title: Ethnic Variation in the Association of Hypertension With Type 2 Diabetes.
abstract: Lifestyle changes occurring with urbanization increase the prevalence of both type 2 diabetes mellitus (T2DM) and hypertension (HTN). Yemenites who have immigrated to Israel have demonstrated a dramatic increase in T2DM but the prevalence of HTN in diabetic Yemenites is unclear. In a cross-sectional study, the authors evaluated the prevalence of HTN and lifestyle patterns in Israelis with T2DM of Yemenite (Y-DM) and non-Yemenite (NY-DM) origin. Y-DM (n=63) and NY-DM (n=120) had similar age (63±7 vs 64±7 years, P=.5), diabetes duration, diet adherence, and exercise patterns. Y-DM had a lower prevalence of HTN (63%) than NY-DM (83%) (P<.01). Furthermore, Yemenite origin was independently associated with lower prevalence of HTN (odds ratio, 0.3; 95% confidence interval, 0.12-0.71). Blood pressure was well controlled with fewer antihypertensive medications in Y-DM than NY-DM (P<.01). Even though lifestyle patterns were similar in the two groups, Y-DM had a lower prevalence of HTN compared with NY-DM and required fewer antihypertensive medications.
authors.affiliation: Diabetes, Endocrinology and Metabolic Disease Institute, Kaplan Medical Center, Hebrew University Medical School of Jerusalem, Rehovot, Israel.|Institute of Biochemistry Food Science and Nutrition, Robert H. Smith Faculty of Agriculture, Food and Environment, Hebrew University of Jerusalem, Rehovot, Israel.
authors.forename: Moran
authors.initials: M
authors.lastname: Blaychfeld-Magnazi
authors.affiliation: Diabetes, Endocrinology and Metabolic Disease Institute, Kaplan Medical Center, Hebrew University Medical School of Jerusalem, Rehovot, Israel.
authors.forename: Hilla
authors.initials: H
authors.lastname: Knobler
authors.affiliation: Department of Environmental Economics and Management, Robert H. Smith Faculty of Agriculture, Food and Environment, Hebrew University of Jerusalem, Rehovot, Israel.
authors.forename: Hillary
authors.initials: H
authors.lastname: Voet
authors.affiliation: Diabetes, Endocrinology and Metabolic Disease Institute, Kaplan Medical Center, Hebrew University Medical School of Jerusalem, Rehovot, Israel.
authors.forename: Naama
authors.initials: N
authors.lastname: Reshef
authors.affiliation: Department of Epidemiology, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
authors.forename: Shimon
authors.initials: S
authors.lastname: Weitzman
authors.affiliation: National Institute of Diabetes, Digestive and Kidney Diseases and the National Institute of Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD.
authors.forename: Anne E
authors.initials: AE
authors.lastname: Sumner
authors.affiliation: Diabetes, Endocrinology and Metabolic Disease Institute, Kaplan Medical Center, Hebrew University Medical School of Jerusalem, Rehovot, Israel.
authors.forename: Taiba
authors.initials: T
authors.lastname: Zornitzki
mesh_terms: D000368:Aged; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology* / Q000208:ethnology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology* / Q000208:ethnology; D007557:Israel / Q000208:ethnology; D008019:Life Style; D008297:Male; D008875:Middle Aged; D015006:Yemen / Q000208:ethnology