[Estimation of pulse pressure in subjects with carbohydrate disorders]
Jan Kowalski1, Anna Brylik, Robert Irzmański
1Uniwersytet Medyczny w Łodzi, III Katedra Rehabilitacji z Klinika Chorób Wewnetrznych i Rehabilitacji Kardiologicznej.
Insights
Pulse pressure is significantly higher in individuals with carbohydrate disorders. A pulse pressure of 52.5 mmHg or higher triples the risk of developing carbohydrate disorders.
Area of Science:
- Cardiology
- Endocrinology
- Metabolic Disorders
Background:
- Carbohydrate disorders are a significant risk factor for cardiovascular diseases.
- Elevated pulse pressure is independently linked to cardiovascular complications and mortality.
Purpose of the Study:
- To investigate the relationship between pulse pressure and carbohydrate disorders.
- To determine if pulse pressure is a predictor of carbohydrate disorders.
Main Methods:
- 112 subjects with carbohydrate disorders (impaired fasting glucose, impaired glucose tolerance, type 2 diabetes) and 30 controls were studied.
- Fasting serum glucose and oral glucose tolerance tests were performed.
- 24-hour ambulatory blood pressure monitoring was used to measure pulse pressure.
Main Results:
- Mean pulse pressure was significantly higher in subjects with carbohydrate disorders (56.79 mmHg) compared to controls (49.0 mmHg).
- Increased pulse pressure (> 63 mmHg) was observed more frequently in the carbohydrate disorder group (46% vs 10%).
- Pulse pressure of 52.5 mmHg or higher was associated with a threefold increased risk of carbohydrate disorders.
Conclusions:
- Elevated pulse pressure is significantly more prevalent in individuals with carbohydrate disorders.
- Pulse pressure serves as a valuable indicator for the risk of developing carbohydrate disorders.
Unlabelled:
Carbohydrate disorders are important and independent risk factor for cardiovascular system diseases. Increased values of pulse pressure are an independent risk factor for cardiovascular complications and total mortality. The aim of the study was to evaluate the pulse pressure in subjects with carbohydrate disorders.
Material And Methods:
The study comprised 112 subjects with carbohydrate disorders (54 females and 58 males), aged 30-78 (57.4 +/- 9.6) years. Carbohydrate disorders were diagnosed according to the Polish Diabetes Association criteria from 2007 (group 1). 56 subjects had impaired fasting glucose (IFG), 36--impaired glucose tolerance (IGT) and 20--type 2 diabetes. Comparative group comprised 30 subjects without cardiovascular diseases and carbohydrate disorders (15 females and 15 males), aged 29-64 (52.7,4 +/- 8.8) years (group II). The fasting serum glucose level was evaluated using an enzymatic method, Kone-Pro biochemical analyzer and bioMérieux Glucose RTU kit. In subjects with fasting glucose level > or = 100 mg/dl, an oral glucose tolerance test (OGTT) was performed. In all subjects 24-h ambulatory blood pressure monitoring with oscillometric method, using boso-TM-2430PL system (Bosch+Sohn, Germany). Pulse pressure (pp) was evaluated as a mean difference between the systolic and diastolic pressure.
Results:
In subjects with carbohydrate disorders the mean value of pp was 56.79 +/- 16.28 mmHg and it was significantly higher (p < 0.05) than in comparative group (49.0 +/- 11.1 mmHg). Increased value of pp (> 63 mmHg) was found significantly more often in group with carbohydrate disorders (46% vs 10%) (p < 0.05). On the basis of ROC curve analysis and OR (odds ratio) it was shown that pp > or = 52.5 mmHg results in a threefold increased risk of carbohydrate disorders.
Conclusions:
Increased values of pulse pressure are found significantly more often in subjects with carbohydrate disorders. The risk of carbohydrate disorders increases threefold in subjects with pp > or = 52.5 mmHg.
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