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KMID : 4412620180240010003
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Clinical Hypertension
2018 Volume.24 No. 1 p.3 ~ p.3
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Neck circumference is independently associated with relative systemic hypertension in young adults with sickle cell anaemia
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Olatunji Lawrence A.
Olabode Olatunde P.
Akinlade Olawale M.
Babatunde Abiola S.
Olatunji Victoria A.
Soladoye Ayodele O.
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Abstract
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Background: A seemingly interesting observation in patients with sickle cell anaemia (SCA) is that they usually have lower systemic blood pressures (BP) and insulin resistance than persons in the general population in spite of chronic inflammation and vasculopathy. However, relative systemic hypertension (rHTN) has been linked to pulmonary hypertension, increased blood viscosity and renal insufficiency, which could indicate a risk of developing cardiometabolic disorder (CMD) in SCA. We therefore hypothesized that neck circumference (NC) and CMD marker; triglyceride glucose (TyG) index would independently predict rHTN in young adults with SCA in steady state.
Methods: We compared the anthropometrical, hematological, hemorheological and CMD markers between SCA patients with normal BP?
Results: Our results showed that SCA with rHTN had significantly higher body weight, waist circumference, NC, plasma viscosity, systolic and diastolic BP. Results also indicated that NC (OR: 2.98; 95% CI 1.46 to 6.10, p?
Conclusion: The present study demonstrates that increased NC is a salient risk factors that is independently associated with rHTN in SCA. The finding therefore underscores the utility of NC in early detection and stratification of systemic hypertension, particularly in individuals with SCA.
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KEYWORD
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Arterial blood pressure, Cardiometabolic disorder, Neck circumference, Sickle cell disease, Upper-body fat accumulation
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