Association between within-visit systolic blood pressure variability and development of pre-diabetes and diabetes among overweight/obese individuals

Short-term blood pressure variability is associated with pre-diabetes/diabetes cross-sectionally, but there are no longitudinal studies evaluating this association. The objective of this study is to evaluate the association between within-visit systolic and diastolic blood pressure variability and d...

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Bibliographic Details
Published in:Journal of human hypertension 2018, Vol.32 (1), p.26-33
Main Authors: Joshipura, Kaumudi J., Muñoz-Torres, Francisco J., Campos, Maribel, Rivera-Díaz, Alba D., Zevallos, Juan C.
Format: Article
Language:English
Subjects:
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Adult
Autonomic Nervous System - physiopathology
Blood glucose
Blood Pressure
Body weight
C-reactive protein
Complications and side effects
Diabetes
Diabetes mellitus
Dyslipidemia
Epidemiology
Female
Follow-Up Studies
Health Administration
Health risk assessment
High density lipoprotein
Humans
Hypertension
Lipids
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity
Obesity - complications
Obesity - physiopathology
Overweight
Physical activity
Prediabetic State - etiology
Prognosis
Public Health
Risk factors
Smoking
Triglycerides
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Summary:Short-term blood pressure variability is associated with pre-diabetes/diabetes cross-sectionally, but there are no longitudinal studies evaluating this association. The objective of this study is to evaluate the association between within-visit systolic and diastolic blood pressure variability and development of pre-diabetes/diabetes longitudinally. The study was conducted among eligible participants from the San Juan Overweight Adults Longitudinal Study (SOALS), who completed the 3-year follow-up exam. Participants were Hispanics, 40–65 years of age, and free of diabetes at baseline. Within-visit systolic and diastolic blood pressure variability was defined as the maximum difference between three measures, taken a few minutes apart, of systolic and diastolic blood pressure, respectively. Diabetes progression was defined as development of pre-diabetes/diabetes over the follow-up period. We computed multivariate incidence rate ratios adjusting for baseline age, gender, smoking, physical activity, waist circumference, and hypertension status. Participants with systolic blood pressure variability ≥10 mmHg compared to those with
ISSN:0950-9240
1476-5527
DOI:10.1038/s41371-017-0009-y