Is the blood pressure of South Asian adults in the UK higher or lower than that in European white adults? A review of cross-sectional data

Agyemang, Charles; Bhopal, Raj

doi:10.1038/sj.jhh.1001488

Cited by 94 publications

(104 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For studies that reported BP, hypertension and BMI for South Asian subgroups, together with pooled data in an overall South Asian group, only the subgroup level data were extracted because of well-known heterogeneity among South Asians in BP. 24 …”

Section: Study Selection and Data Extractionmentioning

confidence: 99%

Sex difference in blood pressure among South Asian diaspora in Europe and North America and the role of BMI: a meta-analysis

et al. 2010

Self Cite

View full text Add to dashboard Cite

It is unclear whether the sex difference that is known to occur in blood pressure (BP) is similar in some South Asian populations. This study presents a meta-analysis of the sex difference in BP, hypertension and the role of body mass index (BMI) in South Asian diaspora compared with populations of European descent. We systematically searched for studies that reported BP and hypertension among South Asian descent populations living in Europe and North America. Weighted mean differences in BP and risk ratios (RR) for hypertension were calculated for men and women. We included 11 studies in this meta-analysis. In general, men had a higher BP and prevalence of hypertension than women, for example, systolic BP was higher in men than in women among the Indian (7.21 mm Hg, 95% confidence interval (CI): 4.46-9.95) and European populations (6.12 mm Hg, 95% CI: 4.45-7.80). The difference was less in the Pakistani population (4.00 mm Hg, 95% CI: 2.65-5.36). The Bangladeshi population showed a comparatively small sex difference in systolic (2.93 mm Hg, 95% CI: 1.20-4.66) and diastolic BP (0.68 mm Hg, 95% CI: À1.76 to 3.12) and prevalence of hypertension (RR 1.28, 95% CI: 0.66-2.46). Sex differences in BMI for the South Asian populations were greater than those in Europeans. The Indian population had similar sex differences in BP and hypertension compared with Europeans, but Pakistani and Bangladeshi had smaller sex differences. Sex differences in BMI might relate to the blunted sex differences in BP in Pakistani and Bangladeshi populations. Further research should focus on factors that underlie this intriguing sex difference among South Asian populations.

show abstract

Section: Study Selection and Data Extractionmentioning

confidence: 99%

Sex difference in blood pressure among South Asian diaspora in Europe and North America and the role of BMI: a meta-analysis

et al. 2010

Self Cite

View full text Add to dashboard Cite

show abstract

“…However, there was great heterogeneity within the South Asian groups, with Indians having similar BP, Pakistanis having slightly lower BP and Bangladeshis having much lower BP compared with their White counterparts. 3 Young people of African descent had a similar BP with White people, whereas the older group had a higher BP compared with White people. 4 The similarities in BP among African and White younger age groups in the UK are in contrast to the higher BP levels reported among African Americans at all ages in the USA.…”

Section: Introductionmentioning

confidence: 95%

“…Overall weighted mean difference (WMD) in PP was 1.68 (95% confidence interval: [0.38, 2.98 mm Hg]; P ¼ 0.01) in men and 2.01 ([0. 39,3.63 mm Hg]; Po0.001) in women. South Asian men (n ¼ 7 studies) had a lower mean PP than White men (À1.94; [À3.56, -0.32 mm Hg]; P ¼ 0.02), whereas no significant difference was found between South Asian and White women (n ¼ 5 studies) (À0.40;…”

mentioning

confidence: 93%

“…As a result, several studies have compared ethnic differences in BP using systolic and diastolic BP in the UK. 3,4 The recent systematic review by Agyemang and Bhopal 3 in the UK found that overall BP levels in South Asian descent populations are similar to White people. However, there was great heterogeneity within the South Asian groups, with Indians having similar BP, Pakistanis having slightly lower BP and Bangladeshis having much lower BP compared with their White counterparts.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, the higher levels of CHD and stroke among Bangladeshi people 1 are in contrast to the lower BP levels reported among this group in the UK. 3 Several studies [6][7][8][9] indicate that pulse pressure (PP) (the difference between systolic and diastolic BP) is an important independent predictor of CVD. PP, which is an indicator of large artery stiffness, is a consistent predictor of a worse prognosis in middleaged and older people, hypertensive subjects, survivors of myocardial infarction and patients with left ventricular dysfunction.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Does the pulse pressure in people of European, African and South Asian descent differ? A systematic review and meta-analysis of UK data

2007

Self Cite

View full text Add to dashboard Cite

The aim of this study was to assess whether the pulse pressures (PPs) in people of African and South Asian descent differ from those of the European-origin White (henceforth, White) in the UK. A systematic literature review was carried out using MEDLINE 1966-2006 and EMBASE 1980-2006. The meta-analysis was performed using Cochrane review manager software (RevMan version 4.2; Oxford, UK). Thirteen studies were examined. Results for African descent men (n ¼ 9 studies) and women (n ¼ 7) indicated that African men and women had a higher mean PP than their White counterparts. Overall weighted mean difference (WMD)

show abstract

Adiposity and blood pressure in 7‐ to 11‐year‐old children: Comparison of British Pakistani and white British children, and of British Pakistani children of migrant and British‐born mothers

Henderson

Jones

Hornby-Turner

et al. 2011

American J Hum Biol

View full text Add to dashboard Cite

show abstract

Is the blood pressure of South Asian adults in the UK higher or lower than that in European white adults? A review of cross-sectional data

Cited by 94 publications

References 25 publications

Sex difference in blood pressure among South Asian diaspora in Europe and North America and the role of BMI: a meta-analysis

Sex difference in blood pressure among South Asian diaspora in Europe and North America and the role of BMI: a meta-analysis

Does the pulse pressure in people of European, African and South Asian descent differ? A systematic review and meta-analysis of UK data

Adiposity and blood pressure in 7‐ to 11‐year‐old children: Comparison of British Pakistani and white British children, and of British Pakistani children of migrant and British‐born mothers

Contact Info

Product

Resources

About