SIMILAR VASCULAR RESPONSES TO A HIGH-FAT MEAL, REGARDLESS OF RACE AND SOCIAL DETERMINANTS OF HEALTH

Abstract

Black individuals are at a higher risk for developing cardiovascular disease (CVD), including hypertension, compared to white individuals. Chronic low-grade inflammation contributes to hypertension by causing vascular dysfunction, including increased vascular resistance. Young, healthy, normotensive black individuals exhibit heightened inflammatory biomarkers at rest, a possible factor in the higher prevalence of hypertension seen within this population. Vascular function decreases transiently as a result of an acute inflammatory stimulus, such as with consumption of a high-fat meal (HFM). However, there is limited evidence regarding the racial differences in inflammatory and vascular responses to a HFM in young, healthy black and white individuals. Furthermore, there are limited data regarding the association between social determinants of health (SDH) factors and the physiological components of inflammation and vascular responses. Therefore, the goal of the present study was twofold: to evaluate the racial differences in inflammatory and vascular responses to a HFM and to evaluate the potential impact of SDH factors on these relationships. Five black individuals (5 males, 21.2 ± 1.5 yrs) and 14 white individuals (7 males/7 females, 25 ± 4.1 yrs) completed the study. White individuals were significantly older than black individuals, but were similar in fitness status (VO2peak; 43.4 ± 10.8 ml/kg/min vs. 40.5 ± 5.9 ml/kg/min) and BMI (22.6 ± 2.9 kg/m2 vs. 23.5 ± 3.3 kg/m2). Black and white individuals exhibited similar vascular function, arterial stiffness, wave reflection, and hemodynamic variables (BP, HR) at baseline and following the HFM. Black individuals had a significantly lower total SDH score compared to white individuals, indicating lower SDH across seven domains assessed in the SDH questionnaire. However, SDH was not associated with any of the vascular measurements at baseline or following the HFM. Inflammation was not detected at baseline and following the HFM, as measured by a multiplex immunoassay. Therefore young, healthy black and white individuals maintain vascular function following a HFM, regardless of SDH status.