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dc.contributor.authorWhalley, Gillian
dc.contributor.authorPitama, S.G.
dc.contributor.authorWells, J.E.
dc.contributor.authorFaatoese, A.F.
dc.contributor.authorTroughton, R.W.
dc.contributor.authorRichards, Mark
dc.contributor.authorCameron, V.A.
dc.contributor.authorGillies, T.W.
dc.contributor.authorDoughty, R.N.
dc.contributor.authorGamble, G.D.
dc.contributor.authorHuria, T.
dc.description.abstractObjectives: Cardiovascular disease (CVD) is the leading cause of mortality in New Zealand with a disproportionate burden of disease in the Māori population. The Hauora Manawa Project investigated the prevalence of cardiovascular risk factors and CVD in randomly selected Māori and non-Māori participants. This paper reports the prevalence of structural changes in the heart. Methods: A total of 252 rural Māori, 243 urban Māori; and 256 urban non-Māori underwent echocardiography to assess cardiac structure and function. Multivariable logistic regression was used to determine variables associated with heart size. Results: Left ventricular (LV) mass measurements were largest in the rural Māori cohort (183.5,sd 61.4), intermediate in the urban Māori cohort (169.7,sd 57.1) and smallest in the non Māori cohort (152.6,sd 46.7; p<0.001). Similar patterns were observed for other measurements and indexation had no impact. One-third (32.3%) met the gender-based ASE criteria for LV hypertrophy (LVH) with higher prevalence in both Maori cohorts (highest in the rural cohort). There were three significant predictors of LVH: rural Māori (p=0.0001); age (p<0.0001); and gender (p=0.0048). Conclusion: Structural and functional heart abnormalities are more prevalent in Māori compared to non-Māori, and especially rural Māori. Early identification should lead to better management, ultimately improving life expectancy and quality of lifeen_NZ
dc.publisherPublic Health Association of Australiaen_NZ
dc.rights© 2014 Public Health Association of Australiaen_NZ
dc.subjectcardiovascular diseaseen_NZ
dc.titleHigher prevalence of left ventricular hypertrophy in two Māori cohorts: findings from the Hauora Manawa/Community Heart Studyen_NZ
dc.typeJournal Articleen_NZ
dc.rights.holder© 2014 The Authors.en_NZ
dc.subject.marsden110201 Cardiology (incl. Cardiovascular Diseases)en_NZ
dc.subject.marsden111713 Māori Healthen_NZ
dc.identifier.bibliographicCitationWhalley, G.A., Pitama, S., Troughton, R.W., Doughty, R.N., Gamble, G.D., Gillies, T., Wells, J.E., Faatoese, A., Huria, T., Richards, M., & Cameraon, V.A. (2015). Higher prevalence of left ventricular hypertrophy in two Māori cohorts: findings from the Hauora Manawa/Community Heart Study. Australia New Zealand Journal of Public Health, 39, pp.26-31. doi:10.1111/1753-6405.12300en_NZ
unitec.institutionUnitec Institute of Technologyen_NZ
unitec.institutionUniversity of Otagoen_NZ
unitec.institutionUniversity of Aucklanden_NZ
unitec.publication.volume39 (1)en_NZ
unitec.publication.titleAustralia New Zealand Journal of Public Healthen_NZ
dc.contributor.affiliationUniversity of Otagoen_NZ
dc.contributor.affiliationUniversity of Aucklanden_NZ
dc.contributor.affiliationUnitec Institute of Technologyen_NZ
dc.subject.tukutukuMate manawami_NZ
dc.subject.tukutukuPūnaha toto
unitec.institution.studyareaCommunity and Health Services

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