The Contribution of Age and Weight to Blood Pressure Levels Among Blacks and Whites Receiving Care in Community-Based Primary Care Practices

Prev Chronic Dis. 2015 Sep 24:12:E161. doi: 10.5888/pcd12.150069.

Abstract

We examined whether race and age, risk factors for obesity and hypertension, affect the association of obesity with elevated blood pressure (BP). Using electronic medical record data, we conducted a cross-sectional study of adult patients seen at 6 Maryland primary care clinics from September 2011 through June 2012. The risk for higher BP among patients younger than 65 years and in an elevated weight category was greater for both races but was higher for whites than blacks. For patients aged 65 years or older, weight had little impact on systolic BP, suggesting that approaches involving weight loss to address elevated BP should focus on populations younger than 65.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Aging / physiology
  • Baltimore / epidemiology
  • Black People / statistics & numerical data*
  • Black or African American
  • Blood Pressure / physiology*
  • Body Mass Index
  • Body Weight / physiology*
  • Community Health Services / statistics & numerical data
  • Cross-Sectional Studies
  • Electronic Health Records
  • Health Status Disparities
  • Hispanic or Latino / statistics & numerical data
  • Humans
  • Hypertension / ethnology
  • Hypertension / etiology*
  • Insurance Coverage / statistics & numerical data
  • Middle Aged
  • Obesity / complications
  • Obesity / ethnology
  • Physicians, Primary Care
  • Risk Factors
  • Socioeconomic Factors
  • White People / statistics & numerical data*