Environmental and genetic contribution to hypertension prevalence: data from an epidemiological survey on Sardinian genetic isolates.

<h4>Background and objectives</h4>Hypertension represents a major cause of cardiovascular morbidity and mortality worldwide but its prevalence has been shown to vary in different countries. The reasons for such differences are still matter of debate, the relative contributions given by e...

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Autores principales: Ginevra Biino, Gianfranco Parati, Maria Pina Concas, Mauro Adamo, Andrea Angius, Simona Vaccargiu, Mario Pirastu
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:5c3f49b0a6c94621b4b2e3818e5289442021-11-18T07:52:38ZEnvironmental and genetic contribution to hypertension prevalence: data from an epidemiological survey on Sardinian genetic isolates.1932-620310.1371/journal.pone.0059612https://doaj.org/article/5c3f49b0a6c94621b4b2e3818e5289442013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23527229/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background and objectives</h4>Hypertension represents a major cause of cardiovascular morbidity and mortality worldwide but its prevalence has been shown to vary in different countries. The reasons for such differences are still matter of debate, the relative contributions given by environmental and genetic factors being still poorly defined. We estimated the current prevalence, distribution and determinants of hypertension in isolated Sardinian populations and also investigated the environmental and genetic contribution to hypertension prevalence taking advantage of the characteristics of such populations.<h4>Methods and results</h4>An epidemiological survey with cross-sectional design was carried out measuring blood pressure in 9845 inhabitants of 10 villages of Ogliastra region between 2002 and 2008. Regression analysis for assessing blood pressure determinants and variance component models for estimating heritability were performed. Overall 38.8% of this population had hypertension, its prevalence varying significantly by age, sex and among villages taking into account age and sex structure of their population. About 50% of hypertensives had prior cardiovascular disease. High blood pressure was independently associated with age, obesity related factors, heart rate, total cholesterol, alcohol consumption, low education and smoking status, all these factors contributing more in women than in men. Heritability was 27% for diastolic and 36% for systolic blood pressure, its contribution being significantly higher in men (57%) than in women (46%). Finally, the genetic correlation between systolic and diastolic blood pressure was 0.74, indicating incomplete pleiotropy.<h4>Conclusion</h4>Genetic factors involved in the expression of blood pressure traits account for about 30% of the phenotypic variance, but seem to play a larger role in men; comorbidities and environmental factors remain of predominant importance, but seem to contribute much more in women.Ginevra BiinoGianfranco ParatiMaria Pina ConcasMauro AdamoAndrea AngiusAndrea AngiusSimona VaccargiuMario PirastuPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 3, p e59612 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ginevra Biino
Gianfranco Parati
Maria Pina Concas
Mauro Adamo
Andrea Angius
Andrea Angius
Simona Vaccargiu
Mario Pirastu
Environmental and genetic contribution to hypertension prevalence: data from an epidemiological survey on Sardinian genetic isolates.
description <h4>Background and objectives</h4>Hypertension represents a major cause of cardiovascular morbidity and mortality worldwide but its prevalence has been shown to vary in different countries. The reasons for such differences are still matter of debate, the relative contributions given by environmental and genetic factors being still poorly defined. We estimated the current prevalence, distribution and determinants of hypertension in isolated Sardinian populations and also investigated the environmental and genetic contribution to hypertension prevalence taking advantage of the characteristics of such populations.<h4>Methods and results</h4>An epidemiological survey with cross-sectional design was carried out measuring blood pressure in 9845 inhabitants of 10 villages of Ogliastra region between 2002 and 2008. Regression analysis for assessing blood pressure determinants and variance component models for estimating heritability were performed. Overall 38.8% of this population had hypertension, its prevalence varying significantly by age, sex and among villages taking into account age and sex structure of their population. About 50% of hypertensives had prior cardiovascular disease. High blood pressure was independently associated with age, obesity related factors, heart rate, total cholesterol, alcohol consumption, low education and smoking status, all these factors contributing more in women than in men. Heritability was 27% for diastolic and 36% for systolic blood pressure, its contribution being significantly higher in men (57%) than in women (46%). Finally, the genetic correlation between systolic and diastolic blood pressure was 0.74, indicating incomplete pleiotropy.<h4>Conclusion</h4>Genetic factors involved in the expression of blood pressure traits account for about 30% of the phenotypic variance, but seem to play a larger role in men; comorbidities and environmental factors remain of predominant importance, but seem to contribute much more in women.
format article
author Ginevra Biino
Gianfranco Parati
Maria Pina Concas
Mauro Adamo
Andrea Angius
Andrea Angius
Simona Vaccargiu
Mario Pirastu
author_facet Ginevra Biino
Gianfranco Parati
Maria Pina Concas
Mauro Adamo
Andrea Angius
Andrea Angius
Simona Vaccargiu
Mario Pirastu
author_sort Ginevra Biino
title Environmental and genetic contribution to hypertension prevalence: data from an epidemiological survey on Sardinian genetic isolates.
title_short Environmental and genetic contribution to hypertension prevalence: data from an epidemiological survey on Sardinian genetic isolates.
title_full Environmental and genetic contribution to hypertension prevalence: data from an epidemiological survey on Sardinian genetic isolates.
title_fullStr Environmental and genetic contribution to hypertension prevalence: data from an epidemiological survey on Sardinian genetic isolates.
title_full_unstemmed Environmental and genetic contribution to hypertension prevalence: data from an epidemiological survey on Sardinian genetic isolates.
title_sort environmental and genetic contribution to hypertension prevalence: data from an epidemiological survey on sardinian genetic isolates.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/5c3f49b0a6c94621b4b2e3818e528944
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