Research Article

High Systolic and Diastolic Blood Pressure Variability Is Correlated with the Occurrence of Peripheral Arterial Disease in the First Decade following a Diagnosis of Type 2 Diabetes Mellitus: A New Biomarker from Old Measurement

Table 3

Demographics and clinical characteristics of the low- and high-risk groups as determined by BP visit-to-visit variability.

Low-risk group ()High-risk group () value

Age at DM diagnosis (y)52.5 ± 10.357.2 ± 10.6<0.001
Sex (male, %)296 (47.3)94 (47.2)0.528
Smoking (none/former/current)480/36/110148/13/380.808
Hypertension (%)449 (71.7)180 (90.5)<0.001
Hyperlipidemia (%)600 (95.8)193 (97.0)0.313
Body mass index (kg/m2)26.8 ± 3.927.0 ± 3.90.521
 Number of measurements44.8 ± 24.445.4 ± 26.00.772
 SD of BMI (kg/m2)1.0 ± 0.51.2 ± 0.6<0.001
Average SBP (mmHg)135.3 ± 9.6141.3 ± 10.7<0.001
 Number of measurements61.8 ± 27.668.6 ± 34.10.004
 SD of SBP (mmHg)13.3 ± 2.619.5 ± 3.3<0.001
 Maximum of SBP (mmHg)170.1 ± 15.9188.4 ± 15.1<0.001
 Delta SBP (mmHg)65.1 ± 20.096.0 ± 27.1<0.001
Average DBP (mmHg)73.1 ± 6.074.7 ± 7.10.002
 SD of DBP (mmHg)6.8 ± 1.59.7 ± 2.3<0.001
 Maximum of DBP (mmHg)91.3 ± 9.4101.9 ± 12.9<0.001
 Delta DBP (mmHg)34.4 ± 11.650.0 ± 16.7<0.001
Hemoglobin (%)7.5 ± 1.07.7 ± 1.10.019
 Number of measurements35.4 ± 10.732.0 ± 11.3<0.001
 SD of Hemoglobin (%)0.9 ± 0.61.1 ± 0.5<0.001
Total cholesterol (mg/dL)192.3 ± 26.7197.2 ± 33.70.034
 Number of measurements12.0 ± 5.811.3 ± 6.90.147
High-density lipoprotein (mg/dL)38.5 ± 10.738.4 ± 10.50.877
Low-density lipoprotein (mg/dL)118.6 ± 19.7118.4 ± 21.00.877
Triglyceride (mg/dL)147.0 ± 106.8159.8 ± 127.00.1640
Average creatinine0.89 ± 0.41.3 ± 1.2<0.001
 Number of measurements13.6 ± 5.115.8 ± 9.5<0.001
 SD of creatinine0.1 ± 0.30.3 ± 0.4<0.001

Clinical events during the 10-year follow-up period
PAD (%)64 (10.2)50 (25.1)<0.001
 Interval from DM diagnosis (y)8.1 ± 2.07.7 ± 2.50.403
(%)73 (11.7)50 (25.1)<0.001
 Interval from DM diagnosis (y)5.4 ± 2.84.9 ± 3.50.388
CAD or MI (%)24 (3.8)14 (7.0)0.051
 Interval from DM diagnosis (y)5.4 ± 2.73.7 ± 3.30.094
TIA or stroke (%)51 (8.1)37 (18.6)<0.001
 Interval from DM diagnosis (y)5.3 ± 2.95.4 ± 3.40.903
 Recurrent TIA or stroke events0.2 ± 0.50.4 ± 0.80.152
Total follow-up (months)148.6 ± 15.2146.4 ± 18.40.098

DM, diabetes mellitus; SBP, systolic blood pressure; DBP, diastolic blood pressure; SD, standard deviation; PAD, peripheral arterial disease; CVD, cerebrovascular disease; CAD, coronary artery disease; MI, myocardial infarction; TIA, transient ischemic attack; CKD, chronic kidney disease.
as cerebrovascular disease, neurodegenerative disease, and parkinsonism that required medical treatment and long-term follow-up.