NT-proBNP and metabolic risk factors in a bi-ethnic cohort: the Ambulatory Blood Pressure in African prospective cohort study.


Journal

Cardiovascular journal of Africa
ISSN: 1680-0745
Titre abrégé: Cardiovasc J Afr
Pays: South Africa
ID NLM: 101313864

Informations de publication

Date de publication:
Historique:
received: 21 01 2019
accepted: 16 06 2020
pubmed: 13 11 2020
medline: 14 7 2021
entrez: 12 11 2020
Statut: ppublish

Résumé

We explored the association of N-terminal probrain natriuretic peptide (NT-proBNP) with metabolic traits in a bi-ethnic African-Caucasian cohort. Baseline examinations of the Sympathetic activity and Ambulatory Blood Pressure in African (SABPA) prospective cohort study were performed between 2008 and 2009, and re-examination after a three-year follow up in South African teachers (black African, Each one standard deviation increment of NT-proBNP was significantly inversely associated with body mass index ( β -1.01), glycated haemoglobin ( β -0.14 %), waist circumference (β -1.82), HOMA-IR (β -0.47), insulin (β -1.66) and triglyceride levels (β -0.04). Each one standard deviation increment of NT-proBNP was also associated with reduced odds of incident diabetes, and subjects within the highest quartile of NT-proBNP were at lowest risk (OR: 0.24; 95% CI: 0.06-0.96; In the SABPA cohort, Africans and Caucasians had similar NT-proBNP levels; however, the associations for Africans were stronger. Those findings suggest that BNP may affect the propensity for metabolic disturbances differently in Africans and Caucasians.

Sections du résumé

BACKGROUND
We explored the association of N-terminal probrain natriuretic peptide (NT-proBNP) with metabolic traits in a bi-ethnic African-Caucasian cohort.
METHODS
Baseline examinations of the Sympathetic activity and Ambulatory Blood Pressure in African (SABPA) prospective cohort study were performed between 2008 and 2009, and re-examination after a three-year follow up in South African teachers (black African,
RESULTS
Each one standard deviation increment of NT-proBNP was significantly inversely associated with body mass index ( β -1.01), glycated haemoglobin ( β -0.14 %), waist circumference (β -1.82), HOMA-IR (β -0.47), insulin (β -1.66) and triglyceride levels (β -0.04). Each one standard deviation increment of NT-proBNP was also associated with reduced odds of incident diabetes, and subjects within the highest quartile of NT-proBNP were at lowest risk (OR: 0.24; 95% CI: 0.06-0.96;
CONCLUSIONS
In the SABPA cohort, Africans and Caucasians had similar NT-proBNP levels; however, the associations for Africans were stronger. Those findings suggest that BNP may affect the propensity for metabolic disturbances differently in Africans and Caucasians.

Identifiants

pubmed: 33180090
doi: 10.5830/CVJA-2020-017
doi:

Substances chimiques

Biomarkers 0
Peptide Fragments 0
pro-brain natriuretic peptide (1-76) 0
Natriuretic Peptide, Brain 114471-18-0

Types de publication

Comparative Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

291-297

Auteurs

Amra Jujić (A)

Department of Clinical Sciences, Skane University Hospital, Lund University, Malmö, Sweden; Department of Cardiology, Skane University Hospital, Lund University, Malmö, Sweden. Email: amra.jujic@med.lu.se.

Olle Melander (O)

Department of Clinical Sciences, Skane University Hospital, Lund University, Malmö, Sweden; Centre of Emergency Medicine, Skane University Hospital, Malmö, Sweden.

Peter M Nilsson (PM)

Department of Clinical Sciences, Skane University Hospital, Lund University, Malmö, Sweden.

Leoné Malan (L)

Hypertension in Africa Research Team (HART), North-West University, Potchefstroom Campus, South Africa.

Artur Fedorowski (A)

Department of Clinical Sciences, Skane University Hospital, Lund University, Malmö, Sweden; Department of Cardiology, Skane University Hospital, Lund University, Malmö, Sweden.

Martin Magnusson (M)

Department of Clinical Sciences, Skane University Hospital, Lund University, Malmö, Sweden; Hypertension in Africa Research Team (HART), North-West University, Potchefstroom Campus, South Africa; Department of Cardiology, Skane University Hospital, Lund University, Malmö, Sweden; Wallenberg Centre for Molecular Medicine, Lund University, Malmö, Sweden.

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Classifications MeSH