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Titolo:
Impaired glucose metabolism and obesity in Swedish patients with borderline isolated systolic hypertension: Skaraborg Hypertension and Diabetes Project
Autore:
Bog-Hansen, E; Lindblad, U; Ranstam, J; Melander, A; Rastam, L;
Indirizzi:
Skara Hlth Care Ctr, S-53232 Skara, Sweden Skara Hlth Care Ctr Skara Sweden S-53232 Care Ctr, S-53232 Skara, Sweden Malmo Univ Hosp, Dept Community Med, Malmo, Sweden Malmo Univ Hosp MalmoSweden iv Hosp, Dept Community Med, Malmo, Sweden Skaraborg Inst, Skovde, Sweden Skaraborg Inst Skovde SwedenSkaraborg Inst, Skovde, Sweden NEPI Fdn, Malmo, Sweden NEPI Fdn Malmo SwedenNEPI Fdn, Malmo, Sweden NEPI Fdn, Stockholm, Sweden NEPI Fdn Stockholm SwedenNEPI Fdn, Stockholm, Sweden Natl Publ Hlth Inst, Stockholm, Sweden Natl Publ Hlth Inst Stockholm Sweden Publ Hlth Inst, Stockholm, Sweden
Titolo Testata:
DIABETES OBESITY & METABOLISM
fascicolo: 1, volume: 3, anno: 2001,
pagine: 25 - 31
SICI:
1462-8902(200101)3:1<25:IGMAOI>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARDIOVASCULAR-DISEASE; BLOOD-PRESSURE; MORTALITY; ADULTS; HEALTH;
Keywords:
primary health care; borderline isolated systolic hypertension; diabetes; obesity;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Bog-Hansen, E Skara Hlth Care Ctr, Malmgatan 36, S-53232 Skara, Sweden Skara Hlth Care Ctr Malmgatan 36 Skara Sweden S-53232 weden
Citazione:
E. Bog-Hansen et al., "Impaired glucose metabolism and obesity in Swedish patients with borderline isolated systolic hypertension: Skaraborg Hypertension and Diabetes Project", DIABET OB M, 3(1), 2001, pp. 25-31

Abstract

Aim: To assess the prevalence of borderline isolated systolic hypertension(borderline ISH), and to examine its association with other cardiovascularrisk factors. Methods: A cross-sectional community-based study was carried out in 1993-1994 in Skara, Sweden, including 1109 randomly chosen subjects greater than or equal to 40 years old. Normotension (NT) was defined as systolic blood pressure (SBP) < 140 and diastolic blood pressure (DBP) < 90 mmHg, borderline ISH as SBP 140-159 and DBP < 90 mmHg and hypertension (HT) as SBP greaterthan or equal to 160 or DBP greater than or equal to 90 mmHg or ongoing treatment. Results: The prevalence of borderline ISH (n = 203) by age was 4% in ages 40-49 years, 15% in ages 50-59 years, 28% in ages 60-69 years and 25% in ages 70-79 years. With borderline ISH as reference, normotensive subjects less often had fasting blood glucose > 5.5 mmol/l (odds ratio (OR): 0.4, 95% CI: 0.26-0.75), BMI > 27 kg/m(2) (OR: 0.6, 95% confidence intervals (CI): 0.42-0.85) and known diabetes (OR: 0.4, 95% CI: 0.16-0.95). Hypertensive subjects more often had high density lipoprotein (HDL) cholesterol < 1.0 mmol/l(OR: 2.0, 95% CI: 1.35-2.99), a history of previous cardiovascular disease(CVD) (OR: 1.7, 95% CI: 1.01-2.72), known diabetes (OR: 2.4, 95% CI: 1.29-4.58) and microalbuminuria (men) (OR: 1.9, 95% CI: 1.15-3.11). Conclusion: Borderline ISH is a common condition. It is associated with a more unfavourable risk factor profile than that of normotensive subjects concerning primarily glucose metabolism and obesity. The prevalence of known diabetes increased with the degree of hypertension.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 13:33:25