PMID- 17965496
OWN - NLM
STAT- MEDLINE
DCOM- 20080212
LR  - 20190819
IS  - 1346-9843 (Print)
IS  - 1346-9843 (Linking)
VI  - 71
IP  - 11
DP  - 2007 Nov
TI  - Body mass index and blood pressure in adult type 2 diabetic patients in Taiwan.
PG  - 1749-54
AB  - 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 >or=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 >or=25 kg/m2) 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 >or=30.0 kg/m2 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 1 unit 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.
FAU - Tseng, Chin-Hsiao
AU  - Tseng CH
AD  - National Taiwan University College of Medicine, Department of Internal Medicine, 
      Taipei, Taiwan. ccktsh@ms6.hinet.net
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Japan
TA  - Circ J
JT  - Circulation journal : official journal of the Japanese Circulation Society
JID - 101137683
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Blood Pressure/*physiology
MH  - *Body Mass Index
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus, Type 2/ethnology/etiology/*physiopathology
MH  - Female
MH  - Health Surveys
MH  - Humans
MH  - Hypertension/complications/ethnology/physiopathology
MH  - Linear Models
MH  - Male
MH  - Middle Aged
MH  - Obesity/complications/ethnology/physiopathology
MH  - Prevalence
MH  - Sex Characteristics
MH  - Taiwan
EDAT- 2007/10/30 09:00
MHDA- 2008/02/13 09:00
CRDT- 2007/10/30 09:00
PHST- 2007/10/30 09:00 [pubmed]
PHST- 2008/02/13 09:00 [medline]
PHST- 2007/10/30 09:00 [entrez]
AID - JST.JSTAGE/circj/71.1749 [pii]
AID - 10.1253/circj.71.1749 [doi]
PST - ppublish
SO  - Circ J. 2007 Nov;71(11):1749-54. doi: 10.1253/circj.71.1749.