.description.abstract | Objectives: Hypertension occurs frequently among
black populations around the world. In the United
States (US) health system, interventions since the 1960s
resulted in improvements in hypertension awareness,
management and control among African Americans.
This is in stark contrast to current health systems in
African countries. To objectively assess the current
situation in South Africa, we compared the cardiovascular
health status of African Americans from 1960 to
1980 to black South Africans from recent years,
as there is potential to implement best practices
from the US. We also reviewed the recent cardiovascular
health changes of a South African population over
10 years.
Methods: Men and women were included from three
studies performed in the United States (Evans County
Heart Study; Charleston Heart Study; NHANES I and II) and
one in South Africa (PURE, North West Province). We
compared blood pressure (BP), BMI, cholesterol, diabetes
and smoking status.
Results: Age-adjusted SBP and DBP of South African men
were lower than US studies conducted from 1960 to 1971
(Evans County; Charleston; NHANES I; all P < 0.001) but
similar to NHANES II (P ¼ 0.987) conducted in 1976. South
African women had lower SBP than all four of the US
studies (all P < 0.001); their DBP was lower than Evans
County and Charleston studies, but similar to NHANES I
and II. Reviewing South African data, BMI increased steeply
over 10 years in women (P < 0.001) but not men
(P ¼ 0.451).
Conclusion: Blood pressure of South Africans is lower
than African Americans from the 1960s, but comparable
for 1970s to 1980s. With obesity of South African women
rising sharply, escalating figures for hypertension and
diabetes are anticipated | en_US |
dc.language.iso | en | en_US |
dc.publisher | Wolters Kluwer | en_US |
dc.subject | Africa | en_US |
dc.subject | African-American | en_US |
dc.subject | Black | en_US |
dc.subject | Blood pressure | en_US |
dc.subject | Ethnicity | en_US |
dc.subject | Hypertension | en_US |
dc.subject | Race | en_US |
dc.title | Is the cardiovascular health of South Africans today comparable with African Americans 45 years ago? | en_US |
dc.type | Article | en_US |
dc.contributor.researchID | 12079642 - Kruger, Iolanthé Marike | |
dc.contributor.researchID | 10922180 - Schutte, Aletta Elisabeth | |
dc.contributor.researchID | 21195706 - Breet, Yolandi | |