Glycated Hemoglobin (HbA1c) is now used largely for DM control. Hb A1c is influenced by many risk factors; these include Body Mass Index (BMI), physical activity, age, ethnicity, diet, smoking and Blood Pressure (BP). Previous studies showed that that the levels of HbA1C a showed continuous relationship with cardiovascular disease and hypertension. The objective of this study is to investigate the correlation between the blood pressure levels as determinants of glycated hemoglobin in non-diabetic Sudanese population. A cross sectional study was conducted during 2016-2018 in Sudan covering Khartoum state, Northern state, Gezira state, Red Sea state and North Darfur state, on adults of ages between 20-60 years and not known to be diabetic or suffering from any chronic illness. The 1096 participants were assessed by a questionnaire covering age, gender and other demographic and social characteristics. BMI and BP was calculated by standard scales. A sample of 5 mL venous blood was taken for FBG to exclude DM and measurement of HbA1c using a modified ELISA reader known as Cobas Integra 800 (Roch) machine. Correlations between the variables were estimated and p<0.05 was considered statistically significant. The overall mean value of HbA1c was 4.6%±0.9 with a minimum value of 1.2% and maximums of 6.3. At 95% confidence interval the lower bound Mean was 4.5% and the upper bound mean was 4.7%. The mean of systolic and diastolic blood pressure levels was found to be 114.7%±11.9 and 75.8%±8.5, respectively. There was no correlation was observed between HbA1c with age and BMI (r) = 0.009, -0.032 and the p = 0.7, 0.33, respectively. There was no correlation between HbA1c with DBP. There was significant negative correlation between HbA1c with pulse rate and systolic blood pressure (r) = -0.160 and -0.063 with significant p = 0.00 and 0.049, respectively. In conclusion HbA1c can be utilized as a prognostic factor for heart failure, cardiac muscles disorders, coronary artery disease, stroke and death before the diagnosis of diabetes.
Ibrahim A. Ali. Correlations of Glycated Hemoglobin with Systolic and Diastolic Blood Pressure Levels in
Non-Diabetics Adults.
DOI: https://doi.org/10.36478/tcard.2020.21.25
URL: https://www.makhillpublications.co/view-article/1811-8194/tcard.2020.21.25