Lipid accumulation product is closely associated with hypertension and prehypertension in prediabetic population in China: results from the REACTION study

Prediabetes with hypertension or prehypertension increases the risk of cardiovascular events. Lipid accumulation product (LAP) is a powerful marker of visceral obesity. The current study aimed to explore the relationship between LAP and hypertension and prehypertension among prediabetic individuals....

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Veröffentlicht in:Hypertension research 2023-03, Vol.46 (3), p.708-719
Hauptverfasser: Li, Binqi, Wang, Jie, Zhou, Xin, Wang, Weiqing, Gao, Zhengnan, Tang, Xulei, Yan, Li, Wan, Qin, Luo, Zuojie, Qin, Guijun, Chen, Lulu, Ning, Guang, Mu, Yiming
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container_title Hypertension research
container_volume 46
creator Li, Binqi
Wang, Jie
Zhou, Xin
Wang, Weiqing
Gao, Zhengnan
Tang, Xulei
Yan, Li
Wan, Qin
Luo, Zuojie
Qin, Guijun
Chen, Lulu
Ning, Guang
Mu, Yiming
description Prediabetes with hypertension or prehypertension increases the risk of cardiovascular events. Lipid accumulation product (LAP) is a powerful marker of visceral obesity. The current study aimed to explore the relationship between LAP and hypertension and prehypertension among prediabetic individuals. A total of 12,388 prediabetic participants from the REACTION study were recruited. LAP was calculated from waist circumference and fasting triglyceride levels. Multiple logistic regression models were conducted to assess the relationship between LAP and hypertension and prehypertension. Multiple logistic regression analysis showed that elevated LAP was associated with hypertension (Q2: odds ratio (OR): 1.263, P 
doi_str_mv 10.1038/s41440-022-01113-w
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Lipid accumulation product (LAP) is a powerful marker of visceral obesity. The current study aimed to explore the relationship between LAP and hypertension and prehypertension among prediabetic individuals. A total of 12,388 prediabetic participants from the REACTION study were recruited. LAP was calculated from waist circumference and fasting triglyceride levels. Multiple logistic regression models were conducted to assess the relationship between LAP and hypertension and prehypertension. Multiple logistic regression analysis showed that elevated LAP was associated with hypertension (Q2: odds ratio (OR): 1.263, P &lt; 0.001; Q3: OR: 1.613, P &lt; 0.001; Q4: OR: 1.754, P &lt; 0.001) and prehypertension (Q2: OR: 1.255, P = 0.005; Q3: OR: 1.340, P = 0.002; Q4: OR: 1.765, P &lt; 0.001). The results of the stratified analysis showed that prediabetic people with higher LAP levels and characterized by overweight, normal weight and a high waist-to-hip ratio (WHR) were more likely to have hypertension, and prediabetic people with higher LAP levels and characterized by overweight, normal weight, a high WHR, age &lt;65, and low and high levels of physical activity were more likely to have prehypertension. In conclusion, visceral obesity assessed by LAP is significantly associated with hypertension and prehypertension in the Chinese prediabetic population.</description><identifier>ISSN: 0916-9636</identifier><identifier>EISSN: 1348-4214</identifier><identifier>DOI: 10.1038/s41440-022-01113-w</identifier><identifier>PMID: 36513744</identifier><language>eng</language><publisher>England: Nature Publishing Group</publisher><subject>Body fat ; Body Mass Index ; China - epidemiology ; Cholesterol ; Diabetes ; Endocrinology ; Glucose ; Humans ; Hypertension ; Lipid Accumulation Product ; Lipids ; Metabolic disorders ; Obesity ; Obesity, Abdominal - complications ; Overweight ; Overweight - complications ; Prediabetic State ; Prehypertension ; Questionnaires ; Regression analysis ; Risk Factors</subject><ispartof>Hypertension research, 2023-03, Vol.46 (3), p.708-719</ispartof><rights>2022. The Author(s), under exclusive licence to The Japanese Society of Hypertension.</rights><rights>The Author(s), under exclusive licence to The Japanese Society of Hypertension 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c355t-a40f9e7731f3e34f96ff2b855c3f0ebfa306d4056c2487d5afd52b7ed8a4d8fd3</citedby><cites>FETCH-LOGICAL-c355t-a40f9e7731f3e34f96ff2b855c3f0ebfa306d4056c2487d5afd52b7ed8a4d8fd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36513744$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Binqi</creatorcontrib><creatorcontrib>Wang, Jie</creatorcontrib><creatorcontrib>Zhou, Xin</creatorcontrib><creatorcontrib>Wang, Weiqing</creatorcontrib><creatorcontrib>Gao, Zhengnan</creatorcontrib><creatorcontrib>Tang, Xulei</creatorcontrib><creatorcontrib>Yan, Li</creatorcontrib><creatorcontrib>Wan, Qin</creatorcontrib><creatorcontrib>Luo, Zuojie</creatorcontrib><creatorcontrib>Qin, Guijun</creatorcontrib><creatorcontrib>Chen, Lulu</creatorcontrib><creatorcontrib>Ning, Guang</creatorcontrib><creatorcontrib>Mu, Yiming</creatorcontrib><title>Lipid accumulation product is closely associated with hypertension and prehypertension in prediabetic population in China: results from the REACTION study</title><title>Hypertension research</title><addtitle>Hypertens Res</addtitle><description>Prediabetes with hypertension or prehypertension increases the risk of cardiovascular events. Lipid accumulation product (LAP) is a powerful marker of visceral obesity. The current study aimed to explore the relationship between LAP and hypertension and prehypertension among prediabetic individuals. A total of 12,388 prediabetic participants from the REACTION study were recruited. LAP was calculated from waist circumference and fasting triglyceride levels. Multiple logistic regression models were conducted to assess the relationship between LAP and hypertension and prehypertension. Multiple logistic regression analysis showed that elevated LAP was associated with hypertension (Q2: odds ratio (OR): 1.263, P &lt; 0.001; Q3: OR: 1.613, P &lt; 0.001; Q4: OR: 1.754, P &lt; 0.001) and prehypertension (Q2: OR: 1.255, P = 0.005; Q3: OR: 1.340, P = 0.002; Q4: OR: 1.765, P &lt; 0.001). The results of the stratified analysis showed that prediabetic people with higher LAP levels and characterized by overweight, normal weight and a high waist-to-hip ratio (WHR) were more likely to have hypertension, and prediabetic people with higher LAP levels and characterized by overweight, normal weight, a high WHR, age &lt;65, and low and high levels of physical activity were more likely to have prehypertension. 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Lipid accumulation product (LAP) is a powerful marker of visceral obesity. The current study aimed to explore the relationship between LAP and hypertension and prehypertension among prediabetic individuals. A total of 12,388 prediabetic participants from the REACTION study were recruited. LAP was calculated from waist circumference and fasting triglyceride levels. Multiple logistic regression models were conducted to assess the relationship between LAP and hypertension and prehypertension. Multiple logistic regression analysis showed that elevated LAP was associated with hypertension (Q2: odds ratio (OR): 1.263, P &lt; 0.001; Q3: OR: 1.613, P &lt; 0.001; Q4: OR: 1.754, P &lt; 0.001) and prehypertension (Q2: OR: 1.255, P = 0.005; Q3: OR: 1.340, P = 0.002; Q4: OR: 1.765, P &lt; 0.001). The results of the stratified analysis showed that prediabetic people with higher LAP levels and characterized by overweight, normal weight and a high waist-to-hip ratio (WHR) were more likely to have hypertension, and prediabetic people with higher LAP levels and characterized by overweight, normal weight, a high WHR, age &lt;65, and low and high levels of physical activity were more likely to have prehypertension. In conclusion, visceral obesity assessed by LAP is significantly associated with hypertension and prehypertension in the Chinese prediabetic population.</abstract><cop>England</cop><pub>Nature Publishing Group</pub><pmid>36513744</pmid><doi>10.1038/s41440-022-01113-w</doi><tpages>12</tpages></addata></record>
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subjects Body fat
Body Mass Index
China - epidemiology
Cholesterol
Diabetes
Endocrinology
Glucose
Humans
Hypertension
Lipid Accumulation Product
Lipids
Metabolic disorders
Obesity
Obesity, Abdominal - complications
Overweight
Overweight - complications
Prediabetic State
Prehypertension
Questionnaires
Regression analysis
Risk Factors
title Lipid accumulation product is closely associated with hypertension and prehypertension in prediabetic population in China: results from the REACTION study
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