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Prevalence of hypertension and obesity in patients with type 2 diabetes mellitus in observational studies: a systematic literature review

BACKGROUND: Hypertension and obesity are known to contribute, directly or indirectly, to the development of long-term complications of type 2 diabetes mellitus (T2DM). Knowing the prevalence of these comorbidities is important for determining the size of the population that may benefit from strategi...

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Autores principales: Colosia, Ann D, Palencia, Roberto, Khan, Shahnaz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3785394/
https://www.ncbi.nlm.nih.gov/pubmed/24082791
http://dx.doi.org/10.2147/DMSO.S51325
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author Colosia, Ann D
Palencia, Roberto
Khan, Shahnaz
author_facet Colosia, Ann D
Palencia, Roberto
Khan, Shahnaz
author_sort Colosia, Ann D
collection PubMed
description BACKGROUND: Hypertension and obesity are known to contribute, directly or indirectly, to the development of long-term complications of type 2 diabetes mellitus (T2DM). Knowing the prevalence of these comorbidities is important for determining the size of the population that may benefit from strategies that reduce blood pressure and weight while controlling blood glucose. METHODS: In this systematic literature review, electronic searches of PubMed, Embase, and the Cochrane Library were conducted to identify observational studies of hypertension and/or obesity prevalence in patients with T2DM throughout the world. The searches were limited to studies reported in English from January 1, 2001 to February 16, 2012. RESULTS: From a total of 2,688 studies, 92 observational studies provided prevalence rates for hypertension and/or obesity specifically in adults with T2DM. Fifteen studies of specific subtypes of hypertension or subpopulations with T2DM were subsequently excluded, leaving 78 studies (in 77 articles) for inclusion in this article. Of these, 61studies reported hypertension prevalence, 44 reported obesity prevalence, and 12 reported the prevalence of hypertension with obesity. Most studies had a low risk of bias regarding diagnosis of T2DM (70/78), hypertension (59/69), or obesity (45/47). The continental regions with the most observational studies of hypertension or obesity prevalence were Europe (n = 30) and Asia (n = 26). Hypertension rates typically were high in all regions; most studies presented rates above 50%, and many presented rates above 75%. Obesity rates exceeded 30% in 38 of 44 studies and 50% in 14 of 44 studies, especially those assessing central obesity (based on waist circumference). Among obese adults, hypertension rates were at or above 70% in Asia and above 80% in Europe; rates were lower in North and South America but still above 30%. CONCLUSION: Around the world, hypertension and obesity, separately or together, are common comorbidities in adults with T2DM.
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spelling pubmed-37853942013-09-30 Prevalence of hypertension and obesity in patients with type 2 diabetes mellitus in observational studies: a systematic literature review Colosia, Ann D Palencia, Roberto Khan, Shahnaz Diabetes Metab Syndr Obes Review BACKGROUND: Hypertension and obesity are known to contribute, directly or indirectly, to the development of long-term complications of type 2 diabetes mellitus (T2DM). Knowing the prevalence of these comorbidities is important for determining the size of the population that may benefit from strategies that reduce blood pressure and weight while controlling blood glucose. METHODS: In this systematic literature review, electronic searches of PubMed, Embase, and the Cochrane Library were conducted to identify observational studies of hypertension and/or obesity prevalence in patients with T2DM throughout the world. The searches were limited to studies reported in English from January 1, 2001 to February 16, 2012. RESULTS: From a total of 2,688 studies, 92 observational studies provided prevalence rates for hypertension and/or obesity specifically in adults with T2DM. Fifteen studies of specific subtypes of hypertension or subpopulations with T2DM were subsequently excluded, leaving 78 studies (in 77 articles) for inclusion in this article. Of these, 61studies reported hypertension prevalence, 44 reported obesity prevalence, and 12 reported the prevalence of hypertension with obesity. Most studies had a low risk of bias regarding diagnosis of T2DM (70/78), hypertension (59/69), or obesity (45/47). The continental regions with the most observational studies of hypertension or obesity prevalence were Europe (n = 30) and Asia (n = 26). Hypertension rates typically were high in all regions; most studies presented rates above 50%, and many presented rates above 75%. Obesity rates exceeded 30% in 38 of 44 studies and 50% in 14 of 44 studies, especially those assessing central obesity (based on waist circumference). Among obese adults, hypertension rates were at or above 70% in Asia and above 80% in Europe; rates were lower in North and South America but still above 30%. CONCLUSION: Around the world, hypertension and obesity, separately or together, are common comorbidities in adults with T2DM. Dove Medical Press 2013-09-17 /pmc/articles/PMC3785394/ /pubmed/24082791 http://dx.doi.org/10.2147/DMSO.S51325 Text en © 2013 Colosia et al. This work is published by Dove Medical Press Ltd, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Ltd, provided the work is properly attributed.
spellingShingle Review
Colosia, Ann D
Palencia, Roberto
Khan, Shahnaz
Prevalence of hypertension and obesity in patients with type 2 diabetes mellitus in observational studies: a systematic literature review
title Prevalence of hypertension and obesity in patients with type 2 diabetes mellitus in observational studies: a systematic literature review
title_full Prevalence of hypertension and obesity in patients with type 2 diabetes mellitus in observational studies: a systematic literature review
title_fullStr Prevalence of hypertension and obesity in patients with type 2 diabetes mellitus in observational studies: a systematic literature review
title_full_unstemmed Prevalence of hypertension and obesity in patients with type 2 diabetes mellitus in observational studies: a systematic literature review
title_short Prevalence of hypertension and obesity in patients with type 2 diabetes mellitus in observational studies: a systematic literature review
title_sort prevalence of hypertension and obesity in patients with type 2 diabetes mellitus in observational studies: a systematic literature review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3785394/
https://www.ncbi.nlm.nih.gov/pubmed/24082791
http://dx.doi.org/10.2147/DMSO.S51325
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