Epidemiological investigation into the prevalence of abnormal inter-arm blood pressure differences among different

Ling Sun1, Ting Zou2, Bao-Zhu Wang1

  • 1Department of Cardiology, First Affiliated Hospital of Xingjiang Medical University, Urumqi, China.

Plos One
|January 19, 2018
PubMed

Insights

The prevalence of abnormal IAD was higher in Kazakhs compared to Han and Uygur populations in Xinjiang. Key risk factors for IAD include age, obesity, and triglyceride levels, with variations across ethnicities.

Area of Science:

  • Cardiovascular Health
  • Epidemiology
  • Vascular Biology

Background:

  • Inter-arm difference (IAD) prevalence and risk factors vary across ethnic groups.
  • Understanding these variations is crucial for targeted cardiovascular risk assessment.
  • Previous studies have not fully elucidated IAD epidemiology in Xinjiang's diverse ethnicities.

Purpose of the Study:

  • To investigate the prevalence of abnormal IAD.
  • To identify risk factors for IAD.
  • To compare IAD prevalence and risk factors among Han, Uygur, and Kazakh populations in Xinjiang, China.

Main Methods:

  • A cross-sectional study involving 14,618 adults using a 4-stage stratified cluster random sampling method.
  • Data collection included questionnaires on personal information and medical history.
  • IAD was diagnosed using a noninvasive arteriosclerosis analyzer.

Main Results:

  • Overall abnormal IAD prevalence was 14.3%, with higher rates in Kazakh (16.4%) and Uygur (14.9%) compared to Han (12.5%) populations.
  • Prevalence increased with age and was higher in hypertensive individuals across all groups.
  • Significant risk factors included age >45, obesity, and hypertriglyceridemia; ethnic-specific factors were identified (e.g., smoking in Uygur, PAD in Kazakh).

Conclusions:

  • Kazakh participants exhibited a higher prevalence of abnormal IAD than Han and Uygur populations.
  • Age, obesity, and triglyceride levels are primary risk factors for IAD.
  • Ethnic-specific risk factors necessitate tailored approaches for IAD management.
Abstract

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