Kefelew Etenesh, Getahun Firdawek, Damtie Addisalem, Dawite Firehiwot, Gebeyehu Selamawit, Hailu Tadiwos, Temesgen Rodas, Abebe Getachew, Abebe Mesfin
School of public health.
School of Medicine.
Ann Med Surg (Lond). 2023 Apr 11;85(5):1454-1460. doi: 10.1097/MS9.0000000000000605. eCollection 2023 May.
The prevalence of hypertension in diabetic patients is nearly twice that of non-diabetic patients. The presence of both hypertension and diabetes accelerates complications and raises the risk of death. Thus, identifying determinants of hypertension in diabetic patients is critical for preventing the development of devastating acute and chronic complications, as well as diabetes-related death.
A case-control study was carried out in public hospitals of Gamo Zone, Southern Ethiopia. To select study participants, a systematic random sampling technique was used. The KOBO toolbox was used to collect data, which was then exported to the IBM SPSS version 25 software package for analysis. Bivariate and multivariable logistic regression analyses were performed to identify factors associated with hypertension in diabetes patients, and variables in the multivariable logistic regression analysis with a value less than 0.05 were declared significantly associated at a 95% CI.
In this study, age greater than or equal to 50 years [adjusted odd ratio (AOR)=4.08, 95% CI (1.41, 11.82)], higher body mass index [AOR=3.23, 95% CI (1.40, 7.66)], and higher waist to hip ratio [AOR=2.15, 95% CI (1.12, 4.13)] were significantly associated with hypertension in diabetic patients.
This study found that factors associated with hypertension among diabetic patients included older age (>50 years), a high waait to st#to#hip ratio, and a higher body mass index. The concerned health authorities and healthcare providers in the study area should focus on those identified factors to prevent hypertension among diabetic patients.
糖尿病患者中高血压的患病率几乎是非糖尿病患者的两倍。高血压和糖尿病并存会加速并发症的发生并增加死亡风险。因此,确定糖尿病患者高血压的决定因素对于预防严重急性和慢性并发症的发生以及与糖尿病相关的死亡至关重要。
在埃塞俄比亚南部加莫地区的公立医院进行了一项病例对照研究。为了选择研究参与者,使用了系统随机抽样技术。使用KOBO工具箱收集数据,然后将其导出到IBM SPSS 25版软件包进行分析。进行二元和多变量逻辑回归分析以确定糖尿病患者中与高血压相关的因素,多变量逻辑回归分析中P值小于0.05的变量在95%置信区间被宣布为显著相关。
在本研究中,年龄大于或等于50岁[调整后的优势比(AOR)=4.08,95%置信区间(1.41,11.82)]、较高的体重指数[AOR=3.23,95%置信区间(1.40,7.66)]和较高的腰臀比[AOR=2.15,95%置信区间(1.12,4.13)]与糖尿病患者的高血压显著相关。
本研究发现,糖尿病患者中与高血压相关的因素包括年龄较大(>50岁)、高腰臀比和较高的体重指数。研究地区相关的卫生当局和医疗服务提供者应关注这些已确定的因素,以预防糖尿病患者中的高血压。