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英国黑种人、白种人和亚洲人的血压相似性:伯明翰工厂研究

Similarity of blood pressure in blacks, whites and Asians in England: the Birmingham Factory Study.

作者信息

Cruickshank J K, Jackson S H, Beevers D G, Bannan L T, Beevers M, Stewart V L

出版信息

J Hypertens. 1985 Aug;3(4):365-71. doi: 10.1097/00004872-198508000-00009.

DOI:10.1097/00004872-198508000-00009
PMID:4045188
Abstract

Factory workers aged 16-64 years were screened for ethnic differences in blood pressure. The 78% response rate was evenly spread between whites (439 men; 164 women), black West Indians (173 men; 101 women) and Asians (172 men). Mean systolic and diastolic pressures by age decade in men were similar in all three groups, but there was a modest excess of both higher and lower blood pressures in blacks and Asians. Older black women had higher blood pressures than whites, but body mass indices were 2-5 kg/m2 greater. Multiple regression analysis revealed no significant effect of ethnic group on either systolic or diastolic blood pressure variance and that the higher pressures in black women were accounted for by differences in age and body mass index. The influence of body mass index was more marked on diastolic than systolic pressure. In men, alcohol intake and a family history of hypertension had small independent positive effects on systolic pressure. The lack of black/white difference in blood pressure differs from the United States results and may be due to the similarity in social class of participants. This should be confirmed in further population samples with larger numbers of black (and Asian) subjects.

摘要

对年龄在16至64岁的工厂工人进行了血压种族差异筛查。78%的应答率在白人(439名男性;164名女性)、西印度黑人(173名男性;101名女性)和亚洲人(172名男性)中均匀分布。三组男性按年龄十年划分的平均收缩压和舒张压相似,但黑人和亚洲人的血压偏高和偏低情况略多。年长的黑人女性血压高于白人,但体重指数高2至5千克/平方米。多元回归分析显示,种族对收缩压或舒张压方差均无显著影响,黑人女性较高的血压是由年龄和体重指数差异造成的。体重指数对舒张压的影响比对收缩压更显著。在男性中,酒精摄入量和高血压家族史对收缩压有微小的独立正向影响。血压方面缺乏黑/白差异与美国的结果不同,这可能是由于参与者社会阶层相似。这一点应在有更多黑人(和亚洲人)受试者的进一步人群样本中得到证实。

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