Association between raised blood pressure and dysglycemia in Hong Kong Chinese.
OBJECTIVE
To investigate the association between raised blood pressure and dysglycemia.


METHODS
We studied the association between raised blood pressure and dysglycemia in 1,862 subjects in the Hong Kong Cardiovascular Risk Factor Prevalence Study cohort. We determined the factors predicting the development of diabetes and hypertension in 1,496 subjects who did not have either condition at baseline.


RESULTS
Diabetes and hypertension were both related to age, obesity indexes, blood pressure, glucose, HDL cholesterol, and triglycerides. Of subjects with diabetes, 58% had raised blood pressure. Of subjects with hypertension, 56% had dysglycemia. BMI and blood glucose 2 h after a 75-g oral glucose load were independent predictors of new-onset diabetes. Age, systolic blood pressure, and 2-h glucose were independent predictors of new-onset hypertension. BMI, systolic blood pressure, and 2-h glucose were independent predictors of the development of diabetes and hypertension together.


CONCLUSIONS
Diabetes and hypertension share common etiological factors. Patients with diabetes or hypertension should be screened and managed for the precursor of the other condition.
Cheung
Bernard M Y
BM
Department of Medicine, University of Hong Kong, Hong Kong, China. b.cheung@bham.ac.uk
Wat
Nelson M S
NM
Tso
Annette W K
AW
Tam
Sidney
S
Thomas
G Neil
GN
Leung
Gabriel M
GM
Tse
Hung Fat
HF
Woo
Jean
J
Janus
Edward D
ED
Lau
Chu Pak
CP
Lam
Tai Hing
TH
Lam
Karen S L
KS
D000328:Adult; D044466:Asian People / Q000706:statistics & numerical data; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000453:epidemiology; D005260:Female; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D006943:Hyperglycemia / Q000150:complications* / Q000453:epidemiology*; D006973:Hypertension / Q000150:complications* / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D016016:Proportional Hazards Models; D049629:Waist-Hip Ratio