Omar M A, Seedat M A, Dyer R B, Motala A A
Department of Medicine, University of Natal, Durban.
S Afr Med J. 1988 Jun 4;73(11):635-7.
A community survey was done to assess the prevalence of diabetes and hypertension in Indians living in Durban. Each subject, selected by systematic cluster sampling, had blood pressure measured and a glucose tolerance test. Diagnoses of diabetes mellitus and of hypertension were based on World Health Organization criteria. Of the 1,064 subjects studied 9% had diabetes and 14.2% hypertension; diabetes mellitus was more common in women (10.5%) than men (7%), whereas the prevalence of hypertension was similar in both sexes (women 13.5%, men 14.7%). Hypertension was found in 45.8% of the diabetic subjects, 31.4% of those with impaired glucose tolerance and 9.9% of those with normal glucose tolerance. Although hypertension was more common in women (63.3%) than men (37.9%) in the diabetic group, there was no significant difference in the sex distribution in the subjects with impaired glucose tolerance and those with normal glucose tolerance. Of the subjects with hypertension, 29.1% had diabetes; there was no significant difference in the sex distribution. The mean age-adjusted body mass indices were significantly higher in the hypertensive subjects with all degrees of glucose tolerance than in normotensive subjects. There was a trend towards elevation of both systolic and diastolic blood pressure with increasing degrees of glucose intolerance and increasing age.
开展了一项社区调查，以评估德班印度人群中糖尿病和高血压的患病率。通过系统整群抽样选取的每位受试者均测量了血压并进行了葡萄糖耐量试验。糖尿病和高血压的诊断基于世界卫生组织标准。在1064名研究对象中，9%患有糖尿病，14.2%患有高血压；糖尿病在女性中（10.5%）比男性中（7%）更常见，而高血压在两性中的患病率相似（女性13.5%，男性14.7%）。45.8%的糖尿病患者、31.4%糖耐量受损者以及9.9%糖耐量正常者患有高血压。尽管在糖尿病组中高血压在女性中（63.3%）比男性中（37.9%）更常见，但在糖耐量受损者和糖耐量正常者中，性别分布没有显著差异。在患有高血压的受试者中，29.1%患有糖尿病；性别分布没有显著差异。所有糖耐量程度的高血压受试者经年龄调整后的平均体重指数均显著高于血压正常的受试者。随着糖耐量受损程度增加和年龄增长，收缩压和舒张压均有升高趋势。
