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    Blood Pressure and Arterial Stiffness in Kenyan Adolescents With the Sickle Cell Trait

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    Date
    2017-05-22
    Author
    Etyang, A. O.
    Wandabwa, C. K.
    Kapesa, S.
    Muthumbi, E.
    Odipo, E.
    Wamukoya, M.
    Ngomi, Nicholas N.
    Haregu, T.
    Kyobutungi, C.
    Williams, T. N.
    Makale, J.
    Macharia, A.
    Cruickshank, J. K.
    Smeeth, L.
    Scott, A. G.
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    Abstract
    The potential association between sickle cell trait (SCT) and increased arterial stiffness/blood pressure (BP) has not been evaluated in detail despite its association with stroke, sudden death, and renal disease. We performed 24-hour ambulatory BP monitoring and arterial stiffness measurements in adolescents raised in a malaria-free environment in Kenya. Between December 2015 and June 2016, 938 randomly selected adolescents (ages 11-17 years) who had been continuous residents of Nairobi from birth were invited to participate in the study. Standard clinic BP measurement was performed, followed by 24-hour ambulatory BP monitoring and arterial stiffness measurement using an Arteriograph24 (TensioMed Ltd., Budapest, Hungary) device. SCT status was determined using DNA genotyping in contemporaneously collected blood samples. Of the 938 adolescents invited to participate, 609 (65%) provided complete data for analysis. SCT was present in 103 (15%). Mean 24-hour systolic and diastolic BPs were 116 (standard deviation (SD), 11.5) mm Hg and 64 (SD, 7) mm Hg, respectively, in children with SCT and 117 (SD, 11.4) mm Hg and 64 (SD, 6.8) mm Hg, respectively, in non-SCT children. Mean pulse wave velocity (PWV) was 7.1 (SD, 0.8) m/second and 7.0 (SD, 0.8) m/second in SCT and non-SCT children, respectively. We observed no differences in PWV or in any clinic or ambulatory BP-derived measures between adolescents with and without SCT. These data suggest that SCT does not independently influence BP or PWV.
    URI
    https://pubmed.ncbi.nlm.nih.gov/28992220/
    https://academic.oup.com/aje/article/187/2/199/3867261
    https://www.researchgate.net/publication/317582785_Blood_Pressure_and_Arterial_Stiffness_in_Kenyan_Adolescents_With_the_Sickle_Cell_Trait
    https://researchonline.lshtm.ac.uk/id/eprint/4503991/1/Blood%20Pressure%20and%20Arterial%20Stiffness_GREEN%20AAM.pdf
    https://www.ndm.ox.ac.uk/publications/835540
    https://www.x-mol.com/paper/1213019116239261723?recommend
    https://www.semanticscholar.org/paper/Blood-Pressure-and-Arterial-Stiffness-in-Kenyan-the-Etyang-Wandabwa/dea8035877cd06c25607d77293568d0db1a99413
    http://hdl.handle.net/123456789/4550
    Blood Pressure and Arterial Stiffness in Kenyan Adolescents With the Sickle Cell Trait
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    • Journal Articles (PAS) [273]

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