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Long-Term Visit-To-Visit Blood Pressure Variability and Risk of Diabetes Mellitus in Chinese Population: A Retrospective Population-Based Study
Objectives: To examine the association between visit-to-visit blood pressure variability (BPV) and incident diabetes mellitus (DM) risk in a Chinese population. Methods: Data comes from China Health and Nutrition Survey (n = 15,084). BPV was estimated as the average real variability (ARV) using at l...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9939473/ https://www.ncbi.nlm.nih.gov/pubmed/36814436 http://dx.doi.org/10.3389/ijph.2023.1605445 |
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author | Zhou, Rui Li, Fu-Rong Liu, Kuan Huang, Rui-Dian Liu, Hua-Min Yuan, Ze-Lin Zheng, Jia-Zhen Zou, Meng-Chen Wu, Xian-Bo |
author_facet | Zhou, Rui Li, Fu-Rong Liu, Kuan Huang, Rui-Dian Liu, Hua-Min Yuan, Ze-Lin Zheng, Jia-Zhen Zou, Meng-Chen Wu, Xian-Bo |
author_sort | Zhou, Rui |
collection | PubMed |
description | Objectives: To examine the association between visit-to-visit blood pressure variability (BPV) and incident diabetes mellitus (DM) risk in a Chinese population. Methods: Data comes from China Health and Nutrition Survey (n = 15,084). BPV was estimated as the average real variability (ARV) using at least three BP measurements from the year preceding the event and was divided into quartiles. Participants were also categorized into 9 groups on the basis of combinations of systolic BPV (SBPV) and diastolic BPV (DBPV) tertiles. Cox proportional hazards regression models were used. Results: During a median follow-up of 16.8 years, 1,030 (6.8%) participants developed diabetes (incidence rate: 4.65/1,000 person-years). The HRs (95% CIs) for the highest quartile (vs. the lowest quartile) of SBPV and DBPV were 1.60 (1.30–1.97) and 1.37 (1.13–1.67), respectively. Participants with both highest SBPV and DBPV tertile had an ≈89% higher risk of DM (HR, 1.89; 95% CI, 1.47–2.42) compared with those in the both SBPV and DBPV tertile 1 group. Conclusion: Higher SBP ARV and DBP ARV were independently associated with increased risk of incident DM, which was augmented when both presented together. |
format | Online Article Text |
id | pubmed-9939473 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99394732023-02-21 Long-Term Visit-To-Visit Blood Pressure Variability and Risk of Diabetes Mellitus in Chinese Population: A Retrospective Population-Based Study Zhou, Rui Li, Fu-Rong Liu, Kuan Huang, Rui-Dian Liu, Hua-Min Yuan, Ze-Lin Zheng, Jia-Zhen Zou, Meng-Chen Wu, Xian-Bo Int J Public Health Public Health Archive Objectives: To examine the association between visit-to-visit blood pressure variability (BPV) and incident diabetes mellitus (DM) risk in a Chinese population. Methods: Data comes from China Health and Nutrition Survey (n = 15,084). BPV was estimated as the average real variability (ARV) using at least three BP measurements from the year preceding the event and was divided into quartiles. Participants were also categorized into 9 groups on the basis of combinations of systolic BPV (SBPV) and diastolic BPV (DBPV) tertiles. Cox proportional hazards regression models were used. Results: During a median follow-up of 16.8 years, 1,030 (6.8%) participants developed diabetes (incidence rate: 4.65/1,000 person-years). The HRs (95% CIs) for the highest quartile (vs. the lowest quartile) of SBPV and DBPV were 1.60 (1.30–1.97) and 1.37 (1.13–1.67), respectively. Participants with both highest SBPV and DBPV tertile had an ≈89% higher risk of DM (HR, 1.89; 95% CI, 1.47–2.42) compared with those in the both SBPV and DBPV tertile 1 group. Conclusion: Higher SBP ARV and DBP ARV were independently associated with increased risk of incident DM, which was augmented when both presented together. Frontiers Media S.A. 2023-02-06 /pmc/articles/PMC9939473/ /pubmed/36814436 http://dx.doi.org/10.3389/ijph.2023.1605445 Text en Copyright © 2023 Zhou, Li, Liu, Huang, Liu, Yuan, Zheng, Zou and Wu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Archive Zhou, Rui Li, Fu-Rong Liu, Kuan Huang, Rui-Dian Liu, Hua-Min Yuan, Ze-Lin Zheng, Jia-Zhen Zou, Meng-Chen Wu, Xian-Bo Long-Term Visit-To-Visit Blood Pressure Variability and Risk of Diabetes Mellitus in Chinese Population: A Retrospective Population-Based Study |
title | Long-Term Visit-To-Visit Blood Pressure Variability and Risk of Diabetes Mellitus in Chinese Population: A Retrospective Population-Based Study |
title_full | Long-Term Visit-To-Visit Blood Pressure Variability and Risk of Diabetes Mellitus in Chinese Population: A Retrospective Population-Based Study |
title_fullStr | Long-Term Visit-To-Visit Blood Pressure Variability and Risk of Diabetes Mellitus in Chinese Population: A Retrospective Population-Based Study |
title_full_unstemmed | Long-Term Visit-To-Visit Blood Pressure Variability and Risk of Diabetes Mellitus in Chinese Population: A Retrospective Population-Based Study |
title_short | Long-Term Visit-To-Visit Blood Pressure Variability and Risk of Diabetes Mellitus in Chinese Population: A Retrospective Population-Based Study |
title_sort | long-term visit-to-visit blood pressure variability and risk of diabetes mellitus in chinese population: a retrospective population-based study |
topic | Public Health Archive |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9939473/ https://www.ncbi.nlm.nih.gov/pubmed/36814436 http://dx.doi.org/10.3389/ijph.2023.1605445 |
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