Key result
Advancing age in Black women is linked to a ~20 mmHg increase in SBP.
Why the study?
CVD risk factors are prevalent in Black women, but when these risk factors arise is not clear.
Cross-Sectional (n=945)
No
Absolute Event Rate: 142% vs 122%
p-value: p=<0.001
Cardiovascular risk factors such as obesity and elevated blood pressure are prevalent in young black women, suggesting a need for earlier initiation of preventive care.
Prevalent early risks in black women may support earlier screening; leaves open prospective validation of prevention benefits.
Cardiovascular Disease (CVD) risk factors are prevalent in black women, but when these risk factors arise is not clear. We aimed to determine when obesity, hypertension, and hyperlipidemia appear in black women within a community screening program. 945 black women who enrolled in the 10,000 Women community screening project in the metro Atlanta area were included (2015-2018). Socioeconomic, lifestyle, and traditional CVD risk factor information was patient-reported and measured. Characteristics of three cohorts stratified by age, 20-39 years old (yo), 40-59 yo, and ≥60 yo, were compared using pairwise analysis. All cohorts had class 1 obesity. Mean systolic blood pressure was higher in older cohorts [20-39 yo: 122 ± 15; 40-59 yo: 133 ± 19; ≥60 yo: 142 ± 20 mmHg; p < 0.001]. All age groups had mean total cholesterol levels below 200 mg/dL and were lowest in women 20-39 yo, (p < 0.001). All age groups had mean LDL levels below 100 mg/dL and were highest in women 20-39 yo, (p < 0.01). All age groups had mean HDL levels greater than 50 mg/dL and were highest in women ≥60 yo, (p-value = 0.03). A higher proportion of ≥60 yo limited salt intake, (p ≤ 0.001), and ate fast food less than three times a week, (p < 0.001), compared to younger women. We report that CVD risk factors, like elevated blood pressure and obesity, are prevalent at young ages in black women, which could be due to lifestyle practices. Earlier initiation of CVD preventive care in black women could be beneficial; however, this needs to be studied further.
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Vatsa et al. (2021) conducted a cross-sectional in Cardiovascular Disease Risk Factors (n=945). Community screening was evaluated on Mean systolic blood pressure (mmHg) (p=<0.001). Cardiovascular risk factors such as class 1 obesity and elevated blood pressure are prevalent at young ages in black women, with mean systolic blood pressure significantly increasing from 122 mmHg in women aged 20-39 to 142 mmHg in those aged 60 and older.
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