Hypertension in Alaska Natives: association with overweight, glucose intolerance, diet and mechanized activity

Ethnicity & Health
N J MurphyA P Lanier

Abstract

Determine the prevalence of hypertension in Alaska Natives and evaluate risk factors. Population-based univariate and multivariate analysis of blood pressure in 1124 Alaska Natives over 20 years of age. The sample had mean: age 45 years, body mass index 27, systolic pressure 123 mmHg and diastolic pressure 73 mmHg. The age-adjusted rate of hypertension > or = 160/95 mmHg was 9.1% and 6.8% among Athabascan Indians and Yup'ik Eskimos, respectively. After controlling for age and sex there was significantly more hypertension among Athabascan Indians (OR = 1.53, CI = 1.07-2.2, p = 0.019) compared to Yup'ik Eskimos. Race was significantly associated with blood pressure > or = 140/90 when controlled for age and overweight (p = 0.01, OR = 0.78, CI = 0.69-0.95). The presence of hypertension was significantly associated with the following: intake of non-indigenous food (p = 0.01); mechanized activities (p = 0.01); and glucose intolerance in both women (p = 0.043) and men (p = 0.001). Multiple regression analysis revealed age (OR = 1.06, CI = 1.05-1.08) and overweight in both men (OR = 3.02, CI = 1.85-4.93) and women (OR = 2.76, CI = 1.81-4.19) to be significantly associated with BP > or = 140/90. Hypertension is no longer rare in Alaska ...Continue Reading

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Citations

Feb 3, 2012·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Anne P LanierJanet J Kelly
Mar 16, 2002·Journal of Epidemiology and Community Health·P BjerregaardUNKNOWN Greenland Population Study
Sep 19, 2009·American Journal of Public Health·Ronnie D HornerBrian A Trimble
Oct 23, 2004·Emerging Infectious Diseases·Joseph B McLaughlin
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Apr 15, 2015·International Journal of Environmental Research and Public Health·Cynthia Agumanu McOliverJamie Donatuto
Aug 5, 2015·The Canadian Journal of Cardiology·Maria TvermosegaardMarit Eika Jørgensen
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Jan 1, 2007·Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme·T Kue Young, Peter T Katzmarzyk
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Jun 26, 2021·Journal of Aging and Health·Krista R SchaeferClemma J Muller
Sep 11, 2021·BMC Public Health·Amanda K WalchAndrea Bersamin

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