PMID- 26754344 OWN - NLM STAT- MEDLINE DCOM- 20161005 LR - 20221207 IS - 1471-2261 (Electronic) IS - 1471-2261 (Linking) VI - 16 DP - 2016 Jan 12 TI - The association of reduced lung function with blood pressure variability in African Americans: data from the Jackson Heart Study. PG - 6 LID - 10.1186/s12872-015-0182-2 [doi] LID - 6 AB - BACKGROUND: African Americans (AAs) have lower lung function, higher blood pressure variability (BPV) and increased risk for hypertension and cardiovascular disease (CVD) compared with whites. The mechanism through which reduced lung-function is associated with increased CVD risk is unclear. METHODS: We evaluated the association between percent predicted lung-function and 24-hour BPV in 1008 AAs enrolled in the Jackson Heart Study who underwent ambulatory blood pressure (BP) monitoring. Lung-function was assessed as forced expiratory volume in one second (FEV1), forced vital capacity (FVC) and the ratio of FEV1-to-FVC during a pulmonary function test using a dry rolling sealed spirometer and grouped into gender-specific quartiles. The pairwise associations of these three lung-function measures with two measures of 24-hour BPV, (1) day-night standard deviation (SDdn) and (2) average real variability (ARV) were examined for systolic BP (SBP) and, separately, diastolic BP (DBP). RESULTS: SDdn of SBP was not associated with FEV1 (mean +/- standard deviation from lowest-to-highest quartile: 9.5 +/- 2.5, 9.4 +/- 2.4, 9.1 +/- 2.3, 9.3 +/- 2.6; p-trend = 0.111). After age and sex adjustment, the difference in SDdn of SBP was 0.0 (95% CI -0.4,0.4), -0.4 (95% CI -0.8,0.1) and -0.3 (95% CI -0.7,0.1) in the three progressively higher versus lowest quartiles of FEV1 (p-trend = 0.041). Differences in SDdn of SBP across FEV1 quartiles were not statistically significant after further multivariable adjustment. After multivariable adjustment, no association was present between FEV1 and ARV of SBP or SDdn and ARV of DBP or when evaluating the association of FVC and FEV1-to-FVC with 24-hour BPV. CONCLUSION: Lung-function was not associated with increased 24-hour BPV. FAU - Booth, John N 3rd AU - Booth JN 3rd AD - University of Alabama at Birmingham, Birmingham, AL, USA. FAU - Redmond, Nicole AU - Redmond N AD - University of Alabama at Birmingham, Birmingham, AL, USA. FAU - Sims, Mario AU - Sims M AD - University of Mississippi Medical Center, Jackson, MS, USA. FAU - Shimbo, Daichi AU - Shimbo D AD - Columbia University Medical Center, New York, NY, USA. FAU - Muntner, Paul AU - Muntner P AD - University of Alabama at Birmingham, Birmingham, AL, USA. pmuntner@uab.edu. AD - Department of Epidemiology, University of Alabama at Birmingham, 1700 University Boulevard, LHL 440, Birmingham, AL, 35294, USA. pmuntner@uab.edu. LA - eng GR - HHSN268201300049C/PHS HHS/United States GR - HHSN268201300048C/PHS HHS/United States GR - P60 MD002249/MD/NIMHD NIH HHS/United States GR - U54 MD008176/MD/NIMHD NIH HHS/United States GR - HHSN268201300047C/PHS HHS/United States GR - R01 HL117323-01/HL/NHLBI NIH HHS/United States GR - HHSN268201300048C/HL/NHLBI NIH HHS/United States GR - K12-HS023009/HS/AHRQ HHS/United States GR - K12 HS023009/HS/AHRQ HHS/United States GR - HHSN268201300049C/HL/NHLBI NIH HHS/United States GR - HHSN268201300050C/PHS HHS/United States GR - HHSN268201300046C/PHS HHS/United States GR - HHSN268201300047C/HL/NHLBI NIH HHS/United States GR - HHSN268201300050C/HL/NHLBI NIH HHS/United States GR - U54MD008176/MD/NIMHD NIH HHS/United States GR - P60MD002249/MD/NIMHD NIH HHS/United States GR - R01 HL117323/HL/NHLBI NIH HHS/United States GR - HHSN268201300046C/HL/NHLBI NIH HHS/United States PT - Journal Article DEP - 20160112 PL - England TA - BMC Cardiovasc Disord JT - BMC cardiovascular disorders JID - 100968539 SB - IM MH - *Black or African American MH - Aged MH - Blood Pressure/*physiology MH - Blood Pressure Monitoring, Ambulatory MH - Cardiovascular Diseases/epidemiology/physiopathology MH - Circadian Rhythm/physiology MH - Female MH - Forced Expiratory Volume MH - Humans MH - Hypertension/epidemiology/*physiopathology MH - Linear Models MH - Lung/physiology/*physiopathology MH - Lung Diseases/epidemiology/*physiopathology MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Risk Factors MH - Smoking/epidemiology MH - Vital Capacity PMC - PMC4709870 EDAT- 2016/01/13 06:00 MHDA- 2016/10/07 06:00 PMCR- 2016/01/12 CRDT- 2016/01/13 06:00 PHST- 2015/06/16 00:00 [received] PHST- 2015/12/24 00:00 [accepted] PHST- 2016/01/13 06:00 [entrez] PHST- 2016/01/13 06:00 [pubmed] PHST- 2016/10/07 06:00 [medline] PHST- 2016/01/12 00:00 [pmc-release] AID - 10.1186/s12872-015-0182-2 [pii] AID - 182 [pii] AID - 10.1186/s12872-015-0182-2 [doi] PST - epublish SO - BMC Cardiovasc Disord. 2016 Jan 12;16:6. doi: 10.1186/s12872-015-0182-2.