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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2008-7-17
pubmed:abstractText
The relationship between insulin resistance (IR) and essential hypertension (HTN) is controversial. The aim of this study was to determine the association of IR estimated by homeostasis model assessment of insulin resistance (HOMA-IR) and HTN in a large sample of Iranian diabetic and non-diabetic population. A total of 2047 diabetic and non-diabetic individuals with or without HTN, aged 30-75 yrs, who were referred to a university general hospital between November 2004 and April 2007 were included in this study. Demographic data and anthropometric characteristics of participants were recorded. Fasting blood samples were collected, and fasting plasma glucose (FPG), serum creatinine, lipids, insulin, C-peptide and HbA1c were measured. HOMA-IR and HOMA derived Beta-cell function (HOMA-B) were also calculated. Age, sex and waist girth adjusted HOMA-IR values were compared between hypertensive and normotensive subjects. Hypertensive patients had significantly higher HOMA-IR than age-, sex-, and waist girth-adjusted normotensive individuals in both non-diabetic (2.163 +/- 0.08 and 1.75 +/- 0.03, p < 0.001) and diabetic (3.40 +/- 0.10 and 3.07 +/- 0.09, p < 0.05) groups. Multivariate logistic regression analysis showed that after adjustment for age, sex, waist girth, BMI, triglyceride, total cholesterol, FPG, and C-peptide, HOMA-IR was a significant independent predictor of HTN in all subjects (odds ratio = 1.117, CI 95% = 1.026-1.216, p < 0.05) and in diabetic and non-diabetic subjects separately (odds ratio = 1.102, CI 95% = 1.009-1.203, p < 0.05 and odds ratio = 1.328, CI 95% = 1.116-1.580, p < 0.01, respectively). In conclusion, this study showed that IR is associated with HTN in Iranian diabetic and non-diabetic subjects.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
1525-6006
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
30
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
297-307
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:18633753-Adult, pubmed-meshheading:18633753-Aged, pubmed-meshheading:18633753-Anthropometry, pubmed-meshheading:18633753-Blood Glucose, pubmed-meshheading:18633753-Blood Pressure, pubmed-meshheading:18633753-C-Peptide, pubmed-meshheading:18633753-Comorbidity, pubmed-meshheading:18633753-Cross-Sectional Studies, pubmed-meshheading:18633753-Diabetes Mellitus, Type 2, pubmed-meshheading:18633753-Female, pubmed-meshheading:18633753-Glucose Tolerance Test, pubmed-meshheading:18633753-Homeostasis, pubmed-meshheading:18633753-Humans, pubmed-meshheading:18633753-Hypertension, pubmed-meshheading:18633753-Insulin, pubmed-meshheading:18633753-Insulin Resistance, pubmed-meshheading:18633753-Iran, pubmed-meshheading:18633753-Logistic Models, pubmed-meshheading:18633753-Male, pubmed-meshheading:18633753-Middle Aged, pubmed-meshheading:18633753-Models, Biological, pubmed-meshheading:18633753-Predictive Value of Tests
pubmed:year
2008
pubmed:articleTitle
HOMA-estimated insulin resistance is associated with hypertension in Iranian diabetic and non-diabetic subjects.
pubmed:affiliation
Endocrinology and Metabolism Research Center, Vali-Asr Hospital, Medical Sciences/University of Tehran, Tehran, Iran. esteghamati@tums.ac.ir
pubmed:publicationType
Journal Article, Comparative Study