Jacquelyn Y Taylor1. 1. School of Nursing, Yale University, New Haven, CT 06536-0740, USA. Jacquelyn.taylor@yale.edu
Abstract
INTRODUCTION: This study examines risks for high blood pressure (BP) among undiagnosed African American mothers and daughters, because African American children are at risk for hypertension due to familial influences. METHOD: This study was cross-sectional in design and included 70 African American mother and daughter participants from the Detroit metropolitan area. RESULTS: BP readings clinically diagnostic of hypertension were found for mothers (25.7%) and daughters (54.3%), although they were undiagnosed. Many participants with BP readings in pre-hypertension or hypertension categories were overweight or obese (mothers, 90.9%; daughters, 50.2%). Fewer underweight or normal-weight mothers (25.0%) and daughters (64.3%) had BP readings indicative of hypertension. Lower diastolic BP was associated with higher body mass index (BMI) among mothers (r = -.34, P = .045). Higher systolic BP was positively related to potassium consumption among daughters and total African Americans (r = .55, P = .005 and r = .41, P = .003, respectively). DISCUSSION: Early screening for hypertension is needed to improve health among African Americans. Health providers should use American Academy of Pediatrics guidelines for determining hypertension in children. Research on familial and environment influences on BP among children is recommended to determine early risk for the development of hypertension.
INTRODUCTION: This study examines risks for high blood pressure (BP) among undiagnosed African American mothers and daughters, because African American children are at risk for hypertension due to familial influences. METHOD: This study was cross-sectional in design and included 70 African American mother and daughter participants from the Detroit metropolitan area. RESULTS: BP readings clinically diagnostic of hypertension were found for mothers (25.7%) and daughters (54.3%), although they were undiagnosed. Many participants with BP readings in pre-hypertension or hypertension categories were overweight or obese (mothers, 90.9%; daughters, 50.2%). Fewer underweight or normal-weight mothers (25.0%) and daughters (64.3%) had BP readings indicative of hypertension. Lower diastolic BP was associated with higher body mass index (BMI) among mothers (r = -.34, P = .045). Higher systolic BP was positively related to potassium consumption among daughters and total African Americans (r = .55, P = .005 and r = .41, P = .003, respectively). DISCUSSION: Early screening for hypertension is needed to improve health among African Americans. Health providers should use American Academy of Pediatrics guidelines for determining hypertension in children. Research on familial and environment influences on BP among children is recommended to determine early risk for the development of hypertension.
Authors: Garth N Graham; Brenda Leath; Kermit Payne; Maya Guendelman; Gladys Reynolds; Soo Kim; Barbara James; Donald Ware; Mildred Hunter; Audrey Burwell; Georgia Buggs Journal: Health Promot Pract Date: 2006-01
Authors: Wayne Rosamond; Katherine Flegal; Gary Friday; Karen Furie; Alan Go; Kurt Greenlund; Nancy Haase; Michael Ho; Virginia Howard; Brett Kissela; Bret Kissela; Steven Kittner; Donald Lloyd-Jones; Mary McDermott; James Meigs; Claudia Moy; Graham Nichol; Christopher J O'Donnell; Veronique Roger; John Rumsfeld; Paul Sorlie; Julia Steinberger; Thomas Thom; Sylvia Wasserthiel-Smoller; Yuling Hong Journal: Circulation Date: 2006-12-28 Impact factor: 29.690