PMID: 11915847Mar 28, 2002Paper

Cardiovascular reactivity in Black South-African males of different age groups: the influence of urbanization

Ethnicity & Disease
Johannes Marthinus van RooyenNicolaas Theodor Malan

Abstract

Blacks in an urban environment seem to be more vulnerable to excessive increases in blood pressure during daily life events. This greater cardiovascular reactivity during acute stress situations in urban Blacks may lead to the development of hypertension in their later lives. Because Blacks in South Africa are involved in a massive process of urbanization, which may lead to chronic diseases of lifestyle like hypertension and diabetes, this study was undertaken to compare the cardiovascular reactivity patterns of urbanized and rural Black males in the North-West province of South Africa. Two hundred twenty-three Black males of different age groups, Group 1: younger than 25 years of age; Group 2: between 25 and 44 years of age; and Group 3: 45 years of age and older. Participants were randomly selected from rural and urbanized settlements. After resting blood pressure was recorded with a Finapres apparatus, and cardiac output, stroke volume, heart rate, and total peripheral vascular resistance had been obtained, an acute laboratory stressor (hand dynamometer exercise) was applied and the above measurements repeated. The SBP, DBP, and MAP increased 28% and 42% in both the rural and the urbanized groups. There was a shift from a ce...Continue Reading

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