Determinants of hypertension among diabetes patients attending selected comprehensive specialized hospitals of the Amhara Region, Ethiopia: An unmatched case-control study

Abate, Makda; Abate, Teshager Woldegiorgis; Berhie, Alemshet Yirga; Abeje, Eleni Dagnaw; Ayele, Dawit Algaw; Abate, Melsew Dagne; Getu, Rediet Akele; Bantie, Berihun; Workie, Sewnet Getaye

doi:10.1371/journal.pone.0279245

Cited by 3 publications

(2 citation statements)

References 47 publications

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“…Similarly, the odds of hypertension were 7 times higher when the duration of DM is longer than 6 years since diagnosis. This finding is similar to studies done in different countries [ 6 – 8 , 30 ]. Although there is a higher prevalence of hypertension and other cardiovascular diseases among Type 2 DM, Type 1 DM patients are still at higher risk, particularly with a longer duration of DM.…”

Section: Discussionsupporting

confidence: 93%

Determinants of hypertension among diabetic patients in southern Ethiopia: a case-control study

Anjajo

Workie

Tema

et al. 2023

BMC Cardiovasc Disord

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Background Hypertension, among diabetic patients, is a worldwide public-health challenge and a number one modifiable risk factor for other cardiovascular diseases and death. The prevalence of hypertension among the diabetic population is nearly twice of nondiabetic patients. Screening and prevention of risk factors for hypertension based on evidence from local studies is required to minimize the burden of hypertension among diabetic patients. This study is aimed at assessing the determinants of hypertension among diabetic patients in Wolaita Sodo University Comprehensive Specialized Hospital, Southern Ethiopia, 2022. Methods Facility-based unmatched case-control study design was conducted from March 15 to April 15, 2022, at the outpatient diabetic clinic, Wolaita Sodo University Comprehensive Specialized Hospital. A total of 345 diabetic patients were selected using systematic random sampling techniques. Data were collected using a structured questionnaire by interviewing and extracting from the medical chart of patients. Bivariate logistic regression followed by multiple logistic analysis was used to identify the determinants of hypertension among diabetic patients. A p-value less than 0.05 is considered to be statistically significant. Results The significant determinants of hypertension among diabetes patients were being overweight [AOR = 2.06, 95% CI (1.1, 3.89), P = 0.025], being obese [AOR = 2.64, 95% CI (1.22, 5.70), P = 0.013], lack of Moderate intensity exercise [AOR = 2.41, 95% CI (1.36,4.24), P = 0.002], age [AOR = 1.03, 95% CI (1.01, 1.06), P = 0.011], Type 2 diabetes mellitus [AOR = 5.05, 95% CI (1.28, 19.88), P = 0.021], duration of diabetes mellitus ≥ 6 years [AOR = 7.47, 95% CI (2.02, 27.57), P = 0.003], diabetic nephropathy [AOR = 3.87, 95% CI (1.13, 13.29), P = 0.032], and urban residence [AOR = 2.11, 95% CI (1.04,4.29), P = 0.04]. Conclusion Being overweight and obese, lack of moderate-intensity exercise, age, type 2 diabetes mellitus, duration of Diabetes ≥ 6 years, presence of diabetic nephropathy, and being urban residents were significant determinants of hypertension among diabetic patients. These risk factors can be targeted by health professionals for prevention and earlier detection of hypertension among diabetic patients.

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Section: Discussionsupporting

confidence: 93%

Determinants of hypertension among diabetic patients in southern Ethiopia: a case-control study

Anjajo

Workie

Tema

et al. 2023

BMC Cardiovasc Disord

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“…Diabetes and hypertension coexistence is a global public health issue that causes significant morbidity, mortality, and decreased quality of life 38 . In Africa including Ethiopia, the prevalence of hypertension among diabetic patients is a major public health issue 17 .…”

Section: Discussionmentioning

confidence: 99%

Factors associated with hypertension among diabetic patients in Gamo Zone, Southern Ethiopia, 2021: case-control study

Kefelew

Getahun

Damtie

et al. 2023

Annals of Medicine &Amp; Surgery

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Background: 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. Methods and materials: 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 P value less than 0.05 were declared significantly associated at a 95% CI. Results: 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. Conclusions: 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.

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Predictors of hypertension among diabetic patients in the Ejisu municipality of Ghana

Brenyah,

Apprey,

K. Agbenorhevi

et al. 2024

F1000Res

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Introduction The co-existence of hypertension with diabetes mellitus among diabetic patients is a setback to public health. About 40-75% of diabetic patients present with hypertension. The co-existence of hypertension and diabetes can accelerate complications such as stroke, myocardial infarction, nephropathy, and mortality. Available data indicate the devastating effects of hypertension and diabetes on individuals, families, and the economy as catastrophic. Therefore, knowing the predictors of hypertension among diabetic patients would inform the lifestyle and management of the two conditions. Objective The study focused on predictors of hypertension among diabetic patients in the Ejisu Municipality of Ghana. Methods The study employed a quantitative approach with a sample size of 120. Data were collected on sociodemographic characteristics, family history, 24-hour dietary recall, blood pressure, fasting blood glucose, glycated haemoglobin, total lipid profile, and anthropometrics. Data were analyzed using SPSS version 27. Results Out of 120 respondents, 85% were females with 77.5% above 50 years of age. A majority (66.7%) had a family history of diabetes with 76.7% having hypertension as a comorbidity. Fasting blood glucose was found to be 8.519 times more likely to present with hypertension. Systolic blood pressure, carbohydrate, and sodium intakes were 6.1%, 2.9%, and 0.1% respectively. However, diabetic patients with high HbA1c were 97% less likely not to present with hypertension. Conclusion Hypertension was found to be the most common comorbidity among diabetic patients in Ghana. Glycaemic control, systolic blood pressure, and dietary factors specifically carbohydrate and sodium intake were significant predictors of hypertension among the study participants.

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Determinants of hypertension among diabetes patients attending selected comprehensive specialized hospitals of the Amhara Region, Ethiopia: An unmatched case-control study

Cited by 3 publications

References 47 publications

Determinants of hypertension among diabetic patients in southern Ethiopia: a case-control study

Determinants of hypertension among diabetic patients in southern Ethiopia: a case-control study

Factors associated with hypertension among diabetic patients in Gamo Zone, Southern Ethiopia, 2021: case-control study

Predictors of hypertension among diabetic patients in the Ejisu municipality of Ghana

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