Influence of interaction between hypertension and abdominal obesity on the prevalence of diabetes
10.19428/j.cnki.sjpm.2023.22889
- VernacularTitle:高血压和腹型肥胖与糖尿病患病的交互作用
- Author:
Fang LIU
1
;
Jiaoming WANG
1
;
Yan LI
2
;
Lin XU
2
;
Pu LIU
2
Author Information
1. Shenxin Community Health Service Center of Minhang District, Shanghai 201109, China
2. Zhuanqiao Community Health Service Center of Minhang District, Shanghai 201108, China
- Publication Type:Journal Article
- Keywords:
diabetes mellitus;
hypertension;
abdominal obesity;
interaction
- From:
Shanghai Journal of Preventive Medicine
2023;35(9):885-888
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the effect of interaction of hypertension and abdominal obesity on morbidity of diabetes and to provide the scientific bases for preventing diabetes. MethodsA total of 11 914 people who took the physical examination in 2019 were examined with cluster sampling method for the interaction analysis. The data was collected by physical measurements and laboratory tests. SPSS 16.0 and interaction models were used for data analysis. ResultsIn the subjects there were 75.19% with abdominal obesity， 47.99% with hypertension， 16.26% with diabetes， and 39.42% had abdominal obesity plus hypertension. Multivariate logistic regression analysis showed， after adjusting gender and age， the abdominal obesity（OR=1.29， 95%CI：1.14‒1.46） and hypertension （OR=2.93， 95%CI： 2.63‒3.26） were related to high risk of diabetes. There was no multiplicative interaction effect between abdominal obesity and hypertension （OR=0.98，95%CI： 0.76‒1.27）. The additive interaction was significant between abdominal obesity and hypertension with RERI=0.53（95%CI：0.09‒0.98）， AP=0.14（95%CI：0.02‒0.26）， and SI=1.24（95%CI：1.01‒1.52）. ConclusionThere is a synergistic effect on morbidity of diabetes between abdominal obesity and hypertension. The improvement of weight and control of blood pressure could prevent significantly the diabetes.
