What does this research mean for the field?

Despite high rates of diabetes and obesity, hypertension prevalence among American Indians is similar to or lower than the general US population, and their blood pressure is less affected by obesity and hyperinsulinemia compared to other populations. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This research aims to investigate the prevalence, awareness, and control of hypertension in American Indians and its relationship with other cardiovascular risk factors.

August 1, 1996Hypertension

Hypertension in Adult American Indians

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Population

4,549 American Indian adults aged 45 to 74 years, members of 13 tribes in central Arizona, southwestern…

Design

Cross-sectional

Authors

BHBarbara V. HowardGeneral / Preventive / Lipids ELElisa T. LeeUniversity of Vermont JYJeunliang YehUniversity of Oklahoma Health Sciences Center

Discussion

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Implication

Regional hypertension variation among American Indians may guide targeted screening; leaves open causal roles of diabetes and albuminuria.

Key Points

This research aims to investigate the prevalence, awareness, and control of hypertension in American Indians and its relationship with other cardiovascular risk factors.
Conducted a baseline examination between July 1989 and January 1992 with 4549 participants from 13 tribes in central Arizona, Oklahoma, and the Dakotas.
Included personal interviews, physical exams, oral glucose tolerance tests, and three blood pressure measurements per individual.
Analyzed data to determine correlations between hypertension, age, diabetes, obesity, and albuminuria.
Prevalence rates of hypertension in Arizona and Oklahoma were similar to the general US population, while South/North Dakota rates were significantly lower (P < .0001).
Blood pressure was higher in individuals with diabetes (P < .0001) and correlated positively with age (P < .0001) and albuminuria (P < .0001).
No independent relation between blood pressure and insulin was found, with weaker obesity-related effects observed in American Indians.

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Population

4,549 American Indian adults (2,703 women and 1,846 men) aged 45 to 74 years, members of 13 tribes in central Arizona, southwestern Oklahoma, and regions of South and North Dakota.

Outcome

Prevalence of hypertension and correlates of blood pressure

In American Indians, hypertension prevalence varies by region and is strongly correlated with diabetes, age, and albuminuria, but appears less affected by obesity and hyperinsulinemia compared with other populations.

Cite This Study

Howard et al. (1996) studied this question.

synapsesocial.com/papers/6a1b60bf947c651ddaabcf3f https://doi.org/10.1161/01.hyp.28.2.256

Topics

Hypertension management

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Implication

Regional hypertension variation among American Indians may guide targeted screening; leaves open causal roles of diabetes and albuminuria.

Hypertension in Adult American Indians

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Hypertension in Adult American Indians

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Topics

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