Body Mass Index and Blood Pressure in Adult Type 2 Diabetic Patients in Taiwan
Resource
CIRCULATION JOURNAL v.71 n.11 pp.1749-1754
Journal
CIRCULATION JOURNAL
Journal Volume
v.71
Journal Issue
n.11
Pages
1749-1754
Date Issued
2007
Date
2007
Author(s)
TSENG, CHIN-HSIAO
Abstract
Background The correlation between body mass index (BMI)/ obesity and blood pressure/hypertension has not been confirmed in diabetic patients. This study analyzed the association in Taiwanese adult patients with type 2 diabetes mellitus (T2DM). Methods and Results The National Health Insurance data of 89,857 adult patients (41,398 men and 48, 459 women; aged >= 18 years with mean +/- SD of 62.2 +/- 11. 3 years) interviewed by questionnaire were analyzed, taking into account the potential confounding of age, sex, diabetic duration, smoking and parental hypertension. Prevalence of obesity (BMI >= 25kg/m(2)) was 39.3% and 41.7% in the diabetic men and women, respectively; and hypertension was 54.5% in both sexes. Hypertension increased significantly with increasing age and BMI. The adjusted odds ratio (OR) for hypertension for every 1 kg/m(2) increment of BMI was 1. 16 (1.15-1.17) and 1.13 (1.12-1.14) for men and women, respectively. The correlation between BMI and hypertension/ blood pressure extended throughout BMI levels to the nonobese range. For men, adjusted OR for BMI < 18.5, 18.5-22. 9, 23.024.9, 25.0-29.9 and >= 30.0kg/ m(2) were 1.00, 1.23 (1.07-1.41), 1.78 (1.55-2.05), 3.06 (2.66-3. 53) and 6.59 (5.56-7.82), respectively; and were 1.00, 1.09 (0.97-1.22), 1.49(1.32 -1.68), 2.32 (2.06-2.60), 4.40 (3.845. 05), respectively, for women. For every I unit BMI increase in patients without a hypertension history, the systolic and diastolic blood pressures significantly increased by 0.618 and 0.447 mmHg for men; and by 0.637 and 0.462 mmHg, respectively, for women. Conclusions BMI/obesity is significantly linked to blood pressure/ hypertension throughout the range of BMI in diabetic patients in either sex regardless of a previous hypertension history.
Subjects
blood pressure
body mass index
hypertension
obesity
Taiwan
type 2 diabetes mellitus
SDGs