Al-Azzam Nosayba, Al-Azzam Sayer, Elsalem Lina, Karasneh Reema
Department of Physiology and Biochemistry, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
Ann Med Surg (Lond). 2020 Dec 29;61:126-131. doi: 10.1016/j.amsu.2020.12.038. eCollection 2021 Jan.
Hypertension (HTN) is a common comorbidity among diabetic patients. Studies reported that HTN prevalence in patients with diabetes mellitus (DM) depends on many risk factors related to the disease (the type and duration of DM), patients (age, sex, race/ethnicity, BMI), and medical history (glycemic control, renal problems). Best to our knowledge, limited evidence is available in this regard among Jordanian population.
This retrospective cross-sectional study aimed to determine the prevalence of HTN among patients with DM in Jordan and factors that might be associated with the concurrence of both diseases.
A cross-sectional study was conducted to determine HTN prevalence and risk factors among diabetic outpatients in Jordan. Patients were asked about their sociodemographic information and medical history. A descriptive analysis was used to determine HTN prevalence and a fit bivariate logistic regression model was used to identify the significant risk factors of HTN in patients with type 2 DM (T2DM).
HTN was found to be concurrently occurring in approximately 80% of T2DM patients. This was found to increase with age. In addition, dyslipidemia, gout disease, ischemic heart disease, renal impairment, or a family history of HTN were found to be associated with the concurrence of HTN among T2DM patients.
Findings from this study highlight the need for proper monitoring of DM patients to reduce the co-occurrence of HTN. Specific attention should be directed to control the patients' glycemic and lipid profiles as well as the cardiac and renal health using non-pharmacological and pharmacological measures. This is of particular importance in T2DM patients at old age and with family history of HTN, to reduce patients' deterioration. Results from this study will also be informative for the development of public health strategies to increase the awareness of the general population regarding T2DM and HTN since both diseases are very common among Jordanian population.
高血压（HTN）是糖尿病患者中常见的合并症。研究报告称，糖尿病（DM）患者的高血压患病率取决于许多与该疾病相关的风险因素（糖尿病的类型和病程）、患者因素（年龄、性别、种族/民族、体重指数）以及病史（血糖控制、肾脏问题）。据我们所知，约旦人群在这方面的证据有限。
这项回顾性横断面研究旨在确定约旦糖尿病患者中高血压的患病率以及可能与两种疾病并发相关的因素。
进行了一项横断面研究，以确定约旦糖尿病门诊患者中高血压的患病率和风险因素。询问患者的社会人口学信息和病史。采用描述性分析来确定高血压患病率，并使用合适的二元逻辑回归模型来识别2型糖尿病（T2DM）患者中高血压的显著风险因素。
发现约80%的T2DM患者同时患有高血压。且发现其患病率随年龄增加。此外，血脂异常、痛风、缺血性心脏病、肾功能损害或高血压家族史被发现与T2DM患者中高血压的并发有关。
本研究结果强调了对糖尿病患者进行适当监测以减少高血压并发的必要性。应特别关注通过非药物和药物措施控制患者的血糖和血脂水平以及心脏和肾脏健康。这对于老年且有高血压家族史的T2DM患者尤为重要，以减少患者病情恶化。本研究结果对于制定公共卫生策略也具有参考价值，有助于提高普通人群对T2DM和HTN的认识，因为这两种疾病在约旦人群中非常常见。
