Maritz Melissa, Fourie Carla M T, Van Rooyen Johannes M, Moss Sarah J, Schutte Aletta E
Hypertension in Africa Research Team (HART), Department of Health Sciences, North-West University, Potchefstroom, South Africa.
Hypertension in Africa Research Team (HART), Department of Health Sciences, North-West University, Potchefstroom, South Africa.
J Am Soc Hypertens. 2016 Oct;10(10):772-781.e1. doi: 10.1016/j.jash.2016.07.006. Epub 2016 Aug 4.
Increased arterial stiffness is linked to cardiovascular disease development, particularly in black populations. Since detrimental health behaviors in young adults may affect arterial stiffness, we determined whether arterial stiffness associates with specific health behaviors, and whether it is more pronounced in young healthy black compared to white adults. We included 373 participants (49% black, 42% men) aged 20-30 years. Mean arterial pressure was higher for blacks than whites (P < .001), but carotid-femoral pulse wave velocity was similar (6.37 vs. 6.36 m/s; P = .89) after adjustment for mean arterial pressure. The black group had higher gamma-glutamyltransferase (GGT) (P < .001), cotinine, reactive oxygen species, interleukin-6, and monocyte-chemoattractant protein-1 (all P ≤ .017). Pulse wave velocity related positively and independently to GGT in both groups before and after multiple adjustments (both β = 0.15; P ≤ .049). Blacks had an unfavorable vascular profile and higher GGT, possibly indicating a higher vulnerability to cardiovascular disease development, including changes in arterial stiffness. However, this observation needs confirmation.
动脉僵硬度增加与心血管疾病的发生有关,在黑人人群中尤为如此。由于年轻人的有害健康行为可能会影响动脉僵硬度,我们确定了动脉僵硬度是否与特定的健康行为相关,以及与年轻健康的白人成年人相比,在年轻健康的黑人中是否更为明显。我们纳入了373名年龄在20至30岁之间的参与者(49%为黑人,42%为男性)。调整平均动脉压后,黑人的平均动脉压高于白人(P <.001),但颈动脉-股动脉脉搏波速度相似(6.37对6.36 m/s;P =.89)。黑人组的γ-谷氨酰转移酶(GGT)更高(P <.001),还有可替宁、活性氧物质、白细胞介素-6和单核细胞趋化蛋白-1(均P ≤.017)。在多次调整前后,两组的脉搏波速度均与GGT呈正相关且独立相关(均β = 0.15;P ≤.049)。黑人有不良的血管特征且GGT较高,这可能表明他们患心血管疾病的易感性更高,包括动脉僵硬度的变化。然而这一观察结果需要进一步证实。