Neck circumference is independently associated with relative systemic hypertension in young adults with sickle cell anaemia.

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dc.contributor.authorOlatunji L. A.
dc.contributor.authorOlabode O. P.
dc.contributor.authorAkinlade O. M.
dc.contributor.authorBabatunde A. S.
dc.contributor.authorOlatunji V. A.
dc.contributor.authorSoladoye A. O.
dc.date.accessioned2021-06-04T09:01:31Z
dc.date.available2021-06-04T09:01:31Z
dc.date.issued2018
dc.description.abstractAbstract 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 < 120/70 mmHg; nHTN, n = 65) and those with rHTN (BP ≥ 120/70 mmHg, n = 32). 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 < 0.01) was a predictor of rHTN in SCA independent of gender, age, weight, waist circumference, BMI, blood viscosity, triglyceride or TyG. A receiver operating characteristic curve analysis also showed that NC was the most efficient predictor of rHTN than other CMD markers. 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.en_US
dc.identifier.citationOlatunji L. A, Olabode O. P, Akinlade O. M, Babatunde A. S, Olatunji V. A, Soladoye A. O (2018). Neck circumference is independently associated with relative systemic hypertension in young adults with sickle cell anaemia. Clin. Hypertension. 24:3. pg 1-8.en_US
dc.identifier.urihttps://uilspace.unilorin.edu.ng/handle/20.500.12484/5906
dc.language.isoenen_US
dc.publisherBioMed Centralen_US
dc.subjectArterial blood pressureen_US
dc.subjectcardio-metabolic disorderen_US
dc.subjectneck circumferenceen_US
dc.subjectSickle cell diseaseen_US
dc.subjectupper body fat accumulationen_US
dc.titleNeck circumference is independently associated with relative systemic hypertension in young adults with sickle cell anaemia.en_US
dc.typeArticleen_US

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