关键词: Demographic factors Hypertension Lifestyle factors Socioeconomic factors Type 2 diabetics

Mesh : Humans Diabetes Mellitus, Type 2 / epidemiology complications Male Female Middle Aged Hypertension / epidemiology complications Aged Adult Prevalence Risk Factors Life Style Cross-Sectional Studies Socioeconomic Factors Cohort Studies

来  源:   DOI:10.1038/s41598-024-69062-7   PDF(Pubmed)

Abstract:
Hypertension is a very common comorbidity in type 2 diabetes patients, which leads to important health and treatment challenges. The present study was conducted with the aim of determining the prevalence of hypertension and its risk factors in type 2 diabetes patients. This study was conducted using cross-sectional data from 1245 participants aged between 35 and 70 years and diagnosed with type 2 diabetes at baseline in the Fasa cohort study. The prevalence hypertension was determined and multivariate logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for the association between various risk factors and hypertension prevalence. The average age of the participants was 53.5 ± 8.7 years and 71.7% (n = 893) were female and 28.3% (n = 352) were male. The prevalence of hypertension in people with type 2 diabetes was 45.5% (n = 566). Higher age (AOR, 95% CI: 8.1, 4.6-14.3), female gender (OR, 95% CI: 1.8, 1.2-2.5), Fars (AOR, 95% CI: 1.6, 1.1-2.4) and Turk (AOR, 95% CI: 1.6, 1.1-2.5) vs. other ethnicity, and overweight (AOR, 95% CI: 1.8, 1.38-2.38) and obesity (AOR, 95% CI: 2.7, 2.0-3.8) vs. BMI < 25 was associated with a higher prevalence of hypertension, while higher physical activity (AOR, 95% CI: 0.57, 0.42-0.78) was associated with lower prevalence of hypertension in the multivariable model. The prevalence of hypertension in persons with type 2 diabetes was high and increased with greater age, in some ethnic groups, and with higher BMI and low physical activity. Further prospective studies are needed to investigate these associations in this population.
摘要:
高血压是2型糖尿病患者中非常常见的合并症,这导致了重要的健康和治疗挑战。本研究旨在确定2型糖尿病患者的高血压患病率及其危险因素。这项研究是使用来自Fasa队列研究中基线诊断为2型糖尿病的年龄在35至70岁之间的1245名参与者的横断面数据进行的。确定高血压患病率,并使用多变量逻辑回归来估计各种危险因素与高血压患病率之间的关联的比值比(OR)和95%置信区间(CI)。参与者的平均年龄为53.5±8.7岁,其中71.7%(n=893)为女性,28.3%(n=352)为男性。2型糖尿病患者的高血压患病率为45.5%(n=566)。年龄较高(AOR,95%CI:8.1,4.6-14.3),女性性别(或,95%CI:1.8,1.2-2.5),法尔斯(AOR,95%CI:1.6,1.1-2.4)和土耳其人(AOR,95%CI:1.6,1.1-2.5)与其他种族,和超重(AOR,95%CI:1.8,1.38-2.38)和肥胖(AOR,95%CI:2.7,2.0-3.8)与BMI<25与较高的高血压患病率相关,而较高的身体活动(AOR,95%CI:0.57,0.42-0.78)与多变量模型中高血压患病率较低相关。2型糖尿病患者的高血压患病率较高,并且随着年龄的增长而增加,在一些种族中,BMI较高,体力活动较低。需要进一步的前瞻性研究来调查该人群中的这些关联。
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