title: The Contribution of Age and Weight to Blood Pressure Levels Among Blacks and Whites Receiving Care in Community-Based Primary Care Practices.
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.
authors.affiliation: River Hill High School, Clarksville, Maryland.
authors.forename: Athena Wing-ga
authors.initials: AW
authors.lastname: Kan
authors.affiliation: Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors.forename: Tanvir
authors.initials: T
authors.lastname: Hussain
authors.affiliation: Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health.
authors.forename: Kathryn A
authors.initials: KA
authors.lastname: Carson
authors.affiliation: Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors.forename: Tanjala S
authors.initials: TS
authors.lastname: Purnell
authors.affiliation: Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, and Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
authors.forename: Hsin-Chieh
authors.initials: HC
authors.lastname: Yeh
authors.affiliation: Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors.forename: Michael
authors.initials: M
authors.lastname: Albert
authors.affiliation: 2024 E. Monument St, Room 2-515, Baltimore, MD 21287. Email: lisa.cooper@jhmi.edu. Dr Cooper is affiliated with the Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, and the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Cooper
mesh_terms: D000368:Aged; D000375:Aging / Q000502:physiology; D015142:Baltimore / Q000453:epidemiology; D044383:Black People / Q000706:statistics & numerical data*; D001794:Blood Pressure / Q000502:physiology*; D015992:Body Mass Index; D001835:Body Weight / Q000502:physiology*; D003153:Community Health Services / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D057286:Electronic Health Records; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D006973:Hypertension / Q000208:ethnology / Q000209:etiology*; D019458:Insurance Coverage / Q000706:statistics & numerical data; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000208:ethnology; D058007:Physicians, Primary Care; D012307:Risk Factors; D012959:Socioeconomic Factors; D044465:White People / Q000706:statistics & numerical data*; D001741:Black or African American