Higher prevalence of left ventricular hypertrophy in two Māori cohorts: findings from the Hauora Manawa/Community Heart Study
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Authors
Whalley, Gillian
Pitama, S.G.
Wells, J.E.
Faatoese, A.F.
Troughton, R.W.
Richards, Mark
Cameron, V.A.
Gillies, T.W.
Doughty, R.N.
Gamble, G.D.
Huria, T.
Pitama, S.G.
Wells, J.E.
Faatoese, A.F.
Troughton, R.W.
Richards, Mark
Cameron, V.A.
Gillies, T.W.
Doughty, R.N.
Gamble, G.D.
Huria, T.
Author ORCID Profiles (clickable)
Degree
Grantor
Date
2015-08
Supervisors
Type
Journal Article
Ngā Upoko Tukutuku (Māori subject headings)
Keyword
echocardiography
rural
indigenous
Māori
cardiovascular disease
rural
indigenous
Māori
cardiovascular disease
ANZSRC Field of Research Code (2020)
Citation
Whalley, 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:10.1111/1753-6405.12300
Abstract
Objectives: 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 life
Publisher
Public Health Association of Australia
Permanent link
Link to ePress publication
DOI
doi:10.1111/1753-6405.12300
Copyright holder
© 2014 The Authors.
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© 2014 Public Health Association of Australia