美国拉丁裔人群血压降低的预测因素: Adelgaza 计划数据的二次分析。

Predictors for Blood Pressure Reduction in American Latinos: Secondary Analysis of the Adelgaza Program Data.

机构信息

San Francisco State University, San Francisco CA, USA.

University of California, San Francisco, CA, USA.

出版信息

Hisp Health Care Int. 2020 Jun;18(2):77-84. doi: 10.1177/1540415319869936. Epub 2019 Sep 11.

Abstract

Little is known about factors that predict blood pressure (BP) reduction in overweight American Latinos. The aim of this secondary analysis was to explore predictors of changes in mean systolic and diastolic BPs over an 8-week weight loss intervention period in a sample of 54 overweight American Latinos using data collected during the Adelgaza trial. Baseline BP, exercise energy use (in units of metabolic equivalent of task), weight change, average daily intake of calories from beverages, average daily intake of calories from fat, age, and gender were considered as potential predictors of reductions in BP, as measured at baseline, 3, and 8 weeks. Baseline characteristics were as follows: mean age 45.3 ( = 10.8) years, 31.5% male, 61.1% born in the United States. Mean baseline systolic and diastolic BPs were 122.1 ( = 14.4) mmHg and 76.6 ( = 9.8) mmHg, respectively. Both baseline systolic and diastolic BPs predicted reductions in systolic BP after adjusting for other factors ( < .001). None of the nine variables predicted reductions in diastolic BP ( > .05). This finding suggests that overweight American Latinos with higher baseline systolic or diastolic BP should be identified and provided with early intervention education to achieve better hypertension management or prevention.

摘要

关于预测超重美国拉丁裔人群血压(BP)降低的因素知之甚少。本二次分析的目的是利用 Adelgaza 试验期间收集的数据,探讨在超重美国拉丁裔人群中,8 周减肥干预期间平均收缩压和舒张压变化的预测因素。在基线、3 周和 8 周时测量血压,将基线 BP、运动能量使用(以任务代谢当量单位表示)、体重变化、饮料平均每日卡路里摄入量、脂肪平均每日卡路里摄入量、年龄和性别作为潜在的血压降低预测因素进行考虑。基线特征如下:平均年龄 45.3(=10.8)岁,31.5%为男性,61.1%出生于美国。平均基线收缩压和舒张压分别为 122.1(=14.4)mmHg 和 76.6(=9.8)mmHg。在调整其他因素后,基线收缩压和舒张压均预测收缩压降低(<0.001)。九个变量中没有一个可以预测舒张压降低(>0.05)。这一发现表明,应识别并为基线收缩压或舒张压较高的超重美国拉丁裔人群提供早期干预教育,以实现更好的高血压管理或预防。

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