Insulin Resistance, Serum Calcium and Hypertension: A Cross-Sectional Study of a Multiracial Population, and a Similarity Assessment of Results from a Single-Race Population’s Study

Victorine Raïssa Ngo Nkondjock1 1, Thérèse Martin Cheteu Wabo1 1, Janet Cheruiyot Kosgey2 2, Yunlong Zhang1 1, Daniel Adjei Amporfro3 3, Humara Adnan4 4, Imran Shah1 1, Ying Li1 1 1Department of Nutrition and Food Hygiene, The National Key Discipline, School of Public Health, Harbin Medical Universi...

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Autores principales: Ngo Nkondjock VR, Cheteu Wabo TM, Kosgey JC, Zhang Y, Adjei Amporfro D, Adnan H, Shah I, Li Y
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:71cd0df54c55456197b57e097fa6f6a42021-12-02T17:55:06ZInsulin Resistance, Serum Calcium and Hypertension: A Cross-Sectional Study of a Multiracial Population, and a Similarity Assessment of Results from a Single-Race Population&rsquo;s Study1178-7007https://doaj.org/article/71cd0df54c55456197b57e097fa6f6a42021-07-01T00:00:00Zhttps://www.dovepress.com/insulin-resistance-serum-calcium-and-hypertension-a-cross-sectional-st-peer-reviewed-fulltext-article-DMSOhttps://doaj.org/toc/1178-7007Victorine Raïssa Ngo Nkondjock1 1, Thérèse Martin Cheteu Wabo1 1, Janet Cheruiyot Kosgey2 2, Yunlong Zhang1 1, Daniel Adjei Amporfro3 3, Humara Adnan4 4, Imran Shah1 1, Ying Li1 1 1Department of Nutrition and Food Hygiene, The National Key Discipline, School of Public Health, Harbin Medical University, Harbin, People’s Republic of China; 2School of Biological Science, Technical University of Kenya, Nairobi, Kenya; 3Department of Social Medicine and Health Services Management, School of Public Health, Harbin Medical University, Harbin, People’s Republic of China; 4Department of Biostatistics and Epidemiology, School of Public Health, Harbin Medical University, Harbin, People’s Republic of ChinaCorrespondence: Ying LiDepartment of Nutrition and Food Hygiene, 157 Baojian Road, Harbin, 150081, People’s Republic of ChinaTel +86-451-87502731Email liying_helen@163.comBackground: Recent research suggests the need to assess more ethnic disparities in hypertension (HTN). On the other hand, studies reveal impressive mortality rates due to cardiovascular diseases for some race and ethnic groups compared to others.Methods: We referred to a recent study on serum calcium (SC) and insulin resistance associated with HTN incidence to compare different race groups in the latter found relationship. We compare the current study outcomes with those from the Wu et al study.Results: From 425 participants of the National Health and Nutrition Examination Survey (NHANES) data, we found a significant association between race and hypertension; Cramer’s V (0.006) = 0.21 when adjusted with non-hypertensives and hypertensives. Mc Auley index (McA) was negatively related to hypertension, r (355) = − 0.24, p < 0.0001. SC associated with HTN in all race groups significance persisted only in non-Hispanic Whites after multivariate adjustments R2 of 74.1 (p = 0.03). McA was a mediator on SC-HTN in non-Hispanic Whites (NHW) (CoefIE = 13.25, [CI] = 1.42– 32.13), and a moderator in other Hispanics interaction (0.04) = 0.27 and NHW interaction (0.001) = 0.028.Conclusion: SC was associated with hypertension, similarly to the baseline study. SC and HTN association persisted in NHW compared to other race groups. Homeostasis model assessment (HOMA-IR) was not a mediator on SC-HTN, but with McA, this in NHW only. McA played a moderator role in OH and NHW. We suggest that race is a factor implicated in our findings, which may be investigated further in future research.Keywords: Mc Auley index, HOMA-IR, serum calcium, hypertension incidence, ethnicityNgo Nkondjock VRCheteu Wabo TMKosgey JCZhang YAdjei Amporfro DAdnan HShah ILi YDove Medical Pressarticlemc auley indexhoma-irserum calciumhypertension incidenceethnicitySpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 14, Pp 3361-3373 (2021)
institution DOAJ
collection DOAJ
language EN
topic mc auley index
homa-ir
serum calcium
hypertension incidence
ethnicity
Specialties of internal medicine
RC581-951
spellingShingle mc auley index
homa-ir
serum calcium
hypertension incidence
ethnicity
Specialties of internal medicine
RC581-951
Ngo Nkondjock VR
Cheteu Wabo TM
Kosgey JC
Zhang Y
Adjei Amporfro D
Adnan H
Shah I
Li Y
Insulin Resistance, Serum Calcium and Hypertension: A Cross-Sectional Study of a Multiracial Population, and a Similarity Assessment of Results from a Single-Race Population&rsquo;s Study
description Victorine Raïssa Ngo Nkondjock1 1, Thérèse Martin Cheteu Wabo1 1, Janet Cheruiyot Kosgey2 2, Yunlong Zhang1 1, Daniel Adjei Amporfro3 3, Humara Adnan4 4, Imran Shah1 1, Ying Li1 1 1Department of Nutrition and Food Hygiene, The National Key Discipline, School of Public Health, Harbin Medical University, Harbin, People’s Republic of China; 2School of Biological Science, Technical University of Kenya, Nairobi, Kenya; 3Department of Social Medicine and Health Services Management, School of Public Health, Harbin Medical University, Harbin, People’s Republic of China; 4Department of Biostatistics and Epidemiology, School of Public Health, Harbin Medical University, Harbin, People’s Republic of ChinaCorrespondence: Ying LiDepartment of Nutrition and Food Hygiene, 157 Baojian Road, Harbin, 150081, People’s Republic of ChinaTel +86-451-87502731Email liying_helen@163.comBackground: Recent research suggests the need to assess more ethnic disparities in hypertension (HTN). On the other hand, studies reveal impressive mortality rates due to cardiovascular diseases for some race and ethnic groups compared to others.Methods: We referred to a recent study on serum calcium (SC) and insulin resistance associated with HTN incidence to compare different race groups in the latter found relationship. We compare the current study outcomes with those from the Wu et al study.Results: From 425 participants of the National Health and Nutrition Examination Survey (NHANES) data, we found a significant association between race and hypertension; Cramer’s V (0.006) = 0.21 when adjusted with non-hypertensives and hypertensives. Mc Auley index (McA) was negatively related to hypertension, r (355) = − 0.24, p < 0.0001. SC associated with HTN in all race groups significance persisted only in non-Hispanic Whites after multivariate adjustments R2 of 74.1 (p = 0.03). McA was a mediator on SC-HTN in non-Hispanic Whites (NHW) (CoefIE = 13.25, [CI] = 1.42– 32.13), and a moderator in other Hispanics interaction (0.04) = 0.27 and NHW interaction (0.001) = 0.028.Conclusion: SC was associated with hypertension, similarly to the baseline study. SC and HTN association persisted in NHW compared to other race groups. Homeostasis model assessment (HOMA-IR) was not a mediator on SC-HTN, but with McA, this in NHW only. McA played a moderator role in OH and NHW. We suggest that race is a factor implicated in our findings, which may be investigated further in future research.Keywords: Mc Auley index, HOMA-IR, serum calcium, hypertension incidence, ethnicity
format article
author Ngo Nkondjock VR
Cheteu Wabo TM
Kosgey JC
Zhang Y
Adjei Amporfro D
Adnan H
Shah I
Li Y
author_facet Ngo Nkondjock VR
Cheteu Wabo TM
Kosgey JC
Zhang Y
Adjei Amporfro D
Adnan H
Shah I
Li Y
author_sort Ngo Nkondjock VR
title Insulin Resistance, Serum Calcium and Hypertension: A Cross-Sectional Study of a Multiracial Population, and a Similarity Assessment of Results from a Single-Race Population&rsquo;s Study
title_short Insulin Resistance, Serum Calcium and Hypertension: A Cross-Sectional Study of a Multiracial Population, and a Similarity Assessment of Results from a Single-Race Population&rsquo;s Study
title_full Insulin Resistance, Serum Calcium and Hypertension: A Cross-Sectional Study of a Multiracial Population, and a Similarity Assessment of Results from a Single-Race Population&rsquo;s Study
title_fullStr Insulin Resistance, Serum Calcium and Hypertension: A Cross-Sectional Study of a Multiracial Population, and a Similarity Assessment of Results from a Single-Race Population&rsquo;s Study
title_full_unstemmed Insulin Resistance, Serum Calcium and Hypertension: A Cross-Sectional Study of a Multiracial Population, and a Similarity Assessment of Results from a Single-Race Population&rsquo;s Study
title_sort insulin resistance, serum calcium and hypertension: a cross-sectional study of a multiracial population, and a similarity assessment of results from a single-race population&rsquo;s study
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/71cd0df54c55456197b57e097fa6f6a4
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