American Journal of Epidemiology Vol. 124, No. 6: 957-968
Copyright © 1986 by The Johns Hopkins University School of Hygiene and Public Health
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BLOOD PRESSURE AND URINARY CATIONS IN URBAN BANTU OF ZAIRE
1Hypertension and Cardiovascular Rehabilitation Unit, Department of Pathophysiology, University of Leuven Belgium
2Service of Endocrinology and Cardio-Renal Diseases, Department of Internal Medicine, University Hospital of Kinshasa Zaire
Send reprint requests to Dr. J. R. M'Buyamba-Kabangu, Hypertension Unit, Campus Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium.
M'Buyamba-Kabangu, J. R. (Hypertension Unit, Campus Gasthuisberg, U. of Leuven, 8–3000 Leuven, Belgium), R. Fagard, P. Lijnen, R. Mbuy wa Mbuy, J.Staessen, and A. Amery. Blood pressure and urinary cations In urban Bantu of ZaIre. Am J Epkienilol 1986;124:957–68.
The 24-hour urinary excretion of sodium, potassium, calcium, and magnesium and their relationship to arterial blood pressure were Investigated from December 1983 to May 1984 in a 10% random sample (n = 666) of urban Bantu of Kinshasa, ZaIre. In youths aged 10–19 years, blood pressure averaged 109/60 mmHg, and the 24-hour urinary excretion of sodium, potassium, calcium, and magnesium averaged 84 mmci, 30 mmci, 483 imol, and 2 mmol, respectively. After adjustment for age and body weight, a weak positive association became apparent between diastolic pressure and the urinary sodium to potassium ratio in girls and all youths. in adults aged 
20 years, blood pressure averaged 124/72 mmHg, and the 24-hour urinary excretion of sodium, potassium, calcium, and magnesIum averaged 87 mmol, 33 mmol, 828 imol, and 1.88 mmci, respectively. After adjustment for sex, age, body weight, and pulse rate In all adults, systolic pressure was significantly and positively correlated with urinary sodium excretion and negatively correlated with urinary potassium excretion, while diastolic pres sure was weakly associated with urinary calcium excretion. In women, an inde pendent and significant association was also observed between systolic pressure and 24-hour urinary sodium. When Instead of the 24-hour urinary excretion of sodium and potassium, the sodium to potassium ratio was considered as an independent variable in multiple regression analysis, both systolic and diastolic pressure were independently and positively related to the sodium to potassium ratio in all adults. These results indicate that in this urban Bantu population, age and body weight are the major predictors of systolic pressure in youths and the major predictors of both systolic and diastolic pressure In adults. The sodium to potassium ratio did contribute to the prediction of blood pressure in girls and when, In youths as well as In adults, both sexes were considered together. Urinary calcium was associated with diastolic pressure only in all adults.
blacks; blood pressure; calcium; magnesium; potassium; sodium; urinary excretuon
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