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

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The Journal of Nutrition Health and Aging

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.

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Authors and Affiliations

  1. Institute Nacional de Salud Pública. Cuernavaca, Morelos, México

    S. Sanchez-Viveros, S. Barquera & C. E. Medina-Solis

  2. Universidad Veracruzana, Xalapa, Veracruz, México

    S. Sanchez-Viveros

  3. Universidad Autónoma del Estado de Hidalgo. Pachuca, Hidalgo, México

    C. E. Medina-Solis

  4. Universidad Autónoma Metropolitana Xochimilco, México, DF

    M. C. Velazquez-Alva

  5. Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA, USA

    R. Valdez

  6. Chronic Diseases and Diet Department - Nutrition and Health Research Center, Institute Nacional de Salud Pública, Av. Universidad No. 655. Col. Sta. Ma. Ahuacatitlán, CP. 62508, Cuernavaca, Mor., Mexico

    S. Barquera

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Sanchez-Viveros, S., Barquera, S., Medina-Solis, C.E. et al. Association between diabetes mellitus and hypertension with anthropometric indicators in older adults: Results of the Mexican Health Survey, 2000. J Nutr Health Aging 12, 327–333 (2008). https://doi.org/10.1007/BF02982664

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  • DOI: https://doi.org/10.1007/BF02982664

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