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CO-OCCURRENCE OF DIABETES AND HYPERTENSION: PATTERN AND FACTORS ASSOCIATED WITH ORDER OF DIAGNOSIS AMONG NIGERIANS
BACKGROUND: There is a high frequency of co-occurrence of diabetes and hypertension all over the world. Such association results in higher rate of cardiovascular complications. It is however not clear whether the order of occurrence distinguishes two different groups of patients and the implications...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Association of Resident Doctors (ARD), University College Hospital, Ibadan
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4111031/ https://www.ncbi.nlm.nih.gov/pubmed/25161490 |
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author | Balogun, W.O. Salako, B.L. |
author_facet | Balogun, W.O. Salako, B.L. |
author_sort | Balogun, W.O. |
collection | PubMed |
description | BACKGROUND: There is a high frequency of co-occurrence of diabetes and hypertension all over the world. Such association results in higher rate of cardiovascular complications. It is however not clear whether the order of occurrence distinguishes two different groups of patients and the implications of this on morbidity and mortality. The main objective of this study is to determine if there are any clinical and metabolic differences between those first diagnosed with diabetes (hypertensive diabetics) compared to those first diagnosed with hypertension (diabetic hypertensives). METHODOLOGY: A total of 124 patients with co-existent diabetes and hypertension were consecutively recruited into the study. Demographic and clinical history was captured on a semi-structured questionnaire, followed by measurement of anthropometry and blood pressure. Records of fasting plasma glucose, urinalysis and electrolytes, urea and creatinine were obtained from the case records. RESULTS: There were 83 (66.9%) females and 41 (33.1%) males with mean age of 61.1 (SD 11.1) years. Sixty or 49.6% was hypertensive diabetics while 52 or 43% was diabetic hypertensive. The rest had simultaneous diagnosis of diabetes and hypertension. The diabetic hypertensive subjects significantly had higher BMI (p= 0.04) while the hypertensive diabetics group had higher hip/waist ratio (p = 0.01). The diabetic hypertensive group had higher waist circumference statistically significant only in women (p = 0.04). Also significantly more people (21 or 42%; p = 0.04) in the diabetic hypertensive group used table salt often. A logistic regression performed showed that only use of table salt was independently associated with order of diagnosis of diabetes or hypertension. CONCLUSION: There could be significant differences in some clinical characteristics of hypertensive diabetics and diabetic hypertensives, and use of table salt may be an important risk factor contributing to coexistence of both conditions. |
format | Online Article Text |
id | pubmed-4111031 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Association of Resident Doctors (ARD), University College Hospital, Ibadan |
record_format | MEDLINE/PubMed |
spelling | pubmed-41110312014-08-26 CO-OCCURRENCE OF DIABETES AND HYPERTENSION: PATTERN AND FACTORS ASSOCIATED WITH ORDER OF DIAGNOSIS AMONG NIGERIANS Balogun, W.O. Salako, B.L. Ann Ib Postgrad Med Original Article BACKGROUND: There is a high frequency of co-occurrence of diabetes and hypertension all over the world. Such association results in higher rate of cardiovascular complications. It is however not clear whether the order of occurrence distinguishes two different groups of patients and the implications of this on morbidity and mortality. The main objective of this study is to determine if there are any clinical and metabolic differences between those first diagnosed with diabetes (hypertensive diabetics) compared to those first diagnosed with hypertension (diabetic hypertensives). METHODOLOGY: A total of 124 patients with co-existent diabetes and hypertension were consecutively recruited into the study. Demographic and clinical history was captured on a semi-structured questionnaire, followed by measurement of anthropometry and blood pressure. Records of fasting plasma glucose, urinalysis and electrolytes, urea and creatinine were obtained from the case records. RESULTS: There were 83 (66.9%) females and 41 (33.1%) males with mean age of 61.1 (SD 11.1) years. Sixty or 49.6% was hypertensive diabetics while 52 or 43% was diabetic hypertensive. The rest had simultaneous diagnosis of diabetes and hypertension. The diabetic hypertensive subjects significantly had higher BMI (p= 0.04) while the hypertensive diabetics group had higher hip/waist ratio (p = 0.01). The diabetic hypertensive group had higher waist circumference statistically significant only in women (p = 0.04). Also significantly more people (21 or 42%; p = 0.04) in the diabetic hypertensive group used table salt often. A logistic regression performed showed that only use of table salt was independently associated with order of diagnosis of diabetes or hypertension. CONCLUSION: There could be significant differences in some clinical characteristics of hypertensive diabetics and diabetic hypertensives, and use of table salt may be an important risk factor contributing to coexistence of both conditions. Association of Resident Doctors (ARD), University College Hospital, Ibadan 2011-12 /pmc/articles/PMC4111031/ /pubmed/25161490 Text en © Association of Resident Doctors, UCH, Ibadan http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited. |
spellingShingle | Original Article Balogun, W.O. Salako, B.L. CO-OCCURRENCE OF DIABETES AND HYPERTENSION: PATTERN AND FACTORS ASSOCIATED WITH ORDER OF DIAGNOSIS AMONG NIGERIANS |
title | CO-OCCURRENCE OF DIABETES AND HYPERTENSION: PATTERN AND FACTORS ASSOCIATED WITH ORDER OF DIAGNOSIS AMONG NIGERIANS |
title_full | CO-OCCURRENCE OF DIABETES AND HYPERTENSION: PATTERN AND FACTORS ASSOCIATED WITH ORDER OF DIAGNOSIS AMONG NIGERIANS |
title_fullStr | CO-OCCURRENCE OF DIABETES AND HYPERTENSION: PATTERN AND FACTORS ASSOCIATED WITH ORDER OF DIAGNOSIS AMONG NIGERIANS |
title_full_unstemmed | CO-OCCURRENCE OF DIABETES AND HYPERTENSION: PATTERN AND FACTORS ASSOCIATED WITH ORDER OF DIAGNOSIS AMONG NIGERIANS |
title_short | CO-OCCURRENCE OF DIABETES AND HYPERTENSION: PATTERN AND FACTORS ASSOCIATED WITH ORDER OF DIAGNOSIS AMONG NIGERIANS |
title_sort | co-occurrence of diabetes and hypertension: pattern and factors associated with order of diagnosis among nigerians |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4111031/ https://www.ncbi.nlm.nih.gov/pubmed/25161490 |
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