血压和糖尿病风险:一项基于中国人的纵向观察研究
Zhiqiang Zhang1,2,3,4,5,6, Hejun Chen6, Lei Chen1,2,3,4,5,7
1Department of Cardiology, Clinical Medical College, Affiliated Hospital of Jining Medical University, Jining Medical University, Jining, Shandong, China.
Journal of diabetes investigation
|March 24, 2025
概括
高血压是糖尿病发展的独立危险因素. 这种风险在中年人群,女性和体重正常的人群中较高,缩血压是更强的预测因素.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 生活方式的不断变化导致糖尿病发病率的增加.
- 高血压是心血管疾病的主要危险因素.
- 了解血压对糖尿病风险的影响至关重要.
研究的目的:
- 为了研究血压和新发糖尿病之间的独立关系.
- 为了确定特定的人口群体在更高的风险.
主要方法:
- 从健康检查中对211,809个人的分析.
- 参与者根据心压和心压血压分为四分之一.
- 新发型糖尿病发病率作为主要结局指标.
主要成果:
- 血压是新发糖尿病的独立预测因子 (静脉血压HR1.07,静脉血压HR1.11每次SD增加).
- 对于糖尿病预测的最佳静脉压截止值是123mmHg (AUC 0.7014).
- 在中年人群,女性和体重正常的参与者中观察到更高的风险.
结论:
- 血压独立预测中国队列中糖尿病风险.
- 这种联系在中年,体重正常的女性中最为明显.
- 静止血压显示出比静止血压更大的预测能力.
相关概念视频
Factors affecting Blood pressure
2.8K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
2.8K
Diabetes Mellitus: Type 2 and Gestational
2.1K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.1K
Diabetes: Symptoms, Diagnosis, and Complications
494
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
494
Hypertension and Regulation of Blood Pressure
1.9K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
1.9K
Errors occurring during blood pressure monitoring
576
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
576
Psychoneuroimmunology: Diabetes and Cancer
20
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
20


