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DOI: 10.1055/s-2004-820947
© Georg Thieme Verlag KG Stuttgart · New York
Central Adiposity, Aerobic Fitness, and Blood Pressure in Premenopausal Hispanic Women[*]
Publication History
Accepted after revision: October 30, 2003
Publication Date:
24 May 2004 (online)
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Abstract
Hispanics comprise one of the fastest-growing segments of the U.S. population. Mexican-American adults are more likely to be overweight, physically inactive, diabetic, and to have higher levels of hypertension than are white adults. However, studies addressing the relationship between physical fitness and coronary artery disease (CAD) risk factors among Mexican-Americans are much less conclusive. Therefore, understanding the etiology of factors influencing resting systolic (SBP) and diastolic blood pressure (DBP) in Hispanic women was the aim of this investigation. SBP, DBP, peak oxygen uptake (peak VO2), weekly physical activity, waist (WC) and hip circumference, blood glucose, and levels of plasma lipids (triglyceride, total cholesterol, low-density lipoprotein-cholesterol, high-density lipoprotein-cholesterol) of 39 Hispanic women age 22 - 51 years were measured. Factors with significant correlation to SBP were age, WC, sagittal diameter, and weight. Similarly, significant correlations were observed between anthropometric indices, age, and DBP. Peak VO2 (r = - 0.53, p < 0.01) and heart rate at maximal effort (r = - 0.34, p ≤ 0.05) were inversely associated to DBP. There was also a strong inverse correlation (r = - 0.53, p < 0.01) between peak VO2 and CAD risk profile (created from one or the combination of: hypertension, obesity, hyperglycemia, dyslipidemia, smoking). Stepwise multiple linear regression revealed that 33 % of the variance in SBP is attributed to age (25 %), and WC (8 %), while DBP is explained by WC alone (26 %). The addition of peak VO2 did not make significant contributions to the variances in SBP or DBP. The findings of this study suggest that central adiposity is an important predictor of resting blood pressure in Hispanic women. The inverse association between aerobic fitness and diastolic blood pressure as well as CAD risk factors suggests that recommendations regarding prevention of hypertension in this population should be based on the interrelationships between physical fitness and obesity.
Key words
Obesity - waist circumference - hypertension - exercise - V·O2max
1 This study was supported by the University of Southern California Norris Comprehensive Cancer Center. Funding for Cancer Control Research Projects was awarded to C. Anderson Johnson.
References
- 1 American Diabetes Association . Screening for type 2 diabetes. Diabetes Care. 1998; 12 20-22
- 2 American Heart Association .1999 Heart and Stroke Statistical Update. Dallas, TX; American Heart Association 1998
- 3 Barnard R J, Wen S J. Exercise and diet in the control of the metabolic syndrome. Sports Med. 1994; 18 218-228
- 4 Berlin J A, Colditz G A. A meta-analysis of physical activity in the prevention of coronary heart disease. Am J Epidemiol. 1990; 132 612-628
- 5 Blair S N, Kohl H W, Paffenbarger Jr R S, Clark D G, Cooper K H, Gibbons L W. Physical fitness and all-cause mortality. A prospective study of healthy men and women. JAMA. 1989; 262 2395-2401
- 6 Despres J P, Moorjani S, Lupien P J, Tremblay A, Nadeau A, Bouchard C. Regional distribution of body fat, plasma lipoproteins, and cardiovascular disease. Arteriosclerosis. 1990; 10 497-511
- 7 Despres J P, Prud'homme D, Pouliot M C, Tremblay A, Bouchard C. Estimation of deep abdominal adipose-tissue accumulation from simple anthropometric measurements in men. Am J Clin Nutr. 1991; 54 471-477
- 8 Ferland M, Despres J P, Tremblay A, Pinault S, Nadeau A, Moorjani S, Lupien P J, Theriault G, Bouchard C. Assessment of adipose tissue distribution by computed axial tomography in obese women: association with body density and anthropometric measurements. Br J Nutr. 1989; 61 139-148
- 9 Folsom A R, Prineas R J, Kaye S A, Munger R. Incidence of hypertension and stroke in relation to body fat distribution and other risk factors in older women. Stroke. 1990; 21 701-706
- 10 Fripp R R, Hodgson J L, Kwiterovich P O, Werner J C, Schuler H G, Whitman V. Aerobic capacity, obesity, and atherosclerotic risk factors in male adolescents. Pediatrics. 1985; 75 813-818
- 11 Glassberg H, Balady G J. Exercise and heart disease in women: why, how, and how much?. Cardiol Rev. 1999; 7 301-308
- 12 Goff D C, Ramsey D J, Labarthe D R, Nichaman M Z. Greater case-fatality after myocardial infarction among Mexican Americans and women than among non-Hispanic whites and men: the Corpus Christi Heart Program. Am J Epidemiol. 1994; 139 474-483
- 13 Haffner S M, Stern M P, Hazuda H P, Pugh J, Patterson J K, Malina R. Upper body and centralized adiposity in Mexican Americans and non-Hispanic whites: Relationship to body mass index and other behavioral and demographic variables. Int J Obes Relate Metab Disord. 1986; 10 493-502
- 14 Haffner S M, Hazuda H P, Mitchell B D, Patterson J K, Stern M P. Increased incidence of type II diabetes mellitus in Mexican Americans. Diabetes Care. 1991; 14 102-108
- 15 Hans T S, Feskens E J, Lean M E, Seidell J C. Associations of body composition with Type 2 diabetes mellitus. Diabet Med. 1998; 15 129-135
- 16 Hazuda H P, Haffner S M, Stern M P, Eifler C W. Effects of acculturation and socioeconomic status on obesity and diabetes in Mexican Americans. Am J Epidemiol. 1988; 128 1289-1301
- 17 Hughes T, Capell F, Benn S. et al . Sex-, age-, and region-specific prevalence of sedentary lifestyle in selected states in 1985: the behavioral risk factor surveillance system. MMWR. 1987; 36 195-204
- 18 Huttunen J K, Lansimies E, Voutilainen E, Ehnholm C, Hietanen E, Penttila I, Siitonen O, Rauramaa R. Effect of moderate physical exercise on serum lipoproteins. Circulation. 1979; 60 1220-1229
- 19 Joint National Committee on Detection . The 1988 Joint National Committee on detection, evaluation, and treatment of high blood pressure. Arch Intern Med. 1988; 148 1023-1038
- 20 Kissebah A H. Intra-abdominal fat: Is it a major factor in developing diabetes and coronary artery disease?. Diabetes Res Clin Pract. 1996; 30 25-30
- 21 Kokkinos P F, Fernhall B. Physical activity and high density lipoprotein cholesterol levels: what is the relationship?. Sports Med. 1999; 28 307-314
- 22 Lamarche B. Abdominal obesity and its metabolic complications: Implications for the risk of ischaemic heart disease. Coron Artery Dis. 1998; 9 473-481
- 23 Laukkanen J A, Lakka T A, Rauramaa R, Kuhanen R, Venalainen J M, Salonen R, Salonen J T. Cardiovascular fitness as a predictor of mortality in men. Arch Intern Med. 2001; 161 825-831
- 24 Lee I-M, Rexrode K M, Cook N R, Mason J E, Buring J E. Physical activity and coronary heart disease in women: is “no pain, no gain” passé?. JAMA. 2001; 285 1447-1454
- 25 Lies A D, Mayer-Davis E J, Haffner S M. Development of the multiple metabolic syndrome: an epidemiologic perspective. Epidemiol Rev. 1998; 20 157-172
- 26 Lipid Research Clinics Program .Manual of Laboratory Operations: Vol. 1. Lipid and Lipoprotein Analysis. Bethesda, MD; National Heart Lung and Blood Institute, Department of Health, Education, and Welfare publication NIH 1974: 75-628
- 27 Lipson L C, Bonow R O, Schaefer E J, Brewer H B, Lindgren F T. Effect of exercise conditioning on plasma high density lipoproteins and other lipoproteins. Atherosclerosis. 1980; 37 529-538
- 28 Lohman T G, Roche A F, Martorell R. (eds) .Anthropometric Standardization Reference Manual. Champaign, IL; Human Kinetics 1988
- 29 McKenzie T L, Sallis J F, Nader P R, Broyles S L, Nelson J A. Anglo- and Mexican-American preschoolers at home and at recess: Activity patterns and environmental influences. J Dev Behav Pediat. 1992; 13 173-180
- 30 Molarius A, Seidell J C. Selection of anthropometric indicators for classification of abdominal fatness - A critical review. Int J Obes Relat Metab Disord. 1998; 22 719-727
- 31 National Institute of Health/National Heart, Lungs & Blood . Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. The evidence report. Obesity Res. 1998; 6 51-209
- 32 Okusun L S, Liao Y, Rotimi C N, Prewitt T E, Cooper R S. Abdominal adiposity and clustering of multiple metabolic syndrome in White, Black, and Hispanic Americans. Ann Epidemiol. 2000; 10 263-270
- 33 Ostir G V, Markides K S, Freeman D H, Goodwin J S. Obesity and health conditions in elderly Mexican Americans: The Hispanic EPESE. Ethn Dis. 2000; 10 31-38
- 34 Paffenbarger R S, Wing A L, Hyde R T. Physical activity as an index of heart attack risk in college alumni. Am J Epidemiol. 1978; 108 161-175
-
35 Paffenbarger R S, Lee I M.
Exercise and fitness. Manson JE, Ridker PM, Gaziano JM, Hennekens CH Prevention of Myocardial Infarction. New York, NY; Oxford University Press 1996: 172-202 - 36 Poehlman E T, Toth M J, Ades P A, Rosen C J. Menopause-associated changes in plasma lipids, insulin-like growth factor I and blood pressure: A longitudinal study. Eur J Clin Invest. 1997; 27 322-326
- 37 Pouliot M C, Despres J P, Lemieux S, Moorjani S, Bouchard C, Tremblay A, Nadeau A, Lupien P J. Waist circumference and abdominal sagittal diameter: Best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women. Am J Cardiol. 1994; 73 460-468
- 38 Prineas R J, Folsom A R, Kaye S A. Central adiposity and increased risk of coronary artery disease mortality in older women. Ann Epidemiol. 1993; 3 35-41
- 39 Schiller B C, Casas Y G, Desouza C A, Seals D R. Maximal aerobic capacity across age in healthy Hispanic and Caucasian women. J Appl Physiol. 2001; 91 1048-1054
- 40 Seidell J C, Hans T S, Feskens E J, Lean M E. Narrow hips and broad waist circumferences independently contribute to increased risk of non-insulin-dependent diabetes mellitus. J Intern Med. 1997; 242 401-406
- 41 Taylor R W, Keil D, Gold E J, Williams S M, Goulding A. Body mass index, waist girth, and waist-to-hip ratio as indexes of total and regional adiposity in women: Evaluation using receiver operatoring characteristic curves. Am J Clin Nutr. 1998; 67 44-49
- 42 U. S. Bureau of the Census .Current Population Report 2000. Washington; U. S. Department of Commerce 2000
- 43 Williams P T. High density lipoprotein cholesterol and other risk factors for coronary heart disease in female runners. N Engl J Med. 1996; 334 1298-1303
- 44 Williams P T. Relationships of heart disease risk factors to exercise quantity and intensity. Arch Intern Med. 1998; 158 237-245
- 45 Williams P T. Physical fitness and activity as separate heart disease risk factors: a meta-analysis. Med Sci Sports Exerc. 2001; 33 754-761
- 46 Winkleby M A, Ahn D. Blood pressure findings for Mexican-American women and men from the Third National Health and Nutrition Examination Survey, 1988 - 1994. Biomedicina. 1998; 1 321-325
- 47 Winkleby M A, Kraemer H C, Ahn D K, Varady A N. Ethnic and socioeconomic differences in cardiovascular disease risk factors: findings for women from the Third National Health and Nutrition Examination Survey, 1988 - 1994. JAMA. 1998; 280 356-362
- 48 World Health Organization .Obesity: Preventing and managing the global epidemic. Report of a WHO Consultation on Obesity: June 3 - 5, 1997. Geneva, Switzerland; WHO Publishing 1998
1 This study was supported by the University of Southern California Norris Comprehensive Cancer Center. Funding for Cancer Control Research Projects was awarded to C. Anderson Johnson.
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