https://scholars.lib.ntu.edu.tw/handle/123456789/496175
標題: | Body mass index and blood pressure in adult type 2 diabetic patients in Taiwan | 作者: | CHIN-HSIAO TSENG | 公開日期: | 2007 | 卷: | 71 | 期: | 11 | 起(迄)頁: | 1749-1754 | 來源出版物: | Circulation Journal | 摘要: | 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 ?25 kg/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, 23.0-24.9, 25.0-29.9 and ?30.0 kg/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 (3.84-5.05), respectively, for women. For every lunit 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. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-36949006311&doi=10.1253%2fcircj.71.1749&partnerID=40&md5=3bd9c23a8c5fa91468e65a43d51dccb8 https://scholars.lib.ntu.edu.tw/handle/123456789/496175 |
ISSN: | 1346-9843 | DOI: | 10.1253/circj.71.1749 | SDG/關鍵字: | adult; aged; article; body mass; controlled study; diastolic blood pressure; disease association; female; human; hypertension; major clinical study; male; non insulin dependent diabetes mellitus; obesity; questionnaire; risk assessment; systolic blood pressure; Taiwan; Age Factors; Aged; Blood Pressure; Body Mass Index; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Female; Health Surveys; Humans; Hypertension; Linear Models; Male; Middle Aged; Obesity; Prevalence; Sex Characteristics; Taiwan |
顯示於: | 醫學系 |
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