Insulin resistance and risk of incident hypertension among men.
Insulin resistance and risk of incident hypertension among men.
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DOI：
10.1111/j.1751-7176.2009.00160.x
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发表时间：
2009-09
期刊：
影响因子：
--
通讯作者：
Forman JP
中科院分区：
文献类型：
--
作者：
Lai TS;Curhan GC;Forman JP
The independent association between insulin resistance and the development of hypertension remains in doubt because insulin resistance correlates with other metabolic factors also proposed to be associated with hypertension. We examined the association between the insulin sensitivity index and incident hypertension in a prospective nested case-control study among 1,453 men (mean age, 61 years) who participated in the Health Professionals' Follow-up Study. We computed the insulin sensitivity index for each man in the study based upon fasting insulin and triglyceride levels. Logistic regression was performed conditioned on age and adjusted for standard hypertension risk factors as well as renal function, cholesterol, and uric acid. The insulin sensitivity index was 6% lower in the cases compared to controls (p<0.001). The multivariable odds ratio for hypertension comparing the lowest with highest quartile of insulin sensitivity index was 1.09 (0.71 to 1.65) among the entire sample. However, the association between the insulin sensitivity index and incident hypertension differed significantly by age (p-interaction<0.001). Among men younger than 60 years old, the multivariable odds ratio for the lowest compared to highest quartile was 1.93 (1.01-3.71), but was 0.67 (0.37-1.24) among older men. Insulin resistance is independently associated with incident hypertension among younger men.
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