Frontiers in Public Health (Jun 2022)

The Association Between Plasma Copper Concentration and Prevalence of Diabetes in Chinese Adults With Hypertension

  • Zhixin Cui,
  • Hong Chen,
  • Wenhai Lu,
  • Wenhai Lu,
  • Ping Wang,
  • Ziyi Zhou,
  • Ziyi Zhou,
  • Nan Zhang,
  • Zhuo Wang,
  • Tengfei Lin,
  • Tengfei Lin,
  • Yun Song,
  • Yun Song,
  • Lishun Liu,
  • Lishun Liu,
  • Xiao Huang,
  • Ping Chen,
  • Genfu Tang,
  • Juan Gao,
  • Yong Duan,
  • Yong Duan,
  • Binyan Wang,
  • Binyan Wang,
  • Binyan Wang,
  • Hao Zhang,
  • Xiping Xu,
  • Xiping Xu,
  • Xiping Xu,
  • Yan Yang,
  • Yan Yang,
  • Yan Yang,
  • Xianhui Qin,
  • Xianhui Qin,
  • Huicui Meng,
  • Huicui Meng,
  • Huicui Meng

DOI
https://doi.org/10.3389/fpubh.2022.888219
Journal volume & issue
Vol. 10

Abstract

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ObjectiveThe relationship between plasma copper concentration and prevalence of diabetes in adults with hypertension is unclear. We aimed to determine the association between plasma copper concentration and prevalence of diabetes in Chinese adults with hypertension.MethodsA total of 2,579 participants (697 cases and 1,882 controls) was included in this cross-sectional study. Plasma copper concentrations were determined by inductively coupled plasma mass spectrometry. Multivariable logistic regression model was used to determine the association between plasma copper concentration and prevalence of diabetes.ResultsAccording to the logistic regression analyses, the adjusted OR for the prevalence of diabetes in participants with plasma copper concentration ≥109.4 μg/dL was 1.26 (1.00, 1.58) compared with those with plasma copper concentration <109.4 μg/dL (P = 0.048). The association was no longer significant following further adjusting for serum high-density lipoprotein cholesterol (HDL-C) concentration as a potential confounder. Stratified analyses demonstrated that serum HDL-C concentration significantly modified the association between plasma copper concentration and prevalence of diabetes (P-interaction = 0.043). In the strata of serum HDL-C concentration ≥1.2 mmol/L, a 56% increased prevalence of diabetes was observed in participants with plasma copper concentration ≥109.4 μg/dL compared with those with plasma copper concentration <109.4 μg/dL (P = 0.008). No significant relationship between plasma copper concentration and prevalence of diabetes was found in other strata.ConclusionOur findings suggested that high plasma copper concentration (≥109.4 μg/dL) was associated with increased prevalence of diabetes in Chinese hypertensive adults with serum HDL-C concentration ≥1.2 mmol/L.

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