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Association between raised blood pressure and dysglycemia in Hong Kong Chinese.

AbstractOBJECTIVE:
To investigate the association between raised blood pressure and dysglycemia.
RESEARCH DESIGN AND METHODS:
We studied the association between raised blood pressure and dysglycemia in 1,862 subjects in the Hong Kong Cardiovascular Risk Factor Prevalence Study cohort. We determined the factors predicting the development of diabetes and hypertension in 1,496 subjects who did not have either condition at baseline.
RESULTS:
Diabetes and hypertension were both related to age, obesity indexes, blood pressure, glucose, HDL cholesterol, and triglycerides. Of subjects with diabetes, 58% had raised blood pressure. Of subjects with hypertension, 56% had dysglycemia. BMI and blood glucose 2 h after a 75-g oral glucose load were independent predictors of new-onset diabetes. Age, systolic blood pressure, and 2-h glucose were independent predictors of new-onset hypertension. BMI, systolic blood pressure, and 2-h glucose were independent predictors of the development of diabetes and hypertension together.
CONCLUSIONS:
Diabetes and hypertension share common etiological factors. Patients with diabetes or hypertension should be screened and managed for the precursor of the other condition.
AuthorsBernard M Y Cheung, Nelson M S Wat, Annette W K Tso, Sidney Tam, G Neil Thomas, Gabriel M Leung, Hung Fat Tse, Jean Woo, Edward D Janus, Chu Pak Lau, Tai Hing Lam, Karen S L Lam
JournalDiabetes care (Diabetes Care) Vol. 31 Issue 9 Pg. 1889-91 (Sep 2008) ISSN: 1935-5548 [Electronic] United States
PMID18556342 (Publication Type: Journal Article)
Topics
  • Adult
  • Asian People (statistics & numerical data)
  • Body Mass Index
  • Cardiovascular Diseases (epidemiology)
  • Female
  • Hong Kong (epidemiology)
  • Humans
  • Hyperglycemia (complications, epidemiology)
  • Hypertension (complications, epidemiology)
  • Male
  • Middle Aged
  • Prevalence
  • Proportional Hazards Models
  • Waist-Hip Ratio

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