Hypertension Prevalence and Body Mass Index Correlates among Patients with Diabetes Mellitus in Oghara, Nigeria
DOI:
https://doi.org/10.60787/njgp.v13i1.142Keywords:
prevalence, hypertension, diabetes mellitus, Body mass indexAbstract
Background: Hypertension and abnormal body mass index (BMI) are a cause of increased morbidity and mortality in patients with diabetes mellitus (DM). The aim of this study is to determine the prevalence of hypertension with correlates to BMI among patients with DM seen in a tertiary hospital in Oghara, Delta State.
Materials and Methods: Two hundred and forty-four diabetic subjects were retrospectively evaluated at the Endocrinology Clinic of the Delta State University Teaching Hospital, Oghara, Nigeria. Data obtained from medical records included presence of hypertension confirmed by presence of elevated blood pressure >140/90 mmHg on two consecutive clinic visits or known hypertensive on medications, age, sex, type of diabetes, weight and height with computation of BMI.
Results: The prevalence of hypertension among the diabetic patients was 57.4%. Eighty-two males (58.5%) were hypertensive compared with 58 (41.5%) in female subjects. The prevalence of hypertension was higher in overweight and obese diabetic subjects than in normal weight subjects and also higher in type 2 diabetic patients compared to type 1, which were both statistically significant (P < 0.05).
Conclusion: Hypertension is a common co-morbidity arising diabetic patients in this study. The focus must be on health education, lifestyle modification and adherence to anti‑hypertensive therapy to control hypertension in diabetic patients.
Downloads
References
Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: Estimates for the year 2000 and projections for 2030. Diabetes
Care 2004;27:1047-53.
Pinhas-Hamiel O, Zeitler P. The global spread of type 2 diabetes mellitus in children and adolescents. J Pediatr 2005;146:693-700.
National High Blood Pressure Education Program Working Group report on hypertension in diabetes. Hypertension 1994;23:145-58.
Gress TW, Nieto FJ, Shahar E, Wofford MR, Brancati FL. Hypertension and antihypertensive therapy as risk factors for type 2 diabetes mellitus. Atherosclerosis risk in communities study. N Engl J Med 2000;342:905-12.
Sowers JR, Epstein M, Frohlich ED. Diabetes, hypertension, and cardiovascular disease: An update. Hypertension 2001;37:1053-9.
Sowers JR. Treatment of hypertension in patients with diabetes. Arch Intern Med 2004;164:1850-7.
Bakers G, Williams M, Divorkin L, Elliot W, Epstein M, Toto R, et al. Impact of diabetes on mortality after the first myocardial infarction. The
FINMONICA Myocardial Infarction Register Study Group. Diabetes Care 1998;21:69-75.
Sowers JR, Haffner S. Treatment of cardiovascular and renal risk factors in the diabetic hypertensive. Hypertension 2002;40:781-8.
Adler AI, Stratton IM, Neil HA, Yudkin JS, Matthews DR, Cull CA, et al. Association of systolic blood pressure with macrovascular and microvascular complications of type 2 diabetes (UKPDS 36): Prospective observational study. BMJ 2000;321:412-9.
Reaven GM. Banting lecture 1988. Role of insulin resistance in human disease. Diabetes 1988;37:1595-607.
Redley JM, Ader M, Moore D, Bergman RN. Angiotensin II induces insulin resistance independent of changes in interstitial insulin. Am J
Physiol Endocrinol Metab 1999;277:E920-6.
Ogihara T, Asano T, Ando K, Chiba Y, Sakoda H, Anai M, et al.Angiotensin II-induced insulin resistance is associated with enhanced insulin signaling. Hypertension 2002;40:872-9.
WHO. The Use and Interpretation of Anthropometry. Geneva, Switzerland: WHO; 1995.
American Diabetes Association. Standards of medical care in diabetes. Diabetes Care 2009;32:513-6.
Kaplan NM, Lieberman E. Hypertension and diabetes obesity and dyslipidaemia in clinical hypertension. 7th ed. New Delhi: B.I. Waverly Pvt. Ltd.; 1998. p. 244-7.
Paul B, Sapra B, Maheshwari S, Goyal RK. Role of losartan therapy in the management of diabetic hypertension. J Assoc Physicians India 2000;48:514-8.
Unadike BC, Eregie A, Ohwovoriole AE. Prevalence of hypertension amongst persons with diabetes mellitus in Benin City, Nigeria. Niger J
Clin Pract 2011;14:300-2.
Akbar DH, Ahmed MM, Algambi AA. Cardiovascular risk factors in Saudi and non-Saudi diabetics. Saudi Med J 2003;24:686-7.
Baskar V, Kamalakannan D, Holland MR, Singh BM. The prevalence of hypertension and utilization of antihypertensive therapy in a district diabetes population. Diabetes Care 2002;25:2107-8.
Comaschi M, Coscelli C, Cucinotta D, Malini P, Manzato E, Nicolucci A; SFIDA Study Group – Italian Association of Diabetologists (AMD). Cardiovascular risk factors and metabolic control in type 2 diabetic subjects attending outpatient clinics in Italy: The SFIDA (survey of risk factors in Italian diabetic subjects by AMD) study. Nutr Metab Cardiovasc Dis 2005;15:204-11.
Thomas F, Bean K, Pannier B, Oppert JM, Guize L, Benetos A. Cardiovascular mortality in overweight subjects: The key role of associated risk factors. Hypertension 2005;46:654-9.
Baskar V, Kamalakannan D, Holland MR, Singh BM. Does ethnic origin have an independent impact on hypertension and diabetic complications? Diabetes Obes Metab 2006;8:214-9.
Satman I, Yilmaz T, Sengül A, Salman S, Salman F, Uygur S, et al.Population-based study of diabetes and risk characteristics in Turkey:
Results of the turkish diabetes epidemiology study (TURDEP). Diabetes Care 2002;25:1551-6.
Tseng CH. Higher risk of hypertension in indigenous type 2 diabetic patients in Taiwan. J Hypertens 2006;24:1817-21.
Hillier TA, Pedula KL. Characteristics of an adult population with newly diagnosed type 2 diabetes: The relation of obesity and age of onset. Diabetes Care 2001;24:1522-7.
Marley J. Lifestyle intervention in hypertension. Practitioner 1989;233:661-3.
Alderman MH. Non-pharmacological treatment of hypertension. Lancet 1994;344:307-11.
Williams G. Management of non‑insulin‑dependent diabetes mellitus. Lancet 1994;343:95-100.
Brown CD, Higgins M, Donato KA, Rohde FC, Garrison R, Obarzanek E, et al. Body mass index and the prevalence of hypertension and dyslipidemia. Obes Res 2000;8:605-19.
Daousi C, Casson IF, Gill GV, MacFarlane IA, Wilding JP, Pinkney JH. Prevalence of obesity in type 2 diabetes in secondary care: Association
with cardiovascular risk factors. Postgrad Med J 2006;82:280-4.
Henry RR, Wiest‑Kent TA, Scheaffer L, Kolterman OG, Olefsky JM. Metabolic consequences of very-low-calorie diet therapy in obese non-insulin-dependent diabetic and nondiabetic subjects. Diabetes 1986;35:155-64.
Pinkney JH, Wilding JP. The poorly controlled patient with type 2 diabetes. In: Gill GV, editor. Unstable and Brittle Diabetes. London: Martin Dunitz; 2004.
Berraho M, El Achhab Y, Benslimane A, El Rhazi K, Chikri M, Nejjari C. Hypertension and type 2 diabetes: A cross-sectional study in Morocco (EPIDIAM Study). Pan Afr Med J 2012;11:52.
Eguchi K, Ishikawa J, Hoshide S, Pickering TG, Shimada K, Kario K. Masked hypertension in diabetes mellitus: A potential risk. J Clin Hypertens (Greenwich) 2007;9:601-7.
Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. UK Prospective iabetes
Study Group. BMJ 1998;317:703-13.
Tuomilehto J, Rastenyte D, Birkenhäger WH, Thijs L, Antikainen R, Bulpitt CJ, et al. Effects of calcium-channel blockade in older patients with diabetes and systolic hypertension. Systolic Hypertension in Europe Trial Investigators. N Engl J Med 1999;340:677-84.
Published
Issue
Section
License
Copyright (c) 2024 Nigerian Journal of General Practice

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.