- Title
- Cardiovascular disease risk in Black and Caucasian females: an Eastern Cape sample
- Creator
- Remsing, Sandra Claudia
- ThesisAdvisor
- Christie, Candice
- ThesisAdvisor
- Viljoen, Janet
- Date
- 2017
- Type
- Thesis
- Type
- Masters
- Type
- MSc
- Identifier
- http://hdl.handle.net/10962/40737
- Identifier
- vital:25021
- Description
- The purpose of this study was to investigate cardiovascular disease risk in Black and Caucasian urban working females of the Makana region of the Eastern Cape. One- hundred and sixty six age-matched urban-working individuals (Black n = 88; Caucasian n = 78) voluntarily participated in this cross-sectional study. Cardiovascular disease risk was assessed in four categories: 1) obesity, classified as ‘morphological risk’, 2) blood pressure, classified as ‘cardiovascular risk’, 3) diet, physical activity, smoking, and alcohol consumption, classified as ‘lifestyle risk’, and 4) education and income, classified as ‘socioeconomic factors’. Results showed that Black females were significantly (p<0.01) heavier than Caucasian females and categorized as ‘obese’ according to BMI classifications (31.19 ± 8.09 kg.m2 and 25.90 ±4.67 kg.m2, respectively). Black females also presented with significantly (p<0.01) higher waist circumferences and waist-to-stature ratios, further confirming the obesity prevalence in this group. When accounting for those who were on anti-hypertensive mediation, Black females additionally presented with significantly (p<0.05) higher blood pressure, categorizing them as ‘pre-hypertensive’ (MAP = 98 ± 16 mmHg and 85 ± 11 mmHg, respectively). These results therefore placed Black females at increased cardiovascular disease risk compared to Caucasian females. With respect to lifestyle factors, Black females consumed significantly (p<0.05) more kilojoules carbohydrates, and total sugar than Caucasian females, and expended more physical activity MET- minutes per week (2688.86 ± 1486.56 MET-minutes and 1828.27 ± 2238.10 MET- minutes, respectively). However, reduced validity of physical activity data as well as poor dietary recall limited the interpretations of these findings. In addition, despite significant differences between smoking and alcohol consumption between groups, the majority of both Black and Caucasian females reported being non-smokers and consumed alcohol minimally. Thus, these were concluded to be unlikely contributors to cardiovascular disease risk in these samples. Socioeconomic results nevertheless expectedly showed that Black females were significantly (p<0.05) less educated, and subsequently earned lower incomes. It was thus concluded that this may be a likely contributor to higher cardiovascular risk in Black females. Future recommendations include the incorporation of exercise intensity measures as well as objective measures of habitual diet. This is in order to get a clearer understanding of the impact of these lifestyle factors on cardiovascular disease risk.
- Format
- 199 leaves, pdf
- Publisher
- Rhodes University, Faculty of Science, Human Kinetics and Ergonomics
- Language
- English
- Rights
- Remsing, Sandra Claudia
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| View Details | SOURCE1 | Adobe Acrobat PDF | 24 MB | Adobe Acrobat PDF | View Details |