Cardio-metabolic risk factors and prehypertension in persons without diabetes, hypertension, and cardiovascular disease
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- 作者：Peggy PC Chiang (1) (4)
Ecosse L Lamoureux (1) (2)
Anoop Shankar (5)
E Shyong Tai (6)
Tien Y Wong (1) (2) (3)
Charumathi Sabanayagam (1) (3) (4) - 关键词：Prehypertension ; Metabolic syndrome ; Indian ; Cardiometabolic
- 刊名：BMC Public Health
- 出版年：2013
- 出版时间：December 2013
- 年：2013
- 卷：13
- 期：1
- 全文大小：183 KB
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36. The pre-publication history for this paper can be accessed here: ef="http://www.biomedcentral.com/1471-2458/13/730/prepub" class="a-plus-plus">http://www.biomedcentral.com/1471-2458/13/730/prepub - 作者单位：Peggy PC Chiang (1) (4)
Ecosse L Lamoureux (1) (2)
Anoop Shankar (5)
E Shyong Tai (6)
Tien Y Wong (1) (2) (3)
Charumathi Sabanayagam (1) (3) (4)
1. Singapore Eye Research Institute, Singapore National Eye Centre, Level 6, 11 Third Hospital Avenue, 168751, Singapore, Singapore
4. Duke-NUS Graduate Medical School, Singapore, Singapore
2. Centre for Eye Research Australia, University of Melbourne, Melbourne, Australia
5. Department of Epidemiology, West Virginia School of Public Health, Morgantown, USA
6. University Medicine Cluster, National University Health System, Singapore, Singapore
3. Department of Ophthalmology, National University of Singapore, Singapore, Singapore - ISSN：1471-2458
文摘
Background Prehypertension has been shown to be an early risk factor of cardiovascular disease (CVD). We investigated the prevalence and pattern of cardiometabolic risk factors in prehypertension in three ethnic Asian populations in Singapore. Methods We examined data from Chinese (n--177), Malay (n--74), and Indian (n--85) adults aged 40-0?years who participated in three independent population based studies conducted from 2004-011 in Singapore who were free of diabetes, hypertension and previous CVD. Prehypertension was defined as systolic blood pressure (BP) 120-39?mm Hg or diastolic BP 80-9?mm Hg. Random blood glucose, glycated haemoglobin (HbA1c), body mass index (BMI), triglycerides, low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol were examined as indicators of adverse cardiometabolic profile. The association between metabolic variables and prehypertension was examined using logistic regression models adjusting for potential confounders. Results The prevalence of prehypertension was 59.8% (Chinese), 68.9% (Malays) and 57.7% Indians. Higher levels of blood glucose, HbA1c and BMI were significantly associated with prehypertension in all three ethnic groups, odds ratio (95% confidence interval) of prehypertension in Chinese, Malays and Indians were: 1.42 (1.10, 1.83), 1.53 (1.05, 2.24), 1.49 (1.13, 1.98) for high-glucose; 3.50 (1.01, 12.18), 3.72 (1.29, 10.75), 2.79 (1.31, 5.94) for high-HbA1c; 1.86 (1.34, 2.56), 2.96 (2.10, 4.18), 1.68 (1.28, 2.20) for high-BMI. In addition, higher levels of LDL cholesterol in Chinese and higher levels of triglycerides were significantly associated with prehypertension. These associations persisted when metabolic variables were analysed as continuous variables. Conclusions Higher levels of blood glucose, HbA1c and BMI were associated with prehypertension in all three ethnic groups in Singapore. Screening for prehypertension and lifestyle modifications could potentially reduce the burden of CVD in otherwise healthy Asian adults living in Singapore.