Race and diurnal blood pressure patterns. A review and meta-analysis.

@article{Profant1999RaceAD,
  title={Race and diurnal blood pressure patterns. A review and meta-analysis.},
  author={Judi Profant and Joel E. Dimsdale},
  journal={Hypertension},
  year={1999},
  volume={33 5},
  pages={
          1099-104
        }
}
Investigators have reported variable findings regarding the role of race in diurnal blood pressure patterns. We performed a review and meta-analysis of this literature to identify the overall effect of race on circadian blood pressure patterns. Eighteen studies involving 2852 participants were reviewed. Meta-analyses were conducted using effect sizes calculated from the data provided directly in the study reports. Separate meta-analyses were conducted on effect sizes for differences between… 
Racial differences in diurnal blood pressure and heart rate patterns: results from the Dietary Approaches to Stop Hypertension (DASH) trial.
TLDR
Black adults with similar office BP, and who consumed the same diet as nonblacks, had a blunted nocturnal decline in systolic BP, diastolicBP, and HR, even after factors that influence BP were controlled for.
The Reproducibility of Racial Differences in Ambulatory Blood Pressure Phenotypes and Measurements
TLDR
It is shown that African Americans indeed exhibit a greater preponderance of abnormal nocturnal BP patterns than Whites, and this work is some of the first to demonstrate that these abnormal patterns are modestly reproducible.
A comparison of ambulatory blood pressure patterns across populations
TLDR
Both genetic and environmental factors contribute to individual differences in ambulatory blood pressure patterns.
Genetic influences on daytime and night-time blood pressure: similarities and differences
TLDR
Independent of ethnicity and sex, an overlap exists between genes that influence daytime and night-time BP, as well as a significant genetic component that is specific to the night- time BP.
Ethnic differences in sleep quality accompany ethnic differences in night-time blood pressure dipping.
TLDR
Sleep quality accompanied ethnic differences in systolic and diastolic BP dipping, but did not account for these differences.
Racial impact of diurnal variations in blood pressure on cardiovascular events in chronic kidney disease.
TLDR
In individuals with chronic kidney disease, the association between morning surge and cardiovascular events appears to be dependent upon race, with higher morning surge a risk factors in Japanese but not in African Americans.
A Comparison of Morning Blood Pressure Surge in African Americans and Whites
TLDR
The morning surge was significantly lower in African Americans than in whites and this relationship was no longer evident after adjusting for gender, age, and body mass index, suggesting that morning BP surge is unlikely to account for differences in stroke incidence between African Americans and whites.
Correlates of isolated nocturnal hypertension and target organ damage in a population-based cohort of African Americans: the Jackson Heart Study.
TLDR
INH was associated with increased LV mass compared with normo tension in a population-based cohort of African Americans enrolled in the JHS and there were trends toward a greater likelihood of LV hyper trophy and proteinuria among participants with INH vs. those who were normotensive.
Racial Differences in the Impact of Social Support on Nocturnal Blood Pressure
TLDR
As perceived social support increased, white adults received cardiovascular benefits as suggested by enhanced nocturnal dipping of BP, but black adults accrued risks as evidenced by blunted declines in BP during sleep.
Ambulatory blood pressure monitoring and morning surge in blood pressure in adult black and white South Africans
TLDR
It is concluded that black participants of the SABPA study present with higher blood pressure throughout the day and night but have a lower power of the morning surge in blood pressure due to a slower morning rate of increase.
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TLDR
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TLDR
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TLDR
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