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Association of hematocrit and pre-hypertension among Chinese adults: the CRC study
Xuekui Liu1, Jun Liang, Qinqin Qiu
1Department of Endocrinology, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical College, Affiliated Hospital of Southeast University, 199# South Jiefang Road, Xuzhou, 221009, Jiangsu, China.
Insights
Higher hematocrit levels are linked to an increased risk of pre-hypertension in Chinese adults. This association was independent of metabolic factors but not significant in individuals over 60.
Area of Science:
- Cardiovascular Health
- Metabolic Syndrome
- Hematology
Background:
- Elevated blood pressure is a key risk factor for cardiovascular diseases and diabetes.
- Understanding factors associated with pre-hypertension is crucial for early intervention.
Purpose of the Study:
- To investigate the relationship between hematocrit and pre-hypertension in Chinese adults.
- To explore the influence of sex, obesity, glucose, and lipid levels on this association.
Main Methods:
- Analysis of data from a community-based health examination survey in China.
- Inclusion of 23,691 participants with normal blood pressure.
- Statistical analysis using odds ratios (ORs) and 95% confidence intervals (CIs), adjusted for multiple covariates.
Main Results:
- A significant trend of increasing pre-hypertension odds with higher hematocrit quartiles (P < 0.001).
- Associations were observed in both men and women, but not in those over 60 years.
- Low-density lipoprotein cholesterol (LDL-C) showed a significant interaction with hematocrit (P < 0.024), particularly at lower and median levels.
Conclusions:
- Hematocrit is independently associated with pre-hypertension in Chinese adults, irrespective of common metabolic risk factors.
- The association is not significant in older adults (over 60).
- Low-density lipoprotein cholesterol levels may modify the relationship between hematocrit and pre-hypertension.
Abstract:
Elevated blood pressure is regarded as an independent risk factor for cardiovascular diseases and diabetes. We examined the relation between hematocrit and pre-hypertension as well as the effect of sex, obesity, fasting glucose, and lipids in Chinese adults. The study samples were from a community-based health examination survey in China and included a total of 2,3691 patients with blood pressure in normal range. The odds ratios [ORs, 95 % confidence interval (CI)] of pre-hypertension across increasing quartiles of hematocrit were 1.000, 1.176 (1.050-1.318), 1.213 (1.081-1.363), and 1.364 (1.209-1.540) (P for trend < 0.001), when adjusted for age, sex, body mass index, glutamic-pyruvic transaminase, glutamic-oxalocetie transaminase, serum uric acid, glucose, and lipids. Associations were significant in both men and women, but not in individuals older than 60 years. In addition, low-density lipoprotein cholesterol significantly interacted with hematocrit (P for interaction <0.024). The associations were more evident in patients with low (P < 0.001) and median LDL-C levels (P < 0.013) than those with high glucose levels. Hematocrit was associated with pre-hypertension, and was independent of metabolic risk factors. These associations were not significant in older individuals and low-density lipoprotein cholesterol may modify these associations.
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