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. 2015 Aug;49(4):622-7.
doi: 10.1007/s12160-014-9684-x.

Blood Pressure Dipping and Urban Stressors in Young Adult African Americans

Thomas A Mellman  1 , Tyish S Hall Brown, Ihori Kobayashi, Soleman H Abu-Bader, Joseph Lavela, Duaa Altaee, Latesha McLaughlin, Otelio S Randall
Affiliations

Blood Pressure Dipping and Urban Stressors in Young Adult African Americans

Thomas A Mellman et al. Ann Behav Med. 2015 Aug.

Abstract

Background: Blunted nocturnal blood pressure (BP) dipping is an early marker of cardiovascular risk that is prevalent among African Americans.

Purpose: We evaluated relationships of BP dipping to neighborhood and posttraumatic stress and sleep in urban residing young adult African Americans.

Methods: One hundred thirty-six black, predominately African American, men and women with a mean age of 22.9 years (SD = 4.6) filled out surveys and were interviewed and had two, 24-h ambulatory BP recordings.

Results: Thirty-eight percent had BP dipping ratios < .10. Wake after sleep onset (WASO), neighborhood disorder and neighborhood poverty rates but not posttraumatic stress symptoms, and other sleep measures correlated significantly with dipping ratios. Models with the neighborhood measures that also included WASO increased the explained variance.

Conclusions: Studies elucidating mechanisms underlying effects of neighborhoods on BP dipping and the role of disrupted sleep, and how they can be mitigated are important directions for future research.

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References

    1. Center for Disease Control and Prevention. CDC Health Disparities and Inequalities Report - United States, 2011. Atlanta, GA: 2011.
    1. Li S, Chen W, Srinivasan SR, Berenson GS. Childhood blood pressure as a predictor of arterial stiffness in young adults. The Bogalusa Heart Study. Hypertension. 2004;43:541–546. - PubMed
    1. Ohkubo T, Hozawa A, Yamaguchi J, et al. Prognostic significance of the nocturnal decline in blood pressure in individuals with and without high 24-h blood pressure: the Ohasama study. J Hypertens. 2002;20:2183–2189. - PubMed
    1. Profant J, Dimsdale J. Race and diurnal blood pressure patterns: a review and meta-analysis. Hypertension. 1999;33:1099–1104. - PubMed
    1. Wilson D, Kliewer W, Teasley N, et al. Violence exposure, catecholamine excretion, and blood pressure nondipping status in African American male versus female adolescents. Psychosom Med. 2002;64:906–915. - PubMed

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