Title
Socioeconomic Position, but Not African Genomic Ancestry, Is Associated with Blood Pressure in the Bambui-Epigen (Brazil) Cohort Study of Aging
Date Issued
01 February 2016
Access level
open access
Resource Type
journal article
Author(s)
Lima-Costa M.F.
Mambrini J.V.D.M.
Leite M.L.C.
Peixoto S.V.
Firmo J.O.A.
Loyola Filho A.I.D.
Gouveia M.H.
Leal T.P.
Pereira A.C.
MacInko J.
Publisher(s)
Lippincott Williams and Wilkins
Wolters Kluwer Health
Abstract
The study objective is to examine the role of African genome origin on baseline and 11-year blood pressure trajectories in community-based ethnoracially admixed older adults in Brazil. Data come from 1272 participants (aged ≥60 years) of the Bambui cohort study of aging during 11 years of follow-up. Outcome measures were systolic blood pressure, diastolic blood pressure, and hypertension control. Potential confounding variables were demographic characteristics, socioeconomic position (schooling and household income), and health indicators (smoking, sedentary lifestyle, high-density lipoprotein cholesterol, waist circumference, diabetes mellitus, and cardiovascular diseases), including antihypertensive drug use. We used 370 539 single-nucleotide polymorphisms to estimate each individual's African, European, and Native American trihybrid ancestry proportions. Median African, European, and Native American ancestry were 9.6%, 84.0%, and 5.3%, respectively. Among those with African ancestry, 59.4% came from East and 40.6% from West Africa. Baseline systolic and diastolic blood pressure, controlled hypertension, and their respective trajectories, were not significantly (P>0.05) associated with level (in quintiles) of African genomic ancestry. Similar results were found for West and East African subcontinental origins. Lower schooling level (<4 years versus higher) showed a significant and positive association with systolic blood pressure (Adjusted β=2.92; 95% confidence interval, 0.85-4.99). Lower monthly household income per capita (<USD 180.00 versus higher) showed an inverse association with hypertension control (β=-0.35; 95% confidence interval,-0.63 to-0.08, respectively). Our results support the view that favors social and environmental factors as determinants of blood pressure and hypertension control.
Start page
349
End page
355
Volume
67
Issue
2
Language
English
OCDE Knowledge area
Sociología
Subjects
Scopus EID
2-s2.0-84954370721
PubMed ID
Source
Hypertension
ISSN of the container
0194911X
Sources of information:
Directorio de Producción Científica
Scopus