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J.Health Sci., 52(2), 97-102, 2006
Prevalence of Peripheral Arterial Disease and Risk Factors for the Low and High Ankle-Brachial Index in Chinese Patients with Type 2 Diabetes
Jue Li, Buaijiaer Hasimu, Jinming Yu, Jing Wang, and Dayi Hu*
Heart, Lung and Blood Vessel Center, College of Medicine, Tongji University, 1239 Siping Road, Shanghai 200092, China
The aim of this study was to evaluate the prevalence of peripheral arterial disease (PAD) in Chinese type 2 diabetic patients, and to compare the different risk factors for the low and high ankle-brachial index (ABI). A total of 2040 patients (1001 men and 1039 women) aged 67.0 ± 10.7 years were recruited from 8 university hospitals. PAD was diagnosed by ABI < 0.9 on either leg. Thirty-four possible risk factors were analyzed. Univariate analyses were used to compare the different risk factors between three ABI groups (ABI < 0.9, ABI 0.9-1.3 and ABI > 1.3), and logistic regression analyses were used to identify the independent risk factors. The overall prevalence of PAD was 16.7%. Older age, female gender, history of coronary heart disease (CHD), cerebral infarction (CI), PAD, claudication, longer diabetes mellitus (DM) duration, high blood pressure (HBP), smoking, using diuretics and having a high level of uric acid (UA) were independently associated with low ABI (ABI < 0.9), and male gender and high body mass index (BMI) were associated with high ABI (ABI > 1.3).
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