&lt;p&gt;Hypertension and Its Associated Factors Among Type 2 Diabetes Mellitus Patients at Debre Tabor General Hospital, Northwest Ethiopia&lt;/p&gt;

Akalu, Yonas; Belsti, Yitayeh

doi:10.2147/dmso.s254537

Cited by 64 publications

(76 citation statements)

References 67 publications

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“…The findings revealed that among women in rural communities, there is a significant relationship between diabetic status and hypertension, with the odds of hypertension being higher with diabetic participants. This is in agreement with the previous study, as they reported that the odds of hypertension are high with a longer duration of type 2 diabetes mellitus (T2DM) [ 35 ]. Women in the semi-urban area with a family history of heart failure were at high risk of hypertension.…”

Section: Discussionsupporting

confidence: 94%

Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas

Mphekgwana

Malema

Monyeki

et al. 2020

IJERPH

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The burden of hypertension is reported to be on the rise in developing countries, such as South Africa, despite increased efforts to address it. Using a cross-sectional study design, we assessed and compared the prevalence of and risk factors associated with hypertension amongst adults aged ≥18 years in semi-urban and rural communities (1187 semi-urban and 1106 rural). Trained community health workers administered the INTERHEART Risk Score tool and performed blood pressure assessments using the MEDIC Pharmacists Choice Blood Pressure Monitor. Hypertension was defined to be a systolic blood pressure (BP) ≥ 140 mmHg and diastolic BP ≥ 90 mmHg. A multivariate logistic regression model was used to identify factors and determine their relationship with hypertension. The prevalence of hypertension amongst semi-urban and rural communities was 21% with no gender difference. In the semi-urban area, physical activity, family history, fruit intake, salty food, and eating meat were significantly associated with the odds of hypertension among women, whereas only the waist-to-hip ratio (WHR), diabetic status, and salty food were the predictors for rural women. Factors such as fried food and low fruit intake were significantly associated with the odds of hypertension among men in the semi-urban area, whereas only the WHR was significant among men in the rural area. Hypertension was found to be prevalent among semi-urban and rural adults in Limpopo Province, South Africa.

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Section: Discussionsupporting

confidence: 94%

Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas

Mphekgwana

Malema

Monyeki

et al. 2020

IJERPH

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“…A similar prevalence (47.7%) of hypertension in patients with DM was reported in Khartoum, the capital of Sudan [ 22 ]. The prevalence of hypertension among patients with DM in our study (45.6%) was slightly lower than among DM patients in Nigeria (54.2%) [ 10 ] and Ethiopia (59.5%) [ 20 ], and it was much lower than among DM patients in Cameroon (86.2%) [ 21 ]. The association of hypertension and DM could be explained by hyperglycemia, insulin resistance, and dyslipidemia, which promote the atherosclerosis process [ 28 ].…”

Section: Discussionmentioning

confidence: 55%

“…High prevalence of hypertension (~ 25%) [ 16 – 18 ] and DM (20.8%) [ 19 ] has been reported in different parts of Sudan. Previous studies have shown different rates of hypertension among patients with DM in different African settings [ 10 , 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and associated factors of hypertension among adults with diabetes mellitus in northern Sudan: a cross-sectional study

Abdelbagi

Musa

et al. 2021

BMC Cardiovasc Disord

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Background Hypertension and diabetes mellitus (DM), are highly prevalent worldwide health non-communicable diseases, and are associated with chronic complications. The co-existence of both conditions accelerates the related complications and increases morbidities and mortalities. A cross-sectional study was conducted in Nahr an Nil State (River Nile State) in Sudan between May and August 2018 to identify the prevalence of hypertension and risk factors among patients with DM in that region. Results The median (interquartile) age of the 1,973 enrolled patients was 58.0 (50.0‒65.0) years, and 818 (45.6%) were males. The median (interquartile) duration of diabetes was 5.0 (3.0‒9.0) years. Of the 1,973 enrolled participants, 21.7%, 1.3%, 37.1%, and 39.9% were normal weight, underweight, overweight, and obese, respectively. Of 1,973 854 (47.6%) patients also had hypertension. Logistic regression analyses showed that elderly patients (adjusted odds ratio [AOR] = 1.03, 95%; confidence interval [CI] = 1.02‒1.04), males (AOR = 2.96, 95%; CI = 2.15‒4.07), employed patients (AOR = 1.92, 95%; CI = 1.38‒2.70), obese patients (AOR = 1.59, 95%; CI = 1.21‒2.08), and patients with diabetic foot (DF) (AOR = 2.45, 95%; CI = 1.72‒3.47) were at higher risk for hypertension. Conversely, patients with Type 2 DM (T2DM) (AOR = 0.63, 95%; CI = 0.50‒0.80) were at lower risk for hypertension. There was no significant association between overweight, uncontrolled DM, and hypertension. Conclusion This study showed a high prevalence of hypertension among patients with DM. Notably, older age, male gender, employment, duration of DM, DF, underweight, and obesity were significant predictors of hypertension among patients with DM.

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“…Of the 21 studies, 5 were from South Africa(42)(43)(44)(45)(46), 5 from Ethiopia(11,(47)(48)(49)(50), 3 from Kenya (51-53), 2 from Tanzania (54, 55), 2 from Nigeria (56, 57), and 1 from Cameron (58), Uganda (59), Botswana(60), and Ghana(61). All studies were institution based cross-sectional studies.…”

mentioning

confidence: 99%

“…All studies were institution based cross-sectional studies. To de ne poor blood pressure control, BP cut point of ≥140/90 was used by 11 studies(11,43,47,48,50,53,(62)(63)(64)(65)(66), ≥140/80 by 3 studies(45,59,67) and ≥130/80 by 7 studies (44, 52, 54-56, 58) (Table 1).…”

mentioning

confidence: 99%

Poor blood pressure control and its associated factors among peoples living with Diabetes Mellitus in sub-Saharan Africa: A Systematic Review and Meta-analysis

Akalu¹,

Yeshaw²,

Tesema³

et al. 2020

Preprint

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Background Poor blood pressure control among people living with diabetes mellitus (DM) is one of the primary causes of cardiovascular complications and death in sub-Saharan Africa (SSA). However, there is paucity of evidence on the prevalence and associated factors of poor blood pressure control in SSA. Therefore, this review aimed to estimate the prevalence and its associated factors among people living with DM in SSA. Methods We systematically searched PubMed, African Journals online, Hinari, Google scholar and direct Google to access observational studies conducted in SSA. Microsoft excel spreadsheet was used to extract the data and then exported into STATA/MP version 16.0 for further analysis. Heterogeneity across studies was checked using Cochrane Q test statistic and I2 test and small study effect were checked using Funnel plot symmetry and Egger’s statistical test at 5% significant level. A random-effects model was used to estimates the pooled prevalence of poor blood pressure control with a 95% confidence interval (CI). Results Of the 1,043 articles retrieved, 21 articles with an overall sample size of 6308 were eligible for the meta-analysis. After performing random-effects model, the pooled prevalence of poor blood pressure control was 69.8% (95% CI: 63.43, 76.25%). Poor adherence to antihypertensive treatment (OR = 1.7; 95% CI: 1.03–2.80, I2 = 0.0%, p = 0.531) and overweight (OR = 2.4, 95% CI: 1.57–3.68, I2 = 0.00%, p = 0.47) were significantly associated with poor blood pressure control. Conclusions Only one third of diabetic patients in SSA had achieved target blood pressure. Hence, there is an urgent need for initiatives to improve and control hypertension, and preventive measures should concentrate on modifiable risk factors. Systematic Review registrations: The review protocol has been registered in PROSPERO with protocol number of CRD42020187901.

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<p>Hypertension and Its Associated Factors Among Type 2 Diabetes Mellitus Patients at Debre Tabor General Hospital, Northwest Ethiopia</p>

Cited by 64 publications

References 67 publications

Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas

Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas

Prevalence and associated factors of hypertension among adults with diabetes mellitus in northern Sudan: a cross-sectional study

Poor blood pressure control and its associated factors among peoples living with Diabetes Mellitus in sub-Saharan Africa: A Systematic Review and Meta-analysis

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