Association of Pulse Pressure with Serum TNF-α and Neutrophil Count in the Elderly

Aims. Elevated pulse pressure (PP) has been reported to be a risk factor for type 2 diabetes in elderly patients with hypertension. Methods. Cross-sectional relationships of PP with known risk factors for type 2 diabetes and inflammatory markers were examined in 150 elderly community-dwelling women,...

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Main Authors: Eriko Yamada, Mika Takeuchi, Miki Kurata, Tsutomu Kazumi, Keisuke Fukuo
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2014/972431
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author Eriko Yamada
Mika Takeuchi
Miki Kurata
Tsutomu Kazumi
Keisuke Fukuo
author_facet Eriko Yamada
Mika Takeuchi
Miki Kurata
Tsutomu Kazumi
Keisuke Fukuo
author_sort Eriko Yamada
collection DOAJ
description Aims. Elevated pulse pressure (PP) has been reported to be a risk factor for type 2 diabetes in elderly patients with hypertension. Methods. Cross-sectional relationships of PP with known risk factors for type 2 diabetes and inflammatory markers were examined in 150 elderly community-dwelling women, 79 women (52.7%) of whom had hypertension. Results. Systolic blood pressure (standardized β, 0.775), log tumor necrosis factor-α (TNF-α, standardized β, 0.110), age (standardized β, 0.140), and neutrophil count (standardized β, 0.114) emerged as determinants of PP independent of high-sensitivity C-reactive protein, interleukin-6, monocyte count, plasminogen activator inhibitor-1, homeostasis model assessment of insulin resistance, HDL-cholesterol, and adiponectin (R2 = 0.772). Conclusions. The present studies have demonstrated an independent association of higher PP with higher TNF-α, a marker of insulin resistance, and neutrophil count in community-living elderly women and suggest that insulin resistance and chronic low-grade inflammation may in part be responsible for the association between high PP and incident type 2 diabetes found in elderly patients with hypertension.
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spelling doaj-art-09f24d7da5044bf88e748aaf61d7948d2025-08-20T03:55:27ZengWileyJournal of Diabetes Research2314-67452314-67532014-01-01201410.1155/2014/972431972431Association of Pulse Pressure with Serum TNF-α and Neutrophil Count in the ElderlyEriko Yamada0Mika Takeuchi1Miki Kurata2Tsutomu Kazumi3Keisuke Fukuo4Postgraduate School of Food Sciences and Nutrition, Mukogawa Women’s University, 6-46 Ikebiraki-cho, Nishinomiya, Hyogo 663-8558, JapanDepartment of Food Sciences and Nutrition, School of Human Environmental Sciences, Mukogawa Women’s University, 6-46 Ikebiraki-cho, Nishinomiya, Hyogo 663-8558, JapanDepartment of Food Sciences and Nutrition, School of Human Environmental Sciences, Mukogawa Women’s University, 6-46 Ikebiraki-cho, Nishinomiya, Hyogo 663-8558, JapanPostgraduate School of Food Sciences and Nutrition, Mukogawa Women’s University, 6-46 Ikebiraki-cho, Nishinomiya, Hyogo 663-8558, JapanPostgraduate School of Food Sciences and Nutrition, Mukogawa Women’s University, 6-46 Ikebiraki-cho, Nishinomiya, Hyogo 663-8558, JapanAims. Elevated pulse pressure (PP) has been reported to be a risk factor for type 2 diabetes in elderly patients with hypertension. Methods. Cross-sectional relationships of PP with known risk factors for type 2 diabetes and inflammatory markers were examined in 150 elderly community-dwelling women, 79 women (52.7%) of whom had hypertension. Results. Systolic blood pressure (standardized β, 0.775), log tumor necrosis factor-α (TNF-α, standardized β, 0.110), age (standardized β, 0.140), and neutrophil count (standardized β, 0.114) emerged as determinants of PP independent of high-sensitivity C-reactive protein, interleukin-6, monocyte count, plasminogen activator inhibitor-1, homeostasis model assessment of insulin resistance, HDL-cholesterol, and adiponectin (R2 = 0.772). Conclusions. The present studies have demonstrated an independent association of higher PP with higher TNF-α, a marker of insulin resistance, and neutrophil count in community-living elderly women and suggest that insulin resistance and chronic low-grade inflammation may in part be responsible for the association between high PP and incident type 2 diabetes found in elderly patients with hypertension.http://dx.doi.org/10.1155/2014/972431
spellingShingle Eriko Yamada
Mika Takeuchi
Miki Kurata
Tsutomu Kazumi
Keisuke Fukuo
Association of Pulse Pressure with Serum TNF-α and Neutrophil Count in the Elderly
Journal of Diabetes Research
title Association of Pulse Pressure with Serum TNF-α and Neutrophil Count in the Elderly
title_full Association of Pulse Pressure with Serum TNF-α and Neutrophil Count in the Elderly
title_fullStr Association of Pulse Pressure with Serum TNF-α and Neutrophil Count in the Elderly
title_full_unstemmed Association of Pulse Pressure with Serum TNF-α and Neutrophil Count in the Elderly
title_short Association of Pulse Pressure with Serum TNF-α and Neutrophil Count in the Elderly
title_sort association of pulse pressure with serum tnf α and neutrophil count in the elderly
url http://dx.doi.org/10.1155/2014/972431
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