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|Title: ||Progression of cardiovascular risk factors in black Africans: 3 year follow up of the SABPA cohort study|
|Authors: ||Hamer, Mark|
von Kanel, Roland
Malan, Nico T.
Schutte, Alta E.
Huisman, Hugo W.
|Keywords: ||Black African|
|Issue Date: ||2014|
|Publisher: ||© The Authors. Published by Elsevier Ireland Ltd.|
|Citation: ||HAMER, M. ... et al., 2014. Progression of cardiovascular risk factors in black Africans: 3 year follow up of the SABPA cohort study. Atherosclerosis, 238 (1), pp. 52–54.|
|Abstract: ||Recent work identified a high prevalence of modifiable risk factors for cardiovascular disease (CVD)
among urban black South Africans. The aim was to track the progression of CVD risk factors in a multiethnic
sample of South Africans. Participants were 173 black (aged 47.5 ± 7.8 yrs) and 186 white teachers
(aged 49.6 ± 9.9 yrs) that were examined at baseline and 3 years follow-up. Blacks demonstrated a
substantially higher prevalence of composite CVD burden (defined as history of physician diagnosed
heart disease, use of anti-hypertensives, anti-diabetic, or statin medications at either time point)
compared to whites (49.1 vs. 32.0%, p ¼ 0.012) respectively. After controlling for baseline, the black
participants demonstrated greater increases in 24 h systolic and diastolic blood pressure, total cholesterol,
fasting glucose, fibrinogen, D-dimer, and waist circumference in comparison with whites. In
summary, an adverse progression of CVD risk factors was observed in the whole sample, although to a
larger degree in black participants. Aggressive treatment strategies for controlling risk factors in black
Africans are needed to reduce the increasing burden of CVD in South Africa.|
|Description: ||This is an open access article under the CC BY-NC-SA license (http://creativecommons.org/licenses/by-ncsa/3.0/).|
|Sponsor: ||The study was partly funded by The Metabolic Syndrome
Institute, France; the Medical Research Council, National Research
Foundation, North-West University, and North-West Department of
Education, South Africa. MH is supported by the British Heart
|Publisher Link: ||http://dx.doi.org/10.1016/j.atherosclerosis.2014.11.019|
|Appears in Collections:||Published Articles (Sport, Exercise and Health Sciences)|
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