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J Am Geriatr Soc. 1999 Jul;47(7):804-10.

Changes in blood pressure and risk factors for cardiovascular disease among older Mexican-Americans from 1982-1984 to 1993-1994.

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  • 1Department of Medicine, and Center on Aging, University of Texas Medical Branch, Galveston 77555-0664, USA.

Abstract

OBJECTIVE:

To determine the 10-year changes in blood pressure and cardiovascular risk factors among older Mexican-Americans.

DESIGN:

Comparative analyses of the Hispanic Health and Nutrition Examination Survey (HHANES) and the Hispanic EPESE (Established Populations for Epidemiologic Studies of the Elderly). Both of these were population-based studies using a multistage stratified probability sampling design of noninstitutionalized persons.

SETTING:

Five US states in the southwest: Arizona, California, Colorado, New Mexico, and Texas.

PARTICIPANTS:

A total of 216 Mexican-Americans aged 65 to 74 from the 1982-1984 HHANES and 3050 Mexican-Americans aged 65+ from the 1993-1994 Hispanic EPESE.

MEASUREMENTS:

Mean systolic and diastolic blood pressure; cigarette smoking; high levels of alcohol use; body mass index and obesity; self-reported heart attack, stroke, and diabetes; hypertension.

RESULTS:

Among 65- to 74-year-old Mexican-Americans, there was a decrease over time in the percent of those who smoked cigarettes from 27.60% to 13.96% and a decrease in mean systolic blood pressure level. The percent of subjects categorized as obese or severely obese increased significantly, as did the prevalence of diagnosed diabetes, increasing from 20.06% in 1982-1984 to 29.82% in 1993-1994. Mean diastolic blood pressure increased from 77.15 mm Hg in 1982-1984 to 81.21 mm Hg in 1993-1994.

CONCLUSIONS:

Our findings suggest major changes in cardiovascular risk factors between 1982-1984 and 1993-1994 among older Mexican-Americans.

PMID:
10404923
[PubMed - indexed for MEDLINE]
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