Evidence that prehypertension is a risk factor for Type 2 diabetes.
Whether or not blood pressure categories below 140/90 mmHg are associated with incident Type 2 diabetes or cardiovascular disease is subject to debate. Currently, a blood pressure of 120-139/80-89 mmHg is recognized as prehypertension. This article evaluates the association of prehypertension with incident Type 2 diabetes in the San Antonio Heart study. The authors found that prehypertension in the entire cohort was not related to incident Type 2 diabetes in fully adjusted analyses, but that a blood pressure of 130-139/85-89 mmHg was related to incident diabetes. These results, and conclusions of other studies, suggest that the prehypertension category should be divided for diabetes risk assessment.
Everett
Charles J
CJ
Department of Family Medicine, Medical University of South Carolina, 295 Calhoun Street, Charleston, SC 29425-1920, USA. everettc@musc.edu
Frithsen
Ivar L
IL
D000368:Aged; D001795:Blood Pressure Determination; D015984:Causality; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology*; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012015:Reference Standards; D018570:Risk Assessment; D012720:Severity of Illness Index