scholarly journals Temporal Relationship Between Elevated Blood Pressure and Arterial Stiffening Among Middle-Aged Black and White Adults

2016 ◽  
Vol 183 (7) ◽  
pp. 599-608 ◽  
Author(s):  
Wei Chen ◽  
Shengxu Li ◽  
Camilo Fernandez ◽  
Dianjianyi Sun ◽  
Chin-Chih Lai ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Temporal Relationship ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
Middle Aged ◽  
Arterial Stiffening ◽  
Black And White ◽  
White Adults

Abstract P080: Lifetime Trauma Is Associated With Elevated Blood Pressure In Middle-aged And Older Latinas

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Danny Vo ◽  
Billy A Caceres
Keyword(s):  
Blood Pressure ◽  
Regression Models ◽  
Elevated Blood Pressure ◽  
Traumatic Experiences ◽  
Sociocultural Factors ◽  
Ptsd Symptoms ◽  
Elevated Blood ◽  
Latina Women ◽  
Middle Aged ◽  
Lifetime Trauma

Introduction: Latina women are more likely than non-Latina White women to have uncontrolled and undertreated hypertension. Prior research suggests greater exposure to traumatic experiences (such as interpersonal violence) is associated with elevated blood pressure and higher cardiovascular disease risk in women. However, few studies have investigated these associations among Latina women, a population that is at increased risk for hypertension. The purpose of this pilot study was to fill knowledge gaps by examining the associations of lifetime trauma (including childhood and adulthood) with blood pressure in middle-aged and older Latinas. Hypothesis: We assessed the hypothesis that lifetime trauma is associated with elevated blood pressure in middle-aged and older Latinas. Methods: Participants were recruited from an existing study in New York City called the Washington Heights/Inwood Comparative Effectiveness Research Project. Data collection consisted of a questionnaire administered by a research coordinator and in-office assessment of two blood pressure readings using recommended guidelines. The average systolic and diastolic blood pressures were calculated from these two measurements. Lifetime trauma was assessed with the Life Events Checklist which assesses 17 potentially traumatic experiences. We summed responses to the Life Events Checklist to create a count of lifetime trauma. Posttraumatic stress disorder (PTSD) symptoms were assessed with the PTSD Checklist-Civilian Version that assess presence and severity of 17 PTSD symptoms in the last month. We used linear regression models to separately examine the associations of lifetime trauma with systolic and diastolic blood pressure adjusted for demographic characteristics, health behaviors, PTSD symptoms, sociocultural factors (such as discrimination and acculturation). Results: The final sample included 50 Latina women (ages 42-77, mean=63.1 [9.7]). All women reported at least one traumatic experience with an average of 4.8 traumatic experiences in their lifetimes (range 1-10). A higher count of lifetime trauma (B [SE] = 5.56 [2.63], p = 0.04) was positively associated with greater systolic blood pressure in adjusted regression models. Although women who reported a higher count of lifetime trauma had higher diastolic blood pressure, this association was not statistically significant (B [SE] = 2.14 [1.67], p = 0.21). Conclusion: Findings indicate a higher count of lifetime trauma is associated with elevations in systolic blood pressure among Latina women. This is consistent with results of studies that have examined associations of lifetime trauma with blood pressure among women in the general population. There is a need for larger studies that incorporate longitudinal designs to investigate the associations of trauma and other sociocultural factors with blood pressure among Latina women.

scholarly journals Facets of negative affectivity and blood pressure in middle-aged men

2013 ◽  
Vol 1 (2) ◽  
pp. 14 ◽  
Author(s):  
Cornel V. Igna ◽  
Juhani Julkunen ◽  
Jari Lipsanen ◽  
Hannu Vanhanen
Keyword(s):  
Blood Pressure ◽  
Risk Factor ◽  
Depressive Symptoms ◽  
Cardiovascular Diseases ◽  
Health Behavior ◽  
Negative Affectivity ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
Middle Aged ◽  
Vital Exhaustion

Research results suggesting that facets of negative affectivity, <em>i.e. </em>anxiety, anger-hostility, and depression, relate to incident cardiovascular diseases have been steadily increasing. Evidence for depression has been especially extensive. Elevated blood pressure, a major risk factor of cardiovascular diseases, is one probable mediator in this context. The purpose of this study was to clarify the relationship of specific key elements of depressive disposition, <em>i.e</em>. depressive symptoms, hopelessness and vital exhaustion, with health behavior and blood pressure. Study sample was comprised of 710 middle-aged men. Participants completed self-report questionnaires assessing health behavior, depressive symptoms, vital exhaustion and hopelessness. Statistical analyses involved descriptive analyses, correlations and path analysis. Depressive symptoms and vital exhaustion associated with several unfavorable lifestyles such as smoking, alcohol consumption, and inactivity (standardized solution coefficients: 0.10, 0.14, 0.17, accordingly). However, no significant direct associations with blood pressure could be found for depressive symptoms or vital exhaustion. Hopelessness associated only with unhealthy diet (standardized solution coefficient -0.10) Moreover, for hopelessness, results showed a direct but inverse association with systolic blood pressure (standardized solution coefficient -0.08). Results suggest that the previously reported relations of depression and vital exhaustion with blood pressure could be mediated by unfavorable lifestyles. The relation of hopelessness with adverse health behaviors seems to be less significant. Also, the role of hopelessness as a risk factor of elevated blood pressure is not supported by the results of this study.

scholarly journals Emotional and familial determinants of elevated blood pressure in black and white adolescent males

1987 ◽  
Vol 31 (3) ◽  
pp. 287-300 ◽  
Author(s):  
Ernest H. Johnson ◽  
Charles D. Spielberger ◽  
Timothy J. Worden ◽  
Gerald A. Jacobs
Keyword(s):  
Blood Pressure ◽  
Adolescent Males ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
Black And White

Abstract 602: Determinants of Elevated Blood pressure with Water Immersion

Hypertension ◽  
2012 ◽  
Vol 60 (suppl_1) ◽  
Author(s):  
Hiroshi Kawano ◽  
Mayuko Mineta ◽  
Yuko Gando ◽  
Meiko Asaka ◽  
Mitsuru Higuchi
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Water Pressure ◽  
Water Immersion ◽  
Young Men ◽  
Older Men ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
Arterial Stiffening ◽  
Venous Volume

Introduction ; Although exercise in water is appreciated in rehabilitation for patients with renal disease and obesity individuals with knee joint pain, elevated blood pressure (BP) is also induced by water immersion via water pressure. This elevation of BP in water may lead to incidence of acute heart diseases in rehabilitation exercise. It is important for prevention of such acute event to understand determinants of elevated BP with water immersion. Hypothesis ; We assessed the hypothesis that elevated BP with water immersion is affected by venous volume or baroreflex sensitivity (BRS) as well as age or arterial stiffening, because blood pressure is associated with venous return (contributing cardiac output) or vascular functions. Methods ; Thirty-eight young (21.2 ± 1.7 yrs) and 20 older (65.1 ± 3.2 yrs) men participated in this study. In all subjects, mean BP (oscillometric method), pulse wave velocity adjusted by BP (cardio-ankle vascular index: CAVI), venous volume (by using MRI and plethysmography), and BRS by using valsalva maneuver were measured at resting supine position on land. Furthermore, BP and heart rate at standing position on land and following in water (located surface of water at epigastrium) were determined. Results ; On land, mean BP and CAVI were greater, and BRS was smaller in older men compared with young men. There was no different venous volume between 2 age groups. Change in increased systolic BP with water immersion was greater in older men (127 ± 12 mmHg → 145 ± 18 mmHg; P<0.05) than in young men (118 ± 129 mmHg → 129 ± 10 mmHg; P<0.05) (Interaction; P<0.05). Multiple-regression analysis revealed that the change in increased systolic BP with water immersion were independently associated with CAVI (beta = 0.406), when entering BRS, heart rate, venous volume, and CAVI. Conclusion ; In conclusion, these results of the present study suggests that arterial stiffening may contribute to elevated BP with water immersion, but not BRS or venous volume.

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