Prevalence, awareness, treatment and control of hypertension in adults with diagnosed diabetes: The Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV)

Abstract

We evaluated the prevalence, awareness, treatment and control of hypertension in Korean adults with diagnosed diabetes using nationally representative data. Among subjects aged ≥30 years who participated in the Fourth Korea National Health and Nutrition Examination Survey in 2007 and 2008, a total of 745 subjects (336 men and 409 women) with a previous diagnosis of diabetes mellitus were analyzed. The prevalence of hypertension in adults with diagnosed diabetes was 55.5%. The rates of awareness, treatment and control were 88.0, 94.2, and 30.8%, respectively. Compared with the general population, the prevalence of hypertension in adults with diagnosed diabetes was higher in all age groups in both genders. Factors independently associated with a high prevalence of hypertension included being male, increasing age, single, <9 years of education, the presence of chronic kidney disease risk, hypercholesterolemia (≥240 mg dl(-1)) and high body mass index (≥25 kg m(-2)). Regular medical screening was positively associated with hypertension control, whereas a high triglyceride level (≥150 mg dl(-1)) was inversely associated. A high prevalence and a low control rate of hypertension in adults with diagnosed diabetes suggest that stringent efforts are needed to control blood pressure in diabetic patients.

The Korean urban rural elderly cohort study: study design and protocol

“…Chronic disease diagnoses by a physician are investigated by self-report using a list of 16 diseases including cardiovascular and respiratory disease, cerebrovascular attack, diabetes, thyroid disorders, arthritis, cataract, depression, and cancer. Consistent with the Korean National Health and Nutrition Examination Survey, all questionnaires about chronic disease consist of diagnosis time and process of treatment [3]. Smoking and alcohol consumption are also investigated using the questionnaire.…”

The Rising Burden of Diabetes and Hypertension in Southeast Asian and African Regions: Need for Effective Strategies for Prevention and Control in Primary Health Care Settings

“…According to the Thailand Diabetes registry, the prevalence of HTN in adult Thai type 2 diabetic patients was 78.4 [63]. Among 745 subjects with known DM, who participated in the Fourth Korea National Health and Nutrition Examination Survey in 2007 and 2008, the prevalence of HTN was reported to be 55.5% [64]. In a study conducted in seven urban populations of Nepal, 36.7% of the diabetic subjects had HTN, while of all subjects with HTN, 29.1% had DM (known or newly diagnosed) [65].…”

Hypertension awareness, treatment, and control among diabetic and nondiabetic individuals in a multiethnic population in the Netherlands

“…Nevertheless, compared to other countries the hypertension awareness rate of diabetic Dutch people is rather low. For example, with 92 and 88%, US [10] and East-Asian [23] diabetic adults were more aware of having hypertension than Dutch individuals. Irrespective of diabetes status, hypertension awareness was also higher among Canadians (83%), whereas study results show that the awareness rate was lower in England (65%) [24].…”