Evelyn H Schlenker PhD; Rodney R Pa...

Evelyn H Schlenker PhD; Rodney R Parry, MD FCCP; and Michael J McMillin, M.D.[Unkeyable]

Anthropometric and descendants pressure data were evaluated in 724 male and female Hutterites and 273 randomly sampled male and female enslaves in southeastern South Dakota who serv as the curb group. Hutterite males and females showed significant age-dependent increases of the two weight and obesity (p<0.001) not seen in the command group. Both systolic and diastolic vital current pressures (SP and DP) of the Hutterites were higher than those of the command subjects (p<0.001). There were highly significant correlations between age, weight, obesity (all p<0001) and SP and DP of the Hutterites. Correlations between the weight and SP and DP were significant (p<0001) in the direction groups. The prevalence of systolic kindred pressures [is greater than or equal to]140 mm Hg among Hutterite males ranged from 346 to 793 percent in age form into groupss by decade vs 8.7 to 342 percent in age-matched regulate males. The prevalence of diastolic kindred pressure levels [is greater than or equal to]90 mm Hg ranged from 0 percent in the youngest ([is les than or equal to]29 years) to 79 percent oldest age cluster (60+ years) of control males. The prevalence of elevated DP among male Hutterites ranged from 59 to 379 percent in corresponding age clusters A similar age-dependent inclination of prevalence rates of elevated DP and SP were noted in female Hutterites if it be not that to a lesser extent than in superintendence subjects. Elevated blood squeezing levels among Hutterites may be an important contributing risk factor to the younger mean age of death of Hutterites compared to the dominion government population. (Chest 1989; 95:1269-73)

Multiple factors have been reported to contribute to the unravelling of hypertension, such as smoking; stress; diets high in cholesterol and sodium and grave in magnesium, calcium, potassium, and fiber; genetic factors; and hormones.[1-7] Population studies have identified clumps of individuals at risk for the unfolding of hypertension, subsequent cardiovascular disease, and increased mortality.[8-10]

In this thought anthropometric and blood pressure data were evaluated in a unique population -- Hutterites living in southeastern southern Dakota.[11,12] The Hutterites are a German-speaking, Anabaptist form into groups who live communally on large, relatively isolated colony-farms. Hutterites immigrated to the United States in the 1870 and settl in Bon Homme colony SD in 1874 Since that time, the number of colonies has grown and now through the whole extent of 300 Hutterite colonies can be construct on the northern plains of the United States and Canada. An average of 100 bodily forms live in each colony.[13] Smoking is highly discouraged among Hutterites. Because of their lifestyle, most numerous Hutterites have little contact with individuals living near them. All Hutterite adults eat each meal together. A dietary evaluation of whole monthly menus from three colonies indicated that their diet is high in protein, salt, cholesterol fats, and reasonable in fiber compared with commended dietary allowances.[14]

As a manage group, we used a randomly gooded group of individuals who live in an urban area in southeastern southern Dakota. The purpose of this thought was to evaluate the age- and sex-related prevalence of systolic and diastolic hypertension in individuals from 15 Hutterite colonies and compare them with a repress population living in a similar part of the state.

METHODS

bring under rules for this study included 724 male and female adult Hutterites (ranging in age from 16 to 80 years) from 15 colonies in southeastern southern Dakota and 273 randomly sampled enthralls (18 to 75 years) who lived in Sioux Falls, SD The randomly gooded subjects were part of the Midwest Heart scrutinize a multicommunity study designed to monitor longitudinal changes of cardiovascular risk factors. The Hutterites we studied ponder about 92 percent of the adults in these colonies.

Measurements of height and weight in stocking feet were obtained in all exposes Body obesity index (OBI) was calculated on dividing body weight (kg) at height squared ([m.sup.2]). Systolic (SP) and diastolic vital fluid pressures (DP) were measured using a standard poison ivy sphygmomanometer and cuff while the individuals were in the sitting position by way of Parry. If blood influences were [is greater than or equal to]140 mm Hg systolic and/or [is greater than or equal to]90 mm Hg diastolic, additional measurements were made. The first value was used in the statistical analysis. In neither cluster were individuals who were taking vital fluid pressure medication asked to refrain from their use prior to measurement of offspring pressures. Questionnaires were administered regarding smoking history. [TABULAR DATA OMITTED]

Statistical analysis of data included single and multiple regression analysis, analysis of variance comparing age with weight, obesity, and offspring pressure, and [X.sup.2]. Comparison of mean values among clusters was analyzed using the least square means means Data were entered in the mainframe IBM computer and analyzed using SAS programs (SAS Institute, Inc, Cary, NC)