Trends in Anthropometric Indexes, Blood Pressure, Smoking and Lipids Over a Decade in Diabetic and Non-Diabetic Populations: Tehran Lipid and Glucose Study



Akbarpour S¹ ; Jahangirinoudeh Y¹ ; Lotfaliany M¹ ; Zafari N¹ ; Khalili D¹ ; Tohidi M¹ ; Mansournia MA² ; Azizi F³ ; Hadaegh F¹ Show Affiliations
Source: Iranian Journal of Epidemiology Published:2015

Abstract

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. © 2015, Iranian Epidemiological Association. All rights received.