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Blood pressure and body mass index in an ethnically diverse sample of adolescents in Paramaribo, Suriname
BACKGROUND: High blood pressure (BP) is now an important public health problem in non-industrialised countries. The limited evidence suggests ethnic inequalities in BP in adults in some non-industrialised countries. However, it is unclear whether these ethnic inequalities in BP patterns in adults re...
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2009
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2689850/ https://www.ncbi.nlm.nih.gov/pubmed/19460143 http://dx.doi.org/10.1186/1471-2261-9-19 |
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author | Agyemang, Charles Oudeman, Eline Zijlmans, Wilco Wendte, Johannes Stronks, Karien |
author_facet | Agyemang, Charles Oudeman, Eline Zijlmans, Wilco Wendte, Johannes Stronks, Karien |
author_sort | Agyemang, Charles |
collection | PubMed |
description | BACKGROUND: High blood pressure (BP) is now an important public health problem in non-industrialised countries. The limited evidence suggests ethnic inequalities in BP in adults in some non-industrialised countries. However, it is unclear whether these ethnic inequalities in BP patterns in adults reflect on adolescents. Hence, we assessed ethnic differences in BP, and the association of BP with body mass index (BMI) among adolescents aged 12–17 years in Paramaribo, Suriname. METHODS: Cross-sectional study with anthropometric and blood pressure measurements. A random sample of 855 adolescents (167 Hindustanis, 169 Creoles, 128 Javanese, 91 Maroons and 300 mixed-ethnicities) were studied. Ethnicity was based on self-reported ethnic origin. RESULTS: Among boys, Maroons had a lower age- and height-adjusted systolic BP than Creoles, and a lower diastolic BP than other ethnic groups. However, after further adjustment for BMI, only diastolic BP in Maroons was significantly lower than in Javanese (67.1 versus 70.9 mmHg). Creole boys had a lower diastolic BP than Hindustani (67.3 versus 70.2 mmHg) and Javanese boys after adjustment for age, height and BMI. Among girls, there were no significant differences in systolic BP between the ethnic groups. Maroon girls, however, had a lower diastolic BP (65.6 mmHg) than Hindustani (69.1 mmHg), Javanese (71.2 mmHg) and Mixed-ethnic (68.3 mmHg) girls, but only after differences in BMI had been adjusted for. Javanese had a higher diastolic BP than Creoles (71.2 versus 66.8 mmHg) and Mixed-ethnicity girls. BMI was positively associated with BP in all the ethnic groups, except for diastolic BP in Maroon girls. CONCLUSION: The study findings indicate higher mean BP levels among Javanese and Hindustani adolescents compared with their African descent peers. These findings contrast the relatively low BP reported in Javanese and Hindustani adult populations in Suriname and underscore the need for public health measures early in life to prevent high BP and its sequelae in later life. |
format | Text |
id | pubmed-2689850 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-26898502009-06-03 Blood pressure and body mass index in an ethnically diverse sample of adolescents in Paramaribo, Suriname Agyemang, Charles Oudeman, Eline Zijlmans, Wilco Wendte, Johannes Stronks, Karien BMC Cardiovasc Disord Research Article BACKGROUND: High blood pressure (BP) is now an important public health problem in non-industrialised countries. The limited evidence suggests ethnic inequalities in BP in adults in some non-industrialised countries. However, it is unclear whether these ethnic inequalities in BP patterns in adults reflect on adolescents. Hence, we assessed ethnic differences in BP, and the association of BP with body mass index (BMI) among adolescents aged 12–17 years in Paramaribo, Suriname. METHODS: Cross-sectional study with anthropometric and blood pressure measurements. A random sample of 855 adolescents (167 Hindustanis, 169 Creoles, 128 Javanese, 91 Maroons and 300 mixed-ethnicities) were studied. Ethnicity was based on self-reported ethnic origin. RESULTS: Among boys, Maroons had a lower age- and height-adjusted systolic BP than Creoles, and a lower diastolic BP than other ethnic groups. However, after further adjustment for BMI, only diastolic BP in Maroons was significantly lower than in Javanese (67.1 versus 70.9 mmHg). Creole boys had a lower diastolic BP than Hindustani (67.3 versus 70.2 mmHg) and Javanese boys after adjustment for age, height and BMI. Among girls, there were no significant differences in systolic BP between the ethnic groups. Maroon girls, however, had a lower diastolic BP (65.6 mmHg) than Hindustani (69.1 mmHg), Javanese (71.2 mmHg) and Mixed-ethnic (68.3 mmHg) girls, but only after differences in BMI had been adjusted for. Javanese had a higher diastolic BP than Creoles (71.2 versus 66.8 mmHg) and Mixed-ethnicity girls. BMI was positively associated with BP in all the ethnic groups, except for diastolic BP in Maroon girls. CONCLUSION: The study findings indicate higher mean BP levels among Javanese and Hindustani adolescents compared with their African descent peers. These findings contrast the relatively low BP reported in Javanese and Hindustani adult populations in Suriname and underscore the need for public health measures early in life to prevent high BP and its sequelae in later life. BioMed Central 2009-05-21 /pmc/articles/PMC2689850/ /pubmed/19460143 http://dx.doi.org/10.1186/1471-2261-9-19 Text en Copyright © 2009 Agyemang et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Agyemang, Charles Oudeman, Eline Zijlmans, Wilco Wendte, Johannes Stronks, Karien Blood pressure and body mass index in an ethnically diverse sample of adolescents in Paramaribo, Suriname |
title | Blood pressure and body mass index in an ethnically diverse sample of adolescents in Paramaribo, Suriname |
title_full | Blood pressure and body mass index in an ethnically diverse sample of adolescents in Paramaribo, Suriname |
title_fullStr | Blood pressure and body mass index in an ethnically diverse sample of adolescents in Paramaribo, Suriname |
title_full_unstemmed | Blood pressure and body mass index in an ethnically diverse sample of adolescents in Paramaribo, Suriname |
title_short | Blood pressure and body mass index in an ethnically diverse sample of adolescents in Paramaribo, Suriname |
title_sort | blood pressure and body mass index in an ethnically diverse sample of adolescents in paramaribo, suriname |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2689850/ https://www.ncbi.nlm.nih.gov/pubmed/19460143 http://dx.doi.org/10.1186/1471-2261-9-19 |
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