Howard BV, Lee Et, Yeh JL, Go O, Gabsitz RR, Devereux RB,
Welty TK
Hypertension in American Indians: The Strong Heart Study
11th Scientific Meeting, American Society of Hypertension
Am J Hypert
(Apr) 9:187A 1996
The Strong Heart Study, a longitudinal study of over 4000
Native-American tribal members in AZ, OK and the Dakotas, examined the
prevalence of hypertension in adults over 45. To their surprise, the
prevalence of hypertension was equal to or even lower than (Dakotas)
in the US population as a whole. No significant relation could be
found between hypertension and obesity or hyperinsulinemia, although
hypertension was strongly associated with diabetes and albuminuria.
Comment: These are interesting observations, and merit
further analysis and clarification. The abstract does not include
dietary intake factors, and to state that hypertension is linked with
diabetes but not with hyperinsulinemia (in an older diabetic
population) requires further explanation. (James A. Sondheimer
MD, Wayne State University, Detroit, MI)
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11th Scientific Meeting, American Society of Hypertension
H: Special problems :
Ethnic populations
H: Special problems :
Obesity, Insulin Resistance