Endocrinol Metab.  2013 Sep;28(3):199-206. 10.3803/EnM.2013.28.3.199.

The Impact of Different Anthropometric Measures on Sustained Normotension, White Coat Hypertension, Masked Hypertension, and Sustained Hypertension in Patients with Type 2 Diabetes

• Afsar B

• KMID: 1973824
• DOI: http://doi.org/10.3803/EnM.2013.28.3.199

Abstract

BACKGROUND
Many studies have aimed to determine whether body mass index (BMI), waist circumference (WC), or waist to hip ratio (WHR) best predicts hypertension in diabetic patients, with conflicting results. However, no study has examined the specific relationship between these anthropometric parameters with sustained normotension (SNT), white coat hypertension (WCHT), masked hypertension (MHT), and sustained hypertension (SHT) based on office and ambulatory blood pressure (BP) measurements in these patients.
METHODS
Patients with newly diagnosed type 2 diabetes underwent the following procedures: history taking, measurements of anthropometric parameters, office and ambulatory BP measurements, physical examination, laboratory analysis, and random and 24-hour urine analysis.
RESULTS
In total, there were 65 dippers and 37 nondipper patients. None of the anthropometric parameters were different between the dippers and the nondippers. There were 25 patients with SNT, 32 with WCHT, seven with MHT, and 38 with SHT. A comparison of anthropometric parameters between these four groups of patients showed that WC (P=0.016) and WHR (P=0.015) were different among all groups. According to regression analysis, only BMI was independently related with MHT (odds ratio [OR], 1.373, P=0.022), whereas only WC has been associated with SHT (OR, 1.321, P=0.041).
CONCLUSION
Among anthropometric parameters, only WC and WHR were different in SNT, WCHT, MHT, and SHT in newly diagnosed patients with type 2 diabetes.

Keyword

Body mass index; Conicity index; Diabetes; Hypertension; Waist circumference

MeSH Terms

Blood Pressure
Body Mass Index
Humans
Hypertension
Masked Hypertension
Masks
Physical Examination
Waist Circumference
Waist-Hip Ratio
White Coat Hypertension

Figure

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  Fig. 1 The comparison of waist circumference among newly diagnosed type 2 diabetic patients with sustained normotension (SNT), white coat hypertension (WCHT), masked hypertension (MHT), and sustained hypertension (SHT).

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  Fig. 2 A comparison of the waist to hip ratio among newly diagnosed type 2 diabetic patients with sustained normotension (SNT), white coat hypertension (WCHT), masked hypertension (MHT), and sustained hypertension (SHT).

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