The Effect of the Interaction between Abnormal Body Mass Index and Hypertension on the Risk of Type 2 Diabetes
Objective. Many patients with type 2 diabetes have an abnormal body mass index (BMI) and hypertension together, but few studies on the interaction of the two on the risk of T2DM are reported. We aim to explore the effect of the interaction between abnormal BMI and hypertension on the risk of type 2...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | International Journal of Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2023/6009414 |
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| author | Conghui Hu Yinxia Su Xiaoyuan Hu Kun Luo Alimire Abudireyimu Yuanyuan Li Hua Yao |
| author_facet | Conghui Hu Yinxia Su Xiaoyuan Hu Kun Luo Alimire Abudireyimu Yuanyuan Li Hua Yao |
| author_sort | Conghui Hu |
| collection | DOAJ |
| description | Objective. Many patients with type 2 diabetes have an abnormal body mass index (BMI) and hypertension together, but few studies on the interaction of the two on the risk of T2DM are reported. We aim to explore the effect of the interaction between abnormal BMI and hypertension on the risk of type 2 diabetes mellitus (T2DM) in Uyghur residents. Methods and Results. Based on the physical examination data of 27,4819 Uygur residents in Moyu County, a logistic regression model was used to analyze the correlation between BMI abnormality, hypertension, and T2DM disease, and then, the effect of their interaction on the risk of T2DM was evaluated by an additive model and a multiplicative model. The results showed that the detectable rate of T2DM was 5.58%, the proportion of abnormal BMI was 59.49%, and the proportion of hypertension was 25.14%. The risk of T2DM in people with an abnormal BMI and hypertension was higher than that in people with a normal weight and without hypertension, and the difference was statistically significant P<0.05. The additive model showed that after adjusting for confounding factors such as gender, age, family history of diabetes, abdominal obesity, and alcohol consumption, abnormal BMI and hypertension had a synergistic effect on the risk of T2DM and the evaluation indicators RERI, AP, and S were 0.90 (0.32∼1.49), 0.20 (0.11∼0.30), and 1.36 (1.17∼1.57), respectively. But there was no multiplicative interaction between the two (OR = 0.97, (95% CI: 0.89∼1.06). 3). Conclusion. The interaction between abnormal BMI and hypertension can increase the risk of T2DM, and improving BMI and controlling blood pressure within the normal range can effectively reduce the risk of T2DM. |
| format | Article |
| id | doaj-art-20f976520f0440cca1fad0849b2c77e2 |
| institution | OA Journals |
| issn | 1687-8345 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Endocrinology |
| spelling | doaj-art-20f976520f0440cca1fad0849b2c77e22025-08-20T02:03:58ZengWileyInternational Journal of Endocrinology1687-83452023-01-01202310.1155/2023/6009414The Effect of the Interaction between Abnormal Body Mass Index and Hypertension on the Risk of Type 2 DiabetesConghui Hu0Yinxia Su1Xiaoyuan Hu2Kun Luo3Alimire Abudireyimu4Yuanyuan Li5Hua Yao6School of Public HealthSchool of Medical Engineering and TechnologyThe First Affiliated Hospital of Xinjiang Medical UniversityThe First Affiliated Hospital of Xinjiang Medical UniversitySchool of Public HealthSchool of Public HealthHealth Management Institute of Xinjiang Medical UniversityObjective. Many patients with type 2 diabetes have an abnormal body mass index (BMI) and hypertension together, but few studies on the interaction of the two on the risk of T2DM are reported. We aim to explore the effect of the interaction between abnormal BMI and hypertension on the risk of type 2 diabetes mellitus (T2DM) in Uyghur residents. Methods and Results. Based on the physical examination data of 27,4819 Uygur residents in Moyu County, a logistic regression model was used to analyze the correlation between BMI abnormality, hypertension, and T2DM disease, and then, the effect of their interaction on the risk of T2DM was evaluated by an additive model and a multiplicative model. The results showed that the detectable rate of T2DM was 5.58%, the proportion of abnormal BMI was 59.49%, and the proportion of hypertension was 25.14%. The risk of T2DM in people with an abnormal BMI and hypertension was higher than that in people with a normal weight and without hypertension, and the difference was statistically significant P<0.05. The additive model showed that after adjusting for confounding factors such as gender, age, family history of diabetes, abdominal obesity, and alcohol consumption, abnormal BMI and hypertension had a synergistic effect on the risk of T2DM and the evaluation indicators RERI, AP, and S were 0.90 (0.32∼1.49), 0.20 (0.11∼0.30), and 1.36 (1.17∼1.57), respectively. But there was no multiplicative interaction between the two (OR = 0.97, (95% CI: 0.89∼1.06). 3). Conclusion. The interaction between abnormal BMI and hypertension can increase the risk of T2DM, and improving BMI and controlling blood pressure within the normal range can effectively reduce the risk of T2DM.http://dx.doi.org/10.1155/2023/6009414 |
| spellingShingle | Conghui Hu Yinxia Su Xiaoyuan Hu Kun Luo Alimire Abudireyimu Yuanyuan Li Hua Yao The Effect of the Interaction between Abnormal Body Mass Index and Hypertension on the Risk of Type 2 Diabetes International Journal of Endocrinology |
| title | The Effect of the Interaction between Abnormal Body Mass Index and Hypertension on the Risk of Type 2 Diabetes |
| title_full | The Effect of the Interaction between Abnormal Body Mass Index and Hypertension on the Risk of Type 2 Diabetes |
| title_fullStr | The Effect of the Interaction between Abnormal Body Mass Index and Hypertension on the Risk of Type 2 Diabetes |
| title_full_unstemmed | The Effect of the Interaction between Abnormal Body Mass Index and Hypertension on the Risk of Type 2 Diabetes |
| title_short | The Effect of the Interaction between Abnormal Body Mass Index and Hypertension on the Risk of Type 2 Diabetes |
| title_sort | effect of the interaction between abnormal body mass index and hypertension on the risk of type 2 diabetes |
| url | http://dx.doi.org/10.1155/2023/6009414 |
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