A cross-sectional study on association of blood pressure and risk of diabetes mellitus
10.3760/cma.j.cn115624-20210311-00120
- VernacularTitle:成年居民不同血压水平与糖尿病患病风险相关性
- Author:
Lei FAN
1
;
Minjie QI
;
Hanxue ZHANG
;
Hui LI
;
Yanhui LI
;
Xinjie WANG
;
Fei SHANG
;
Shixian FENG
;
Kai KANG
Author Information
1. 河南省疾病预防控制中心慢病所,郑州 450016
- Keywords:
Blood pressure;
Hypertension;
Diabetes mellitus
- From:
Chinese Journal of Health Management
2022;16(1):15-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the association between blood pressure and the risks of diabetes mellitus.Methods:Screening and intervention were conducted from 2015 to 2019 for high-risk subjects of cardiovascular diseases in eight counties of Henan. Information on demographic characteristics, lifestyle behaviors, and anthropometric measurements were obtained via a questionnaire. Fasting blood samples were collected for blood glucose and serum lipids. The R 3.6.3 software was used to analyze the relationship between blood pressure and diabetes mellitus.Results:The detection rate of diabetes mellitus was 23.5% among 120 040 participants aged 35-75 years. The mean fasting blood glucose level was significantly different among normotensive, prehypertensive, and hypertensive patients. Compared to normotensive patients, prehypertension and hypertension had adjusted ORs of 34%( OR=1.34, 95 CI%: 1.30-1.37) and 85%( OR=1.85, 95 CI%: 1.81-1.89). The corresponding ORs were 1.81(1.77-1.85) in controlled and 2.17(2.06-2.28) in uncontrolled patients. A subgroup analysis showed the same trend, where the risk of diabetes increased with blood pressure ( P<0.05). Conclusions:People with elevated BP may increase their risk of diabetes, while the risk declines when BP is under control. Therefore, targeted measures should be taken to reduce the risk.