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Impact of diabetes mellitus on arterial stiffness in a representative sample of an urban Brazilian population

机译:巴西城市人口代表性样本中糖尿病对动脉僵硬度的影响

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Background Independent of other cardiovascular (CV) risk factors, increased arterial stiffness has been established as a predictor of morbidity and mortality. The main aim of this study was to investigate the impact of diabetes on arterial stiffness in a representative sample of an urban Brazilian population plus Amerindians. Methods A total of 1,415 individuals from the general population were randomly selected plus 588 Amerindians from a native community in Brazil. In addition, a sub-sample of 380 individuals from the general population had 5-year follow-up data. Pulse wave velocity (PWV) was measured with a non-invasive automatic device (Complior, Colson; Garges les Gonesses, France) and increased arterial stiffness was defined as PWV?≥?12 m/s. Results In the overall group, diabetic individuals had higher frequencies of increased arterial stiffness and hypertension. They also had higher values of PWV, body mass index, total cholesterol, triglycerides, systolic and diastolic blood pressures compared to non-diabetic individuals (p?
机译:背景技术独立于其他心血管(CV)危险因素,已经确定动脉僵硬度的增加可作为发病率和死亡率的预测指标。这项研究的主要目的是调查巴西城市人口加上美洲印第安人的代表性样本中糖尿病对动脉僵硬度的影响。方法随机抽取总人口中的1,415人,并从巴西的一个原住民社区中选出588名美洲印第安人。此外,从380名普通人群中抽取了5年的随访数据。用无创自动装置(Complior,Colson;法国Garges les Gonesses,法国)测量脉搏波速度(PWV),将动脉僵硬度增加定义为PWV≥≥12m / s。结果在整个组中,糖尿病患者的动脉僵硬和高血压发生频率更高。与非糖尿病患者相比,他们的PWV,体重指数,总胆固醇,甘油三酸酯,收缩压和舒张压值也更高(p <0.01)。在按高血压进行分层的分析中,两组糖尿病患者(高血压和非高血压)的PWV值和动脉僵硬频率增加均较高(p <0.05)。此外,在糖尿病患者中,整体组(OR≥= 2.27;CI≥= 1.47-3.52,p≥<0.001)和高血压组(OR≥= 2.70)观察到较高的动脉硬化风险。 ;CI≤1.58-4.75,p≤0.001),针对协变量进行了调整。关于种族分层,与非糖尿病个体相比,来自美洲印第安人,白人和混血儿(混合种族)的糖尿病个体具有更高的PWV值和更高的动脉僵硬频率。糖尿病和非糖尿病患者在5年后均具有较高的PWV值。与非糖尿病患者相比,糖尿病患者的5年PWV进展没有显着差异。结论在巴西人群中,这些结果证实了糖尿病的存在与动脉僵硬度的增加有关,并且可能部分导致糖尿病患者心血管风险的增加。

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