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Is β-thalassemia trait a protective factor against hypertension in young adults?

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Abstract

β-Thalassemia trait (BTT) is a common genetic disorder in Mediterranean countries including Iran. Previous studies have shown the protective effect of BTT on myocardial infarction that may be due to lower cholesterol levels or lower arterial blood pressure in BTT subjects. This study was designed to analyze the effect of BTT on arterial blood pressure in young adults. Four-hundred and eight subjects who were referred to our clinic for premarriage screening of BTT (208 BTT as the case group and 200 normal subjects as the control group) were recruited. BTT was diagnosed by complete blood count, hemoglobin electrophoresis, and column chromatography. Blood pressure was measured twice with 20-min intervals by a medical barometer in the sitting position from left arm, and the average blood pressure was recorded as subject’s blood pressure level. Mean systolic blood pressure in the control group was 122.8 mmHg as compared to 117.0 mmHg in the case group (P value=0.249). Mean diastolic pressure was the same in both groups (76.7 mmHg in control group as compared with 77.5 mmHg in the case group) (P value=0.433). Analysis of blood pressure by gender showed that male BTT subjects had a 10-mmHg lower systolic blood pressure than normal subjects (120.8 mmHg in the case group as compared with 130.7 mmHg in the control group). BTT has a protective effect on the development of hypertension in young male adults.

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References

  1. Karimi M, Ghavanini A, Kadivar MR (2000) Regional mapping of the gene frequency of β-thalassemia in Fars province, Iran during 1997–1998. Iran J Med Sci 25(3&4):134–137

    Google Scholar 

  2. Azar Kavian A (2004) Treatment program of major β thalassemia patients in Iran. 3rd ME Thalassemia Investigators and Thought Leaders Meeting, Jordan, abstract book

  3. Crowley JP, Sheth S, Capone R et al (1987) A paucity of thalassemia trait in Italian men with myocardial infarction. Acta Haematol 78:49–51

    Article  Google Scholar 

  4. Gallerani M, Scapolis C, Cicognani I et al (1991) Thalassemia trait and myocardial infarction: low infarction incidence in male subjects confirmed. J Int Med 230:109–111

    Article  CAS  Google Scholar 

  5. Rifkind B, Gale M (1967) Hypolipidemia in anemia. Implications for the epidemiology of ischemic heart disease. Lancet:640–642

  6. Steegmans P, Hoes A, Bak A et al (2000) Higher prevalence of depressive symptoms in middle-aged men with low serum cholesterol levels. Psychosom Med 62:205–211

    PubMed  CAS  Google Scholar 

  7. Maioli M, Pettinato S, Cherchi GM et al (1989) Plasma lipids in -thalassemia minor. Atherosclerosis 75:245–248

    Article  PubMed  CAS  Google Scholar 

  8. Elwood PC, Waters WE, Benjamin IT, Sweetnam PM (1974) Mortality and anaemia in women. Lancet 891–894

  9. Nelson MJ, Ragland DR, Syme SL (1992) Longitudinal prediction of adult blood pressure from juvenile blood pressure levels. Am J Epidemiol 136(6):633–645

    PubMed  CAS  Google Scholar 

  10. Vos LE, Oren A, Bots ML, Gorissen WH et al (2003) Does a routinely measured blood pressure in young adolescence accurately predict hypertension and total cardiovascular risk in young adulthood? J Hypertens 21(11):2001–2003

    Article  PubMed  Google Scholar 

  11. Beckett LA, Rosner B, Roche AF, Guo S (1992) Serial changes in blood pressure from adolescence into adulthood. Am J Epidemiol 135(10):1166–1177

    PubMed  CAS  Google Scholar 

  12. Johnson CS, Tagos C, Butler E (1983) Thalassemia minor: routine erythrocyte measurement and differentiation from iron deficiency. Am J Clin Pathol 80(1):31–36

    PubMed  CAS  Google Scholar 

  13. England JM, Frazer P (1979) Discrimination between iron-deficiency and heterozygous-thalassemia syndromes in differential diagnosis of microcytosis. Lancet i:145–148

    Article  Google Scholar 

  14. Huisman THJ, Schroeder WA, Brodie AN et al (1975) Microchromatography of hemoglobin. A simplified procedure for determination of haemoglobin A2. J Lab Clin Med 86:700–702

    PubMed  CAS  Google Scholar 

  15. The sixth report of joint national committee on prevention, detection, evaluation and treatment of high blood pressure. Arch Intern Med. 1997; 157:2413

    Google Scholar 

Download references

Acknowledgements

The authors thank Dr. Rastegar, head of Naderkazemi Clinic, for allowing the authors to use his center to gather the data, and Dr Hanjani for editing the manuscript.

Also, the authors would like to thank Shiraz University of Medical Sciences Vice-Chancellery for Research for the financial support that was granted to undertake this research project.

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Correspondence to Mehran Karimi.

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Karimi, M., Marvasti, V.E., Motazedian, S. et al. Is β-thalassemia trait a protective factor against hypertension in young adults?. Ann Hematol 85, 29–31 (2006). https://doi.org/10.1007/s00277-005-1101-x

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  • DOI: https://doi.org/10.1007/s00277-005-1101-x

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