Schutte, R.Huisman, H.W,Malan, L.Van Rooyen, J.M.Smith, W.2015-07-132015-07-132013Schutte, R. et al. 2013. Alkaline phosphatase and arterial structure and function in hypertensive African men: the SABPA study. International journal of cardiology. 167:1995-2001. [http://www.journals.elsevier.com/international-journal-of-cardiology/]0167-52731874-1754 (Online)http://hdl.handle.net/10394/14060http://www.journals.elsevier.com/international-journal-of-cardiology/https://pubmed.ncbi.nlm.nih.gov/22656046/https://www.sciencedirect.com/science/article/abs/pii/S0167527312006468Background: Vascular calcification is believed to be due to the conversion of vascular smooth muscle cells into osteoblast-like cells and is associated with mortality. Since hypertension and related mortality in Africans is a concern, we investigated associations between a marker of osteoblastic activity, alkaline phosphatase (ALP), and measures of arterial structure and function in hypertensive African men. Methods: This study included 79 participants. We conducted 24 h ambulatory blood pressure and carotid intima–media thickness (cIMT) measurements. cIMT was obtained with an intra-observer variability of 0.04 mm and the cross-sectional wall area (CSWA) was calculated. ALP was measured in serum. Results: ALP was within its reference range (101.6 vs. 30.0–120.0 U/L), however cIMT was higher when this group was stratified and compared to gender and age-specific reference values. In univariate and partial regressions, and confirmed with multiple regression analyses, 24 h systolic blood pressure (β=0.289, p=0.018), 24 h pulse pressure (β=0.387, p=0.002), but not 24 h diastolic blood pressure (β=0.073, p=0.58), were positively associated with ALP. In addition, mean cIMT (β=0.322, p=0.006) and CSWA (β=0.285, p=0.013) also correlated positively with ALP after adjusting for significant covariates, and after excluding participants with diabetes, renal dysfunction or a HIV positive status. Conclusion: Serum alkaline phosphatase is adversely associated with measures of arterial structure and function in hypertensive African men.enSerum alkaline phosphataseambulatory blood pressurecarotid intima–media thicknesshypertensive African menAlkaline phosphatase and arterial structure and function in hypertensive African men: the SABPA studyArticle