Stature is inversely associated with self-reported diabetes in middle-aged Mexican women/La estatura tiene una relación inversa con la diabetes autonotificada en las mujeres mexicanas de mediana edad

Objective. To investigate whether stature is associated with two highly prevalent cardiometabolic disorders--diabetes mellitus (DM) and high blood pressure (HBP)--in middle-aged Mexican women. Methods. We conducted a cross-sectional analysis of a sample of 93 481 middle-aged Mexican female teachers, all participating in the Mexican Teachers Cohort (MTC, or ESMaestras) study. We used a multivariable regression model to investigate the association of stature quintiles with the self-reported outcomes of DM and HBP. Results. After adjusting for birth cohort, ethnicity, family history, birthweight, occupation of household's head during participant's childhood, menopausal status, and geographical region of birthplace, stature was inversely associated with DM, with the odds for DM being 9% higher in the lowest stature quintile when compared to the highest stature quintile. Stratification for location of residence resulted in confirmation of the above-mentioned findings only in participants living in urban environments. Conclusions. We found an inverse association of stature with DM but not with HBP. Our data suggest that urban setting might be an important effect modifier of this association, which merits further investigation since it might provide valuable insights into the epidemiological transition occurring in developing countries. Keywords Body height; diabetes mellitus; women; Mexico. Objetivo. Investigar si la estatura esta asociada a dos trastornos cardiometabolicos--diabetes sacarina e hipertension arterial--muy prevalentes en las mujeres mexicanas de mediana edad. Metodos. Realizamos un analisis transversal de una muestra de 93 481 maestras mexicanas de mediana edad que participaban en el Estudio de la Salud de las Maestras (ESMaestras). Utilizamos un modelo de regresion multivariante para investigar la relacion entre los quintiles de estatura y los resultados autonotificados de diabetes sacarina e hipertension arterial. Resultados. Despues de ajustar los datos en funcion de la cohorte de nacimiento, la etnicidad, los antecedentes familiares, el peso al nacer, la ocupacion del jefe del hogar durante la ninez de la participante, el estado menopausico y la zona geografica del lugar de nacimiento, se observo una relacion inversa entre la estatura y la diabetes sacarina, dado que las probabilidades de aparicion de esta ultima fue un 9 % mayor en el quintil mas bajo de estatura que en el quintil mas alto. La estratificacion en funcion de la residencia permi