Chen C, Liu J, Pan X R
Department of Endocrinology, China-Japan Friendship Hospital, Beijing.
Zhonghua Nei Ke Za Zhi. 1992 Jun;31(6):354-6, 381.
We studied the relationship between plasma insulin level and hypertension in 510 cases with normal glucose tolerance and impaired glucose tolerance. In nonobese group (BMI < 25kg/m2), plasma insulin was higher in those with hypertension than those with normal blood pressure (P < 0.0001). There was no correlation between diastole blood pressure and plasma insulin; multiple regression analysis showed that fasting plasma insulin was significantly associated with systolic blood pressure after controlling age, BMI and plasma glucose level (beta = 0.27, P = 0.0078). The result suggested that age, BMI and plasma insulin level were independent risk factors of hypertension. In obese group (BMI > 25kg/m2), blood pressure was significantly associated with age and BMI, there was no association between blood pressure and plasma insulin level.
我们研究了510例糖耐量正常和糖耐量受损患者的血浆胰岛素水平与高血压之间的关系。在非肥胖组(BMI<25kg/m2)中,高血压患者的血浆胰岛素水平高于血压正常者(P<0.0001)。舒张压与血浆胰岛素之间无相关性;多元回归分析显示,在控制年龄、BMI和血糖水平后,空腹血浆胰岛素与收缩压显著相关(β=0.27,P=0.0078)。结果表明,年龄、BMI和血浆胰岛素水平是高血压的独立危险因素。在肥胖组(BMI>25kg/m2)中,血压与年龄和BMI显著相关,血压与血浆胰岛素水平之间无关联。