Prevalence and Risk Factors of Hypertension Among Diabetic Patients

Said Rahatullah Haidari; Said Qamber Ali Haidary

doi:10.55544/jrasb.3.4.15

Authors

Haidari Said Rahatullah Internal Medicine Specialist, Gastroenterologist, Lecturer at Rokhan Institute of Higher Education, Medical Faculty, Jalalabad City, Nangarhar, AFGHANISTAN. https://orcid.org/0009-0007-9281-3621
Said Qamber Ali Haidary Professor, Senior Lecturer at Rokhan Institute of Higher Education, Medical Faculty, Jalalabad City, Nangarhar, AFGHANISTAN.

DOI:

https://doi.org/10.55544/jrasb.3.4.15

Keywords:

Prevalence, Risk factors, Hypertension, Diabetes

Abstract

Hypertension poses a significant public health concern, leading to increased morbidity and mortality rates. Its coexistence with diabetes often worsens the complications associated with both conditions. The aim of this study was to examine the prevalence of hypertension and the factors influencing its occurrence among diabetic patients receiving follow-up care at the Haidari Internal Medicine, Gastrointestinal Diseases, GI Endoscopy, and Colonoscopy Center in Jalalabad city, Nangarhar Province, Afghanistan. The study was carried out from November 1, 2023, to January 30, 2024. We utilized a cross-sectional design and conducted statistical analysis using SPSS software version 25.0. Categorical data were expressed as frequencies and percentages. The associations between hypertension and various variables in diabetes mellitus (DM) were evaluated using chi-square tests for trend. The findings demonstrated that age ≥ 50 years, higher BMI, and type 2 DM were significant predictors of hypertension among the studied population. Additionally, illiteracy, active smoking, a family history of hypertension, physical inactivity, having diabetes for 5 or more years, and using both non-insulin and insulin treatments were linked to a higher prevalence of hypertension. These findings highlight the need to address these risk factors in the management and prevention of hypertension among individuals with diabetes.

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References

Colosia, A.D., R. Palencia, and S. Khan, Prevalence of hypertension and obesity in patients with type 2 diabetes mellitus in observational studies: a systematic literature review. Diabetes, metabolic syndrome and obesity: targets and therapy, 2013: p. 327-338.

WHO, W., A global brief on hypertension: silent killer, global public health crisis. 2013.

Kotchen, T.A., Hypertension control: trends, approaches, and goals. 2007, Am Heart Assoc. p. 19-20.

Lopez-Jaramillo, P., et al., The goal of blood pressure in the hypertensive patient with diabetes is defined: now the challenge is go from recommendations to practice. Diabetology & metabolic syndrome, 2014. 6(1): p. 1-10.

Paul, B., et al., Role of losartan therapy in the management of diabetic hypertension. The Journal of the Association of Physicians of India, 2000. 48(5): p. 514-518.

Eren, N.K., et al., Rate of blood pressure control and antihypertensive treatment approaches in diabetic patients with hypertension. Türk Kardiyoloji Derneği Arşivi, 2014. 42(8).

Organization, W.H., Global health risks: mortality and burden of disease attributable to selected major risks. 2009: World Health Organization.

Organization, W.H., Regional Office for Southeast Asia. Hypertension fact sheet. 2012.

Katon, W.J., et al., The association of comorbid depression with mortality in patients with type 2 diabetes. Diabetes care, 2005. 28(11): p. 2668-2672.

Aroda, V.R., et al., Metformin for diabetes prevention: insights gained from the diabetes prevention program/diabetes prevention program outcomes study. Diabetologia, 2017. 60(9): p. 1601-1611.

Emdin, C.A., et al., Blood pressure lowering in type 2 diabetes: a systematic review and meta-analysis. Jama, 2015. 313(6): p. 603-615.

Group, U.P.D.S., Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. Bmj, 1998. 317(7160): p. 703-713.

Alwan, A., Global status report on noncommunicable diseases 2010. 2011: World Health Organization.

Koly, K.N., T. Biswas, and A. Islam, Increasing prevalence of hypertension in Bangladesh: a review. Cardiovascular Journal, 2015. 8(1): p. 59-64.

Riley, L., et al., The World Health Organization STEPwise approach to noncommunicable disease risk-factor surveillance: methods, challenges, and opportunities. American journal of public health, 2016. 106(1): p. 74-78.

Mengesha, A.Y., Hypertension and related risk factors in type 2 diabetes mellitus (DM) patients in Gaborone City Council (GCC) clinics, Gaborone, Botswana. African health sciences, 2007. 7(4).

Nouh, F., M. Omar, and M. Younis, Prevalence of hypertension among diabetic patients in Benghazi: a study of associated factors. Asian Journal of Medicine and Health, 2017. 6(4): p. 1-11.

Berraho, M., et al., Hypertension and type 2 diabetes: a cross-sectional study in Morocco (EPIDIAM Study). Pan African Medical Journal, 2012. 11(1).

Abdissa, D. and K. Kene, Prevalence and determinants of hypertension among diabetic patients in Jimma University Medical Center, Southwest Ethiopia, 2019. Diabetes, Metabolic Syndrome and Obesity, 2020: p. 2317-2325.

Satman, I., et al., Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. European journal of epidemiology, 2013. 28: p. 169-180.

Wu, J., et al., Prevalence and distribution of hypertension and related risk factors in Jilin Province, China 2015: a cross-sectional study. BMJ open, 2018. 8(3): p. e020126.

Khader, Y., et al., Hypertension in Jordan: prevalence, awareness, control, and its associated factors. International journal of hypertension, 2019. 2019.

Csige, I., et al., The impact of obesity on the cardiovascular system. Journal of diabetes research, 2018. 2018.

Brown, C.D., et al., Body mass index and the prevalence of hypertension and dyslipidemia. Obesity research, 2000. 8(9): p. 605-619.

Velásquez-Rodríguez, C.-M., et al., Abdominal obesity and low physical activity are associated with insulin resistance in overweight adolescents: a cross-sectional study. BMC pediatrics, 2014. 14: p. 1-9.

Salvetti, A., et al., The inter-relationship between insulin resistance and hypertension. Drugs, 1993. 46 Suppl 2: p. 149-59.

Lastra, G., et al., Type 2 diabetes mellitus and hypertension: an update. Endocrinol Metab Clin North Am, 2014. 43(1): p. 103-22.

Giri, B.R., et al., Diabetes and hypertension in urban bhutanese men and women. Indian Journal of Community Medicine, 2013. 38(3): p. 138-143.

Arambewela, M.H., et al., Prevalence of depression and associated factors among patients with type 2 diabetes attending the diabetic clinic at a tertiary care hospital in Sri Lanka: a descriptive study. Psychiatry journal, 2019. 2019.

Moniruzzaman, M., et al., Physical activity levels in Bangladeshi adults: results from STEPS survey 2010. Public health, 2016. 137: p. 131-138.

Cutler, D.M. and A. Lleras-Muney, Understanding differences in health behaviors by education. Journal of health economics, 2010. 29(1): p. 1-28.

Kautzky-Willer, A., et al., Women show a closer association between educational level and hypertension or diabetes mellitus than males: a secondary analysis from the Austrian HIS. BMC Public Health, 2012. 12: p. 1-9.

Leng, B., et al., Socioeconomic status and hypertension: a meta-analysis. Journal of hypertension, 2015. 33(2): p. 221-229.

Cha, S.H., H.S. Park, and H.J. Cho, Socioeconomic disparities in prevalence, treatment, and control of hypertension in middle-aged Koreans. Journal of epidemiology, 2012. 22(5): p. 425-432.

Brunello, G., et al., The causal effect of education on health: What is the role of health behaviors? Health economics, 2016. 25(3): p. 314-336.