The Journal of Nutrition Health and Aging

, Volume 12, Issue 5, pp 327–333 | Cite as

Association between diabetes mellitus and hypertension with anthropometric indicators in older adults: Results of the Mexican Health Survey, 2000

  • S. Sanchez-Viveros
  • S. Barquera
  • C. E. Medina-Solis
  • M. C. Velazquez-Alva
  • R. Valdez
Geriatric Science
Received:
Accepted:

Abstract

Objective: To determine the association between anthropometric indicators of adiposity with type 2 diabetes mellitus (T2DM) and hypertension (HTN) in older adults.Design: Cross-sectional study of participants of the Mexican Health Survey 2000 (MHS).Setting: Mexico, subjects recruited from the general community.Participants: The analytic sample included 7,322 adults who were ≥60 years of age at the time of the survey. T2DM data were available on 6,994 individuals, who represent 95.5% of the original sample; data on HTN was available on 6,268 subjects, which accounted for 86.5% of the original sample.Measurements: Type 2 diabetes mellitus and hypertension, as well as anthropometric indicators including body mass index (BMI), waist circumference (WC), and conicity index (CI).Results: The prevalence of T2DM and HTN in this age group was 34.3% and 73.9%, respectively. After adjusting for other variables, the association between high WC and T2DM (OR=1.59 95%CI=1.26-2.01, P < 0.001) was stronger than the association with overweight (OR=1.26, 95%CI= 1.01–1.58, P=0.04) and obesity (OR=1.38, 95%CI= 1.08–1.79, P< 0.01) using BMI, and slightly higher than tertile 2 of the CI (OR=1.49, 95%CI=1.20–1.88, P< 0.01), while tertile 3 showed a stronger association with T2DM (OR=1.60, 95%CI=1.22–2.08, P< 0.001). However, the association between obesity and HTN measured by BMI (OR=1.98, 95%CI=1.48–2.65, P< 0.001) was stronger than what was observed with overweight (OR=1.42, 95%CI 1.13–1.77, P< 0.01), with high WC (OR=1.62, 95%CI=1.25–2.10, P< 0.001) and tertiles 2 and 3 of the CI (OR=1.23, 95%CI=0.99–1.55, P= 0.09); (OR=1.53, 95%CI= 1.16–2.03, P< 0.01) respectively.Conclusions: BMI and abdominal obesity are significantly and independently associated with an increase in the prevalence of T2DM and HTN among older Mexican adults.

Key words

Diabetes mellitus hypertension obesity elderly Mexico 
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Copyright information

© Springer-Verlag France and Serdi Éditions 2008

Authors and Affiliations

  • S. Sanchez-Viveros
    • 1
    • 2
  • S. Barquera
    • 1
    • 6
  • C. E. Medina-Solis
    • 1
    • 3
  • M. C. Velazquez-Alva
    • 4
  • R. Valdez
    • 5
  1. 1.Institute Nacional de Salud Pública. CuernavacaMorelosMéxico
  2. 2.Universidad VeracruzanaVeracruzMéxico
  3. 3.Universidad Autónoma del Estado de Hidalgo. PachucaHidalgoMéxico
  4. 4.Universidad Autónoma Metropolitana XochimilcoMéxico, DF
  5. 5.Division of Diabetes TranslationCenters for Disease Control and PreventionAtlantaUSA
  6. 6.Chronic Diseases and Diet Department - Nutrition and Health Research CenterInstitute Nacional de Salud PúblicaCuernavaca, Mor.Mexico

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