The association of parental and offspring educational attainment with systolic blood pressure, fasting blood glucose and waist circumference in Latino adults

Background : Obesity in adolescence associated with the incidence of metabolic syndrome. The metabolic syndrome is a group of metabolic disorders characterized by high blood pressure, high fasting blood glucose, high triglycerides, low HDL and central obesity. An increasing number of metabolic syndrome in line with the increase in the number of obesity. Based on RISKESDAS 2013 increased the proportion of central obesity from 2007 to 2013 by 18.8% to 26.6%. The prevalence of central obesity in Semarang 21.5%.Aim : Knowing the relationship among intake with waist circumference, fasting blood glucose level and blood pressure in obese adolescents in SMAN 9 Semarang.Method : This study was an observational study with cross-sectional design. Sampling was conducted randomized to receive 47 samples. The data collected is macro nutrients intake factors with 24 hours recall method, weight, height, waist circumference, fasting blood glucose level and blood pressure. Data was collected by the method of anthropometry; interviews, blood pressure measurement and fasting blood glucose level measurement. The correlations test using linear regression.Results: There is a correlation between intake with waist circumference (p 0.046 0.05) with a moderate relationship (R = 0.454) and contributed 20.6%, there is a correlation between intake with fasting blood glucose level (0.039 p 0.05) with the level of relationship is (R = 0.448) and contributed 20.1%, there is a correlation between intake with systolic blood pressure (p 0.004 0.05) with a strong correlation (R = 0.556) and contributed 30.6%, and there is no correlation between intake factor with diastolic blood pressure (p 0.113 0.05) and contributed 16.3%.Conclusion: There is a correlation among intake with waist circumference, fasting blood glucose level and systolic blood pressure. There is no correlation between intake with diastolic blood pressure.

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Association of Anthropometric Parameters with Blood Pressure and Blood Glucose among Ellisras Children

10.5772/intechopen.95938 ◽

2021 ◽

Author(s):

Moloko Matshipi ◽

Hlengani James Siweya ◽

Phuti Joanna Makgae

Keyword(s):

Diabetes Mellitus ◽

Blood Pressure ◽

Body Mass Index ◽

Blood Glucose ◽

Waist Circumference ◽

Systolic Blood Pressure ◽

Fasting Blood Glucose ◽

Neck Circumference ◽

Anthropometric Parameters ◽

Waist To Height Ratio

Obesity as directly measured by anthropometric parameters has been demonstrated to be associated with hypertension and type 2 diabetes mellitus, which are common risk factors for CVD. The study aimed at assessing the relationship between blood pressure, blood glucose and anthropometric parameters in Ellisras children. A total of 492 children aged 6 to 11 years, participated in the study. Neck circumference, waist circumference, body mass index, waist-to-height ratio, fasting blood glucose, systolic and diastolic blood pressure were measured using standard procedures. Linear regression showed significant association (P < 0.05) of anthropometric parameters (except waist-to-height ratio) with blood pressure. Fasting blood glucose was significantly associated with neck circumference when adjusted for age and gender. Positive correlation was found for systolic blood pressure with neck and waist circumference and body mass index in both genders and for diastolic blood pressure, the correlation was only found in boys. Fasting blood glucose was negatively correlated with neck circumference. Waist circumference (P = 0.025, β = 1.208, 95% CI = 1.017–1.285) was better than BMI (P = 0.046, β = 1.340, 95% CI = 1.005–1.788) in predicting elevated systolic blood pressure. These findings suggest that it is crucial to manage anthropometric parameters in the Ellisras community in order to decelerate the increase of hypertension and diabetes mellitus.

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Epicardial fat thickness as arterial hypertension predictor in normotensive patients with abdominal obesity

European Heart Journal ◽

10.1093/ehjci/ehaa946.2730 ◽

2020 ◽

Vol 41 (Supplement_2) ◽

Author(s):

T Kuznetsova ◽

M Druzhilov

Keyword(s):

Blood Pressure ◽

Regression Analysis ◽

Blood Glucose ◽

Waist Circumference ◽

Arterial Hypertension ◽

Multivariate Regression ◽

Fasting Blood Glucose ◽

Multivariate Regression Analysis ◽

Epicardial Fat Thickness ◽

Fat Thickness

Abstract Objective Arterial hypertension (HTN) is one of the most common diseases associated with obesity. Visceral obesity (VO) with dysfunctional visceral adipose tissue plays the main role in obesity induced HTN. Direct criteria of VO including echocardiographic epicardial fat thickness (EFT) may become an additional predictor of HTN. Purpose The aim was to assess the role of echocardiographic EFT (EEFT) as a predictor of HTN in normotensive patients with abdominal obesity (AO). Methods 526 normotensive men (according to ambulatory blood pressure monitoring (ABPM) without therapy) with AO (waist circumference (WC) >94 cm) and SCORE <5%, without cardiovascular diseases and diabetes mellitus were examined (age 45.1±5.0 years). The lipid and glucose profiles, creatinine, uric acid and C-reactive protein blood levels, albuminuria evaluation, echocardiography, carotid ultrasound, bifunctional ABPM were performed. The values of EEFT ≥75 percentile for persons 35–45 years and 46–55 years were 4.8 mm and 5.8 mm respectively. These values used as epicardial VO criteria. Patients with subclinical carotid atherosclerosis due to the lipid-lowering therapy administration (n=98) were excluded from the follow-up. Re-examination with ABPM was conducted on average through 46.3±5.1 months. Data were summarized as mean ± standard error, statistical analysis conducted with paired two-tailed t-tests, Pearson χ2 criterion and multivariate regression analysis. Results Data of 406 persons were available for analysis. HTN as average daily blood pressure ≥130/80 mm Hg was detected in 157 (38.7%) patients. These patients were characterized by initially higher values of age (45.9±4.6 years vs 44.3±4.9 years, p<0.001), waist circumference (106.9±7.3 cm vs 104.2±7.3 cm, p<0.001), body mass index (BMI) (32.0±3.3 kg/m2 vs 30.9±3.2 kg/m2, p<0.001), average daily systolic and diastolic blood pressure (120.7/74.5±4.6/3.4 mm Hg vs 118.2/73.2±5.5/3.9 mm Hg, p<0.001), EEFT (5.2±0.7 mm vs 4.4±1.0 mm, p<0.001). The epicardial VO was initially detected in 95 (23.3%) patients. In patients with HTN the initial prevalence of epicardial VO was greater (58.0% vs 23.3%, p<0.001). As predictors for the multivariate regression analysis the clinical and laboratory examinations data and EEFT were evaluated. According to the results a mathematical model for estimating the probability HTN was obtained: 0.696*fasting blood glucose + 0.198*systolic BP + 2.844*EFT – 40.166 (constant). Among these predictors EEFT was characterized by the highest standardized regression coefficient (0.302, p<0.001) (0.295, p<0.01 for fasting blood glucose, 0.035, p<0.001 for systolic BP). The Hosmer-Lemeshow test value was 0.863, the total percentage of correct classifications was 86%, the area under the ROC-curve was 0.913. Conclusions EEFT (4.8 mm for persons 35–45 years and 5.8 mm for persons 46–55 years) may be an additional predictor of HTN in normotensive patients with AO. Funding Acknowledgement Type of funding source: None

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Associations of Variability in Metabolic Parameters with Lung Cancer: A Nationwide Population-Based Study

Cancers ◽

10.3390/cancers13081982 ◽

2021 ◽

Vol 13 (8) ◽

pp. 1982

Author(s):

In Young Cho ◽

Kyungdo Han ◽

Dong Wook Shin ◽

Mi Hee Cho ◽

Jung Eun Yoo ◽

...

Keyword(s):

Lung Cancer ◽

Blood Pressure ◽

Blood Glucose ◽

Cancer Risk ◽

Systolic Blood Pressure ◽

Total Cholesterol ◽

Lung Cancer Risk ◽

Fasting Blood Glucose ◽

High Variability ◽

Metabolic Parameters

We investigated whether visit-to-visit variability in metabolic parameters is associated with lung cancer risk. We used nationally representative data from the Korean National Health Insurance System, and 8,011,209 lung-cancer-free subjects who underwent over three health examinations from 2005 to 2010 were followed until 2017. Variability of fasting blood glucose, total cholesterol, systolic blood pressure, and body weight were measured by the variability independent of the mean, assessed by quartiles. There were 44,982 lung cancer events. The hazard ratio (HR) and 95% confidence interval (CI) for lung cancer risk was 1.07 (1.04, 1.10) for fasting blood glucose in the highest quartile, 1.08 (1.05, 1.10) for systolic blood pressure, 1.04 (1.01, 1.07) for weight, and 1.11 (1.08, 1.14) for total cholesterol. When comparing ≥3 vs. 0 high-variability metabolic parameters, the HR for lung cancer was 1.18 (95% CI, 1.14, 1.22). However, while ≥3 high-variability parameters showed an increased lung cancer risk in men (HR 1.26, 95% CI 1.21, 1.31), women did not show increased risk (HR 0.99, 95% CI 0.92, 1.06). High variability in each metabolic parameter, and a higher number of high-variability parameters, were associated with increased lung cancer risk.

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Determinants of Cardiovascular Disease among Urban Women with Psoriasis: A Case–Control Study

Indian Journal of Cardiovascular Disease in Women WINCARS ◽

10.1055/s-0040-1705661 ◽

2020 ◽

Vol 5 (02) ◽

pp. 102-108 ◽

Cited By ~ 1

Author(s):

Sudha Bala ◽

Archana Mavoori ◽

Harshal Pandve ◽

Chinmayee Biswal ◽

Vijay Prasanna ◽

...

Keyword(s):

Blood Pressure ◽

Blood Glucose ◽

Waist Circumference ◽

Case Control Study ◽

Low Density Lipoprotein ◽

Fasting Blood Glucose ◽

Density Lipoprotein ◽

Case Control ◽

Low Density ◽

Control Study

Abstract Background and Aim Psoriasis have a direct impact on development of cardiovascular risk factors leading to atherosclerosis and metabolic abnormalities. In order to prevent the complications, early and prompt identification of factors through various parameters help in primary and secondary prevention of cardiovascular diseases (CVDs) among these psoriatic patients. Therefore the aim of this study is to determine the prevalence of various determinants for cardiovascular diseases among cases and controls. Methods A hospital based case control study at a tertiary care hospital included women from the out patient department, aged above 18 years who were known cases of psoriasis. 114 patients were recruited with 1:1 ratio between cases and controls. All patients were evaluated using semi structured interview schedule with socio demographic variables, duration of disease, family history, and usage of drugs. Severity of disease was assessed through the psoriasis area severity index (PASI). Body surface area (BSA), body mass index (BMI), waist circumference and blood pressure measurement were done using standard methods. Lipid profile, high sensitivity C-Reactive protein (HsCRP) and blood sugar through calibrated analyzers having quality control. Carotid intima media thickness (CIMT) was assessed by using carotid Doppler technique to measure atherosclerosis. Results One hundred fourteen patients, means 57 pairs of cases and controls were analyzed in this study. Significant determinants among cases were raised such as waist circumference (p = 0.025), diastolic blood pressure (p = 0.0001), low density lipoprotein (p = 0.002) and fasting blood glucose (p = 0.004) when compared to controls. HsCRP and CIMT were also raised among cases but only CIMT was statistically significant when compared to controls (p = 0.0001). We also found raised determinants among psoriatic arthritis patients compared to psoriasis. Conclusion Psoriasis patients had high waist circumference, diastolic blood pressure, low density lipoprotein, fasting blood glucose, and CIMT when compared to controls. Early identification of these determinants make them amenable for prevention.

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A 006 Elevation in Systolic Blood Pressure and Fasting Blood Glucose Impairs the Improvement of Endothelial Function Induced by Short-term Red Wine Consumption

Atherosclerosis Supplements ◽

10.1016/s1567-5688(09)71669-1 ◽

2009 ◽

Vol 10 (3) ◽

pp. 6

Author(s):

FHY Cesena ◽

SR Coimbra ◽

ACM Andrade ◽

AM Benjo ◽

PL Luz

Keyword(s):

Blood Pressure ◽

Blood Glucose ◽

Endothelial Function ◽

Systolic Blood Pressure ◽

Red Wine ◽

Fasting Blood Glucose ◽

Short Term ◽

Wine Consumption

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Decaffeinated light-roasted green coffee and green tea extract combination improved metabolic parameters and modulated inflammatory genes in metabolic syndrome rats

F1000Research ◽

10.12688/f1000research.27921.1 ◽

2021 ◽

Vol 10 ◽

pp. 467

Author(s):

Mohammad Saifur Rohman ◽

Mifetika Lukitasari ◽

Dwi Adi Nugroho ◽

Risa Ramadhiani ◽

Nashi Widodo ◽

...

Keyword(s):

Blood Pressure ◽

Metabolic Syndrome ◽

Blood Glucose ◽

Systolic Blood Pressure ◽

Green Tea ◽

Triglyceride Level ◽

Fasting Blood Glucose ◽

Metabolic Parameters ◽

Green Coffee ◽

Tea Extract

Background: Individually, green tea and green coffee have been extensively studied for mitigation of metabolic syndrome (MS) in both rats and humans; however, their combined effect requires further investigation. Thus, we compared the metabolic effect of combining green tea and decaffeinated light roasted green coffee on MS in rats. Methods: An MS animal model was constructed by feeding Sprague-Dawley rats with a high-fat-high-sucrose (HFHS) diet for eight weeks and a low dose of streptozotocin (STZ) injection at week 2. Rats fed with HFHS diets and injected with STZ successfully developed MS phenotypes, indicated by higher body weight, systolic blood pressure, plasma triglyceride level, plasma fasting blood glucose level, and lower plasma HDL-C level, compared to those fed with a normal chow diet. Subsequently, MS rats were continuously fed with HFHS and divided into four groups: MS rats, MS with 300 mg/bw.t green tea extract (GT), MS with 200 mg/bw.t green coffee extract (GC), and MS with combined green tea and green coffee extract (CM) for nine weeks. Results: Combining green tea and green coffee have synergistic effects on reducing plasma fasting blood glucose and triglyceride level. Inflammatory markers both in plasma and liver tissue robustly decreased in CM group rats. However, the reduction of systolic blood pressure was observed only in GT and CM groups. Moreover, all treatment resulted in an increase in plasma HDL-C level in MS rats. Conclusions: Our data highlighted that, in MS animal models, combined green tea and decaffeinated light roasted green coffee augment their several individual beneficial effects of improved metabolic parameters and modulated inflammatory genes.

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Korelasi Lingkar Pinggang dengan Kadar Gula Darah Puasa, Kadar Trigliserida, dan Tekanan Darah pada Mahasiswa Fakultas Kedokteran Universitas HKBP Nommensen

Health & Medical Journal ◽

10.33854/heme.v3i2.583 ◽

2021 ◽

Vol 3 (2) ◽

pp. 08-13

Author(s):

Ervina Julien Sitanggang

Keyword(s):

Blood Pressure ◽

Cardiovascular Disease ◽

Young Adults ◽

Blood Glucose ◽

Waist Circumference ◽

Blood Sugar ◽

Fasting Blood Glucose ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Sugar Levels

Introduction: Cardiovascular disease is the number one cause of death globally with an incidence of adolescents and young adults in Indonesia as many as 153.705 cases. Central obesity is associated with the risk of cardiovascular disease due to increase in fasting blood glucose levels, cholesterol and triglyceride levels, and blood pressure. Aims: to determine the correlation between waist circumference and fasting blood glucose levels, triglyceride levels, and blood pressure in young adults. Method: This analytic study with a cross-sectional approach involved 53 young adult subjects (18-25 years old). Waist circumference is measured using a tape measure. Blood sugar and triglyceride levels were measured using Cobas® 6000 analyzer machine from blood samples of subjects after fasting for 8-12 hours. Blood pressure data are obtained by measurement using aneroid sphygmomanometer. Results: In this study, the mean waist circumference of the research subjects was 77,4 cm. No correlation was found between waist circumference and fasting blood sugar levels (p = 0,159). However, a positive correlation was found between waist circumference and triglyceride levels (p = 0,008; r = 0,332), between waist circumference and systolic blood pressure (p = 0,049; r = 0,230), and between waist circumference and diastolic blood pressure (p = 0,017; r = 0,293). Conclusion: waist circumference is positively correlated with triglyceride levels and blood pressure, but does not correlate with fasting blood sugar levels.

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Variables predicting prognosis following nerve mobilisation in individuals with cervicobrachial pain

International Journal of Therapy and Rehabilitation ◽

10.12968/ijtr.2019.0007 ◽

2021 ◽

Vol 28 (1) ◽

pp. 1-10

Author(s):

Tinu Sharma ◽

Kanthanathan Subbiah ◽

P Antony Leo Aseer

Keyword(s):

Blood Pressure ◽

Blood Glucose ◽

Systolic Blood Pressure ◽

Rating Scale ◽

Fasting Blood Glucose ◽

Neck Disability Index ◽

Pain Modulation ◽

Stepwise Logistic Regression ◽

Duration Of Symptoms ◽

Parametric Testing

Background/Aims The causes of cervicobrachial pain are highly variable and it is often difficult to predict patient response to multimodal treatments, such as neural mobilisation. Little research has focused on identifying subgroups of patients who may show improvement following neural mobilisation. This study aimed to identify the variables that may influence response to nerve mobilisation in individuals with cervicobrachial pain. Methods A quasi-experimental prospective single-arm study was conducted with 50 participants. Data were collected on various potentially prognostic variables from baseline questionnaires, medical history and physical examination. Participants received 10 days of pain modulation treatment and nerve mobilisation exercises. The Neck Disability Index, Numeric Pain Rating Scale and Upper Limb Tension Test were performed before and after treatment to determine the effect of nerve mobilisation. Data were analysed using descriptive statistics, univariate correlation, multivariate stepwise logistic regression and non-parametric testing at α≤0.05. Results Four variables had a positive influence on treatment outcome: age <41 years, duration of symptoms ≤1 year, fasting blood glucose level ≤5.6 mmol/L (≤100 mg/dL) and systolic blood pressure ≤140 mmHg. On multiple linear regression, the presence of hypertension and diabetes were strongly associated with poor outcomes following nerve mobilisation. Conclusions Younger individuals with normal fasting blood glucose and systolic blood pressure who have had cervicobrachial pain for less than a year are more likely to benefit from pain modulation and neural mobilisation.

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Audit of monitoring of the parameters of metabolic syndrome in patients on clozapine

The Psychiatrist ◽

10.1192/pb.bp.111.037994 ◽

2012 ◽

Vol 36 (12) ◽

pp. 466-469 ◽

Cited By ~ 10

Author(s):

John Tully ◽

Christina Sim ◽

Razi Hemani ◽

Malik Munir ◽

Nasir Khalil ◽

...

Keyword(s):

Blood Pressure ◽

Metabolic Syndrome ◽

Blood Glucose ◽

Waist Circumference ◽

Lipid Profile ◽

Antipsychotic Medication ◽

Marked Improvement ◽

Fasting Blood Glucose ◽

Therapeutic Interventions ◽

Clinical Implications

Aims and MethodHigh rates of metabolic syndrome exist among patients on clozapine. Monitoring its parameters facilitates interventions which may alleviate negative health consequences. We completed an audit of the monitoring of the parameters of metabolic syndrome in patients on clozapine. The results were compared with the Maudsley Guidelines for monitoring in patients on any antipsychotic medication.ResultsInitial audit showed high overall rates of concordance with guidelines for the frequency of measurement of blood pressure (91.8%), but much lower rates for measuring fasting blood glucose (43.2%) and lipid profile (52.7%), and no record of analysis of waist circumference. This prompted development of a formal protocol for measuring parameters. Repeat audit after 1 year showed marked improvement in rates of measurement.Clinical implicationsImplementation of relatively straightforward measures, such as the introduction of a one-page form on which to record parameters, can lead to a much improved rate of monitoring for metabolic syndrome. This should in turn prompt therapeutic interventions, which are discussed.

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