TY - JOUR
T1 - Trends in anthropometric indexes, blood pressure, smoking and lipids over a decade in diabetic and non-diabetic populations
T2 - Tehran lipid and glucose study
AU - Akbarpour, S.
AU - Jahangiri-Noudeh, Y.
AU - Lotfaliany, M.
AU - Zafari, N.
AU - Khalili, D.
AU - Tohidi, M.
AU - Mansournia, M. A.
AU - Azizi, F.
AU - Hadaegh, F.
N1 - Publisher Copyright:
© 2015, Iranian Epidemiological Association. All rights received.
PY - 2015
Y1 - 2015
N2 - Background & Objectives: Considering the importance of CVD risk factors in diabetic and non-diabetic populations and the high prevalence of diabetes and cardiovascular risk factors, we studied the trend of anthropometric indexes, blood pressure, smoking and lipids in diabetic and non-diabetic populations. Methods: The data of Tehran Lipid and Glucose Study was used in this investigation. The study population comprised 1045 diabetic and 5136 non-diabetic subjects. To investigate the secular longitudinal trends, the Generalized Estimation Equation method was employed. All statistical models were adjusted for age to eliminate the potential confounding effect of age. The interaction between the diabetes status and each phase of the study was checked in a separate model in GEE. Results: Over a decade, the serum levels of TC, TGs, LDL-C and non HDL-C decreased although about 60% of the diabetic population did not reach the therapeutic goals of non-HDL-C and LDL-C levels until 2011. Control of hypertension was more successful in females, but about 60% of both males and females with diabetes were still hypertensive at the end of follow-up period. Smoking increased during the follow-up. Conclusion: This study showed that among CVD risk factors, healthcare professionals paid more attention to hypercholesterolemia neglecting other risk factors including hypertension and central obesity.
AB - Background & Objectives: Considering the importance of CVD risk factors in diabetic and non-diabetic populations and the high prevalence of diabetes and cardiovascular risk factors, we studied the trend of anthropometric indexes, blood pressure, smoking and lipids in diabetic and non-diabetic populations. Methods: The data of Tehran Lipid and Glucose Study was used in this investigation. The study population comprised 1045 diabetic and 5136 non-diabetic subjects. To investigate the secular longitudinal trends, the Generalized Estimation Equation method was employed. All statistical models were adjusted for age to eliminate the potential confounding effect of age. The interaction between the diabetes status and each phase of the study was checked in a separate model in GEE. Results: Over a decade, the serum levels of TC, TGs, LDL-C and non HDL-C decreased although about 60% of the diabetic population did not reach the therapeutic goals of non-HDL-C and LDL-C levels until 2011. Control of hypertension was more successful in females, but about 60% of both males and females with diabetes were still hypertensive at the end of follow-up period. Smoking increased during the follow-up. Conclusion: This study showed that among CVD risk factors, healthcare professionals paid more attention to hypercholesterolemia neglecting other risk factors including hypertension and central obesity.
KW - Anthropometric indexes
KW - Blood pressure
KW - Lipids
KW - Smoking
KW - Type 2 diabetes
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M3 - Article
AN - SCOPUS:84949803065
SN - 1735-7489
VL - 11
SP - 23
EP - 36
JO - Iranian Journal of Epidemiology
JF - Iranian Journal of Epidemiology
IS - 2
ER -