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La presión arterial y sus correlatos en África urbana y tribal
Lancet (London, England)
|July 12, 1980
Resumen
Las poblaciones urbanas Xhosa exhiben una presión arterial y obesidad más altas en comparación con los grupos tribales. La urbanización, la dieta y la obesidad parecen contribuir a la presión arterial elevada, mientras que la baja renina plasmática puede ser genética.
Área de la Ciencia:
- Salud Cardiovascular La salud cardiovascular.
- La Antropología Antropología Antropología.
- Salud Pública La salud pública.
Sus antecedentes:
- La urbanización tiene un impacto significativo en la salud, con el aumento de la presión arterial observado en diversas poblaciones.
- Comprender los factores que influyen en la hipertensión en grupos étnicos específicos es crucial para las intervenciones dirigidas.
Objetivo del estudio:
- Para comparar la presión arterial y los factores asociados entre los pueblos Xhosa tribales y urbanos en el sur de África.
- Para investigar los roles de la obesidad, la dieta y los marcadores fisiológicos en la hipertensión diferencias.
Principales métodos:
- Análisis comparativo de la presión arterial, los índices de obesidad (peso, grosor del pliegue de la piel, índice ponderal) y la ingesta de sodio en la dieta.
- Medición de la relación sodio/creatinina en la orina, la noradrenalina plasmática y la actividad renina plasmática.
Principales resultados:
- Los individuos Xhosa urbanos tenían índices de presión arterial y obesidad significativamente más altos que los Xhosa tribales.
- Se encontraron niveles más altos de sodio en la dieta y en la orina en los habitantes urbanos, pero no hubo una correlación directa con la presión arterial dentro de los grupos.
- La noradrenalina plasmática y la actividad de la renina plasmática fueron similares, siendo común y potencialmente genética la baja renina plasmática.
Conclusiones:
- La urbanización está relacionada con el aumento de la presión arterial y la obesidad en la población xhosa.
- Si bien la ingesta de sodio es más alta en entornos urbanos, la dieta y la obesidad parecen ser contribuyentes más significativos a la hipertensión.
- Los factores genéticos pueden influir en los niveles plasmáticos de renina, independientemente de los cambios en el estilo de vida.
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