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dc.contributor.authorWhalley, Gillian
dc.contributor.authorPitama, S.G.
dc.contributor.authorTroughton, R.W.
dc.contributor.authorDoughty, R.N.
dc.contributor.authorGamble, G.D.
dc.contributor.authorGillies, T.W.
dc.contributor.authorWells, J.E.
dc.contributor.authorFaatoese, A.F.
dc.contributor.authorHuria, T.
dc.contributor.authorRichards, A.M.
dc.contributor.authorCameron, V.A.
dc.date.accessioned2016-02-29T01:48:29Z
dc.date.available2016-02-29T01:48:29Z
dc.date.issued2015-08
dc.identifier.issn1753-6405
dc.identifier.urihttps://hdl.handle.net/10652/3202
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 signicant 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 identication should lead to better management, ultimately improving life expectancy and quality of life.en_NZ
dc.language.isoenen_NZ
dc.publisherPublic Health Association of Australiaen_NZ
dc.relation.urihttp://onlinelibrary.wiley.com/doi/10.1111/1753-6405.12300/epdfen_NZ
dc.rightsAll rights reserveden_NZ
dc.subjectMāorien_NZ
dc.subjectcardiovascular diseaseen_NZ
dc.subjectechocardiographyen_NZ
dc.subjectruralen_NZ
dc.subjectindigenousen_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© 2015 Public Health Association of Australiaen_NZ
dc.identifier.doidoi: 10.1111/1753-6405.12300en_NZ
dc.subject.marsden110201 Cardiology (incl. Cardiovascular Diseases)en_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 and 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.spage26en_NZ
unitec.publication.lpage31en_NZ
unitec.publication.volume39en_NZ
unitec.publication.titleAustralia and New Zealand Journal of Public Healthen_NZ
unitec.peerreviewedyesen_NZ
dc.contributor.affiliationUnitec Institute of Technologyen_NZ
dc.contributor.affiliationUniversity of Otagoen_NZ
dc.contributor.affiliationUniversity of Aucklanden_NZ
unitec.identifier.roms57713en_NZ
dc.subject.tukutukuTāngata whenuami_NZ
dc.subject.tukutukuMate manawami_NZ
dc.subject.tukutukuTaiwhenuami_NZ
unitec.institution.studyareaHealth Sciences


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