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Effects of parity on blood pressure among West African Dogon women.

ABSTRACT: This study examined the effect of parity on blood pressure (BP) readings and BMI among rural West African Dogon women.Correlational research design.Sangha, West Africa133 West African Dogon WomenDemographic survey including age, number of children, history of hypertension, and village affiliation. BP readings were taken in accordance with JNC-7 guidelines. BMI was calculated from height and weight.Women with BP readings diagnostic of hypertension were typically older (M = 55.72 years) than those who were normotensive (M = 42.40). However, BMI, on average, was within normal range for both groups (22.81 and 22.15, respectively). A statistically significant difference was found between number of children and systolic BP (SBP), P = .015, with those having 5 or more children with higher SBP than those with one to three children. A statistically significant difference, P = .001, was found between hypertension and normotensive diagnostic groups.This study shows that increased parity of five or more children may contribute to West African Dogon women's risk factors for hypertension in terms of increased SBP. Because BMI was within normal range for both groups of women, it was not shown to be an independent risk factor for hypertension in this sample. Further studies, with larger samples followed throughout their childbearing years (before, during, and after each pregnancy), are needed before more definitive conclusions can be made regarding the effects of parity on BMI and BP among rural West African Dogon women.

SUBMITTER: Taylor JY

PROVIDER: S-EPMC3509379 | biostudies-literature | 2012

REPOSITORIES: biostudies-literature

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Effects of parity on blood pressure among West African Dogon women.

Taylor Jacquelyn Y JY Sampson Deborah A DA Anderson Cindy M CM Caldwell Dennis D Taylor Andre D AD

Ethnicity & disease 20120101 3

<h4>Objective</h4>This study examined the effect of parity on blood pressure (BP) readings and BMI among rural West African Dogon women.<h4>Design</h4>Correlational research design.<h4>Setting</h4>Sangha, West Africa<h4>Participants</h4>133 West African Dogon Women<h4>Methods</h4>Demographic survey including age, number of children, history of hypertension, and village affiliation. BP readings were taken in accordance with JNC-7 guidelines. BMI was calculated from height and weight.<h4>Results</ ...[more]

PMID: 22870582

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Project description:ObjectivesDespite a hypothesised connection of reproductive history with hypertension and mortality, the nature of this association is poorly characterised. We evaluated the association of parity and gravidity with blood pressure, hypertension and all-cause mortality.DesignProspective cohort study.SettingHealth Effects of Arsenic Longitudinal Study cohort in rural Bangladesh.ParticipantsThere were 21 634 Bangladeshi women recruited in 2000-2002, 2006-2008 and 2010-2014 included in the present analysis.MethodsReproductive history was ascertained through an interviewer-administered questionnaire at the baseline visit. Blood pressure was measured by a trained study physician following a standard protocol at the baseline visit. Vital status was ascertained at the biennial follow-up of study participants through June 2017. Linear and logistic regression models estimated the relationship between parity and gravidity with blood pressure and hypertension, respectively. Cox proportional hazards models estimated the relationship with all-cause mortality only among women aged >45 years.ResultsDiastolic blood pressure was lowest in women with parity one (reference) and elevated in nulliparous women (adjusted % change=3.12; 95% CI 1.93 to 4.33) and women with parity >2 (adjusted % change=1.71; 95% CI 1.12 to 2.31). The associations with nulliparity were stronger for women aged >45 years. Similar association patterns were observed with hypertension. Further, in nulliparous women aged >45 years, 265 deaths (6.6%) were ascertained during the follow-up period (median follow-up time=8 years), and we observed suggestive elevated risks of all-cause mortality (adjusted HR 3.83; 95% CI 0.74 to 19.78). The relationships between reproductive history, blood pressure, hypertension and mortality were similar when modelling reproductive history as gravidity rather than parity.ConclusionsFor women in rural Bangladesh, nulliparity and nulligravidity appear to be associated with higher blood pressure and subsequent elevated risk of mortality.

Project description:Self-identified Black race is associated with higher hypertension prevalence and worse blood pressure (BP) control compared with other race/ethnic groups. The contribution of genetic West African ancestry to these racial disparities appears not to have been completely determined. To determine the association between the proportion of West African ancestry with the response to antihypertensive medication, BP control, kidney function, and risk of adverse cardiovascular (CV) events among self-identified Black individuals in the Systolic Blood Pressure Intervention Trial (SPRINT). This post hoc analysis of the SPRINT trial incorporated data from a multicenter study of self-identified Black participants with available West African ancestry proportion, estimated using 106 biallelic autosomal ancestry informative genetic markers. Recruitment started on October 20, 2010, and ended on August 20, 2015. Data were analyzed from May 2020 to September 2020. Trajectories of BP and kidney function parameters on follow-up of the trial were assessed across tertiles of the proportion of West African ancestry using linear mixed-effect modeling after adjustment for potential confounders. Multivariable adjusted Cox models evaluated the association of West African ancestry with the risk of composite CV events (nonfatal myocardial infarction, CV death, and heart failure event). Among 2466 participants in the current analysis (1122 women [45.5%]; median West African ancestry, 81% [interquartile range, 73%-87%]), there were 120 composite CV events (4.9%) over a mean (SD) of 3.2 (0.9) years of follow-up. At baseline, mean (SD) high-density lipoprotein cholesterol levels were higher (tertile 3: 56.5 [15.0] mg/dL vs tertile 1: 54.2 [14.9] mg/dL; P = .006), smoking prevalence (never smoking: tertile 3: 367 [47.9%] vs tertile 1: 372 [42.2%]; P = .009) and mean (SD) Framingham Risk scores (tertile 3: 16.7 [9.7] vs tertile 1: 18.1 [10.2]; P = .01) were lower, and baseline BP was not different across increasing tertiles of West African ancestry. On follow-up, there was no evidence of differences in longitudinal trajectories of BP, kidney function parameters, or left ventricular mass (Cornell voltage by electrocardiogram) across tertiles of West African ancestry in either intensive or standard treatment arms. In adjusted Cox models, higher West African ancestry was associated with a lower risk of a composite CV event after adjustment for potential confounders (adjusted hazard ratio per 5% higher West African ancestry, 0.92 [95% CI, 0.85-0.99]). Among self-reported Black individuals enrolled in SPRINT, the trajectories of BP, kidney function, and left ventricular mass over time were not different across tertiles of the proportion of West African ancestry. A higher proportion of West African ancestry was associated with a modestly lower risk for CV events. These findings suggest that extrinsic and structural societal factors, more than genetic ancestry, may be the major drivers of the well-established racial disparity in cardiovascular health associated with hypertension.

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Effects of parity on blood pressure among West African Dogon women.

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Effects of parity on blood pressure among West African Dogon women.

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