Prediabetes was not associated with an increased risk for cardiovascular disease among black adults, regardless of hypertension status (HR for prediabetes alone vs neither 0.86; 95% CI 0.51-1.45).
Cohort (n=3,313)
Does prediabetes increase the risk for cardiovascular disease in black adults, and does this risk vary by hypertension status?
In a cohort of Black adults, prediabetes was not independently associated with an increased risk for cardiovascular disease or all-cause mortality, regardless of concurrent hypertension status.
Hazard Ratio: 0.86 (95% CI 0.51–1.45)
OBJECTIVE Recent studies have suggested that prediabetes is associated with an increased risk for cardiovascular disease (CVD) only among individuals with concomitant hypertension. RESEARCH DESIGN AND METHODS We analyzed the association between prediabetes and CVD by hypertension status among 3,313 black adults in the Jackson Heart Study (JHS) without diabetes or a history of CVD at baseline (2000–2004). Prediabetes was defined as fasting plasma glucose between 100 and 125 mg/dL or hemoglobin A1c between 5.7 and 6.4% (39 and 46 mmol/mol). Hypertension was defined as systolic/diastolic blood pressure ≥140/90 mmHg and/or self-reported antihypertensive medication use. Participants were followed for incident CVD events and all-cause mortality through 31 December 2014. RESULTS Overall, 35% of JHS participants did not have prediabetes or hypertension, 18% had prediabetes alone, 22% had hypertension alone, and 25% had both prediabetes and hypertension. Compared with participants without either condition, the multivariable-adjusted hazard ratios for CVD events among participants with prediabetes alone, hypertension alone, and both prediabetes and hypertension were 0.86 (95% CI 0.51, 1.45), 2.09 (1.39, 3.14), and 1.93 (1.28, 2.90), respectively. Among participants with and without hypertension, there was no association between prediabetes and an increased risk for CVD (0.78 0.46, 1.34 and 0.94 0.70, 1.26, respectively). No association was present between prediabetes and all-cause mortality among participants with or without hypertension. CONCLUSIONS Regardless of hypertension status, prediabetes was not associated with an increased risk for CVD or all-cause mortality in this cohort of black adults.
Hubbard et al. (2019) conducted a cohort in Prediabetes and Cardiovascular Disease (n=3,313). Prediabetes vs. No prediabetes was evaluated on Incident CVD events (HR 0.86, 95% CI 0.51, 1.45). Prediabetes was not associated with an increased risk for cardiovascular disease among black adults, regardless of hypertension status (HR for prediabetes alone vs neither 0.86; 95% CI 0.51-1.45).