Determinants of Diabetes and Hypertension Control in Ambulatory Healthcare in Al Ain, United Arab Emirates

Baynouna, Latifa M.; Nagelkerke, Nico; Ameri, Thuraya A. Al; Deen, Sanaa M. Zein Al; Ali, Habiba I.

doi:10.5001/omj.2014.58

Cited by 5 publications

(3 citation statements)

References 19 publications

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“…Recent evidence indicates that hypertension and elevated BP are increasing partly because of the increase in risk factors including smoking, obesity, harmful use of alcohol and lack of exercise [4, 23, 24]. The added burden of diseases as a consequence of uncontrolled hypertension places additional pressure on the limited health care budget in Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Blood Pressure Control among Hypertensive Patients in Southwest Ethiopia

2016

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BackgroundThe rate of blood pressure control among hypertensive patients is poor and the reasons for poor control of blood pressure remain poorly understood globally.ObjectiveTo assess the rate of blood pressure control among adult hypertensive patients at Jimma University Specialized Hospital.Materials and MethodsWe conducted a hospital based cross sectional study among adult hypertensive patients at Jimma University Specialized Hospital hypertension clinic from March 4, 2015 to April 3, 2015. Data on sociodemographic characteristics of the participants and adherence to antihypertensive medication(s) were collected from patients by face to face interview using a pretested structured questionnaire. Comorbidities, antihypertensive medication(s) and blood pressure measurements were collected retrospectively from medical records. Medication adherence was assessed using Morisky’s Medication Adherence Scale-8 score. We did the statistical analysis using chi-square test and binary logistic regression with level of α set at 0.05. Statistical significance was considered for variables with p<0.05.ResultsOut of 311 participants, 286 patients were eligible and were studied. More than half, 154 (53.8%), of the participants were males. The mean age of the participants was 54.8± 12.6 years (range 26 to 94). The majority, 196 (68.53%), of the participants were taking more than one antihypertensive medication. More than one third (39.5%) of the participants were non adherent to their medication(s). The rate of blood pressure control was 50.3%. In a univariate logistic regression analyses, age ≥65 years old (P = 0.008), physical inactivity (p<0.001), chat chewing (P<0.001), adding salt to food (P<0.001), and coffee use (P<0.001) are significantly associated with uncontrolled blood pressureConclusionAlmost half of the hypertensive patients on follow up had uncontrolled blood pressure. We recommend better health education and care of patients to improve the rate of blood pressure control at the hospital.

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Section: Introductionmentioning

confidence: 99%

Assessment of Blood Pressure Control among Hypertensive Patients in Southwest Ethiopia

2016

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“…5 Moreover, it is usually seen in co-existence with diabetes mellitus but its relationship regarding control of blood pressure is also controversial reported by different studies. Baynouna et al 6 reported no significant relationship of diabetes mellitus with control of blood pressure while Bulatova et al 7 reported a significant relationship with 36.9% of the diabetic patients with controlled blood pressure and 63.1% in uncontrolled group.…”

Section: Introductionmentioning

confidence: 97%

Determine the Frequency of Blood Pressure Control among Hypertensive Patients and its Relationship with Diabetes Mellitus

Rahman,

Shireen,

Aslam

2022

PJMHS

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Background: Hypertension plays an important role in the development of secondary comorbidity in the patients. It is also noted that it also plays a role in the onset of diabetes among the patients. Objective: To evaluate the blood pressure control among hypertensive patients and its relationship with diabetes mellitus. Study Design: Cross-sectional study Place and Duration of Study: Department of Medicine, Social Security Teaching Hospital, Ferozpur Road Lahore from 1stMarch 2021 to 31stAugust 2021. Methodology: Two hundred and twenty seven patients with hypertension between 16-60 years of age of either gender were enrolled. Two readings of blood pressure of the patient was measured in supine position from brachial artery 20 minutes apart by the researcher himself and control of blood pressure was noted. Patients were assessed for having diabetes mellitus. Results: The mean age was 38.19±8.93 years and 117 (51%) were males and 110 (49%) were females. Forty four (19.4%) cases were having good blood pressure control. Eighty (35%) cases were having the diabetes mellitus. There were 20 (25%) cases who have diabetes and blood pressure control while 24 (16.3%) cases did not have diabetes but have blood pressure control with non-significant difference. Conclusion: Majority of patients had poor blood pressure control and there was a statistically non-significant relationship between diabetes mellitus and blood pressure control among hypertensive. Keywords: Blood pressure, Diabetes mellitus, Hypertension, Smoking

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“…Increased patient and healthcare provider understanding about the illness, access to care, suitable lifestyle changes, evidence-based treatment, high levels of medication adherence, and thorough follow-up are all components of high-quality BP control [13][14][15]. In addition, studies have shown that old age, chronic renal diseases, longer duration of hypertension, and uncontrolled diabetes mellitus are significant risk factors for poor BP control [16,17].…”

Section: Introductionmentioning

confidence: 99%

Determinants of blood pressure and blood glucose control in patients with co-morbid hypertension and type 2 diabetes mellitus in Ghana: A hospital-based cross-sectional study

Alhassan

Kwakye

Dwomoh

et al. 2022

PLOS Glob Public Health

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Hypertension and diabetes are major risk factors for cardiovascular diseases and optimal control of blood pressure (BP) and blood glucose are associated with reduced cardiovascular disease events. This study, therefore, sought to estimate the prevalence and associated factors of controlled BP and blood glucose levels among patients diagnosed with both hypertension and Type 2- diabetes mellitus (T2DM). A quantitative cross-sectional study was conducted in a primary health setting in Ghana among patients 18 years and older diagnosed with both hypertension and T2DM. Pearson’s chi-square was used to assess the association between BP and blood glucose levels and the independent variables. The multivariable binary logistic regression model was used to assess the adjusted odds of controlled BP and blood glucose levels. Among the 329 participants diagnosed with both hypertension and T2DM, 41.3% (95% CI: 36.1–46.8%) had controlled BP, 57.1% (95% CI: 51.7–62.4%) had controlled blood glucose whilst 21.8% (95% CI: 17.7–26.7%) had both controlled BP and blood glucose levels. Increased age, non-formal education, non-married, employed, single-dose anti-hypertensives or anti-diabetic medications, and hyperlipidaemia or stroke co-morbidities were positively associated with controlled BP levels. Being female, married, taking 2 or more anti-hypertensive medications, and moderate to high medication-related burden were positively associated with controlled blood glucose levels. In terms of both controlled BP and blood glucose levels, being employed, reduced income level, being registered with national health insurance, single anti-diabetes or anti-hypertensive medications, hyperlipidaemia or stroke co-morbidities, and moderate to high medication-related burden were positively associated with having both controlled BP and blood glucose levels. One in five patients with hypertension and T2DM had both BP and blood glucose levels under control. The benefits and risks of blood pressure and blood glucose targets should thus be factored into the management of patients with hypertension and T2DM.

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Determinants of Diabetes and Hypertension Control in Ambulatory Healthcare in Al Ain, United Arab Emirates

Abstract: In this population, the healthcare system and the team played major roles as determinants in the control of patient's diabetes and blood pressure more than any of the other factors examined.

Cited by 5 publications

References 19 publications

Assessment of Blood Pressure Control among Hypertensive Patients in Southwest Ethiopia

Assessment of Blood Pressure Control among Hypertensive Patients in Southwest Ethiopia

Determine the Frequency of Blood Pressure Control among Hypertensive Patients and its Relationship with Diabetes Mellitus

Determinants of blood pressure and blood glucose control in patients with co-morbid hypertension and type 2 diabetes mellitus in Ghana: A hospital-based cross-sectional study

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