Key result
Among adult hypertensive patients, 86.2% did not achieve BP and FBG targets, with poor control strongly associated with monotherapy (AOR 3.34) and history of hospitalization (AOR 7.05).
Why the study?
There is inadequate information on blood pressure and fasting blood glucose control among adult hypertensive patients in Southern Ethiopia.
What is the level of and factors associated with poor blood pressure and fasting blood glucose control among adult hypertensive patients in Southern Ethiopia?
Observational (n=406)
Yes
What is the level of and factors associated with poor blood pressure and fasting blood glucose control among adult hypertensive patients in Southern Ethiopia?
A high proportion (86.2%) of adult hypertensive patients in Southern Ethiopia have poor BP and FBG control, highlighting the need for improved screening, lifestyle interventions, and medication optimization.
Signals need for local optimization in Southern Ethiopia; hypothesis-generating and leaves optimal strategies open for prospective trials.
There is inadequate information on blood pressure (BP) and FBG (Blood pressure and Fasting blood glucose) control among adult hypertensive patients in Southern Ethiopia. To determine the level and factors associated with poor BP and FBG control among adult hypertensive patients on regular follow-up at three public hospitals We included 406 adult hypertensives with mean age of 55.87 ± 11.03 years. Mean systolic BP was 134.46 ± 13.44 mmHg; and mean diastolic BP was 82.10 ± 9.44 mmHg. More than eight out of 205 (86.2%) of patients did not achieve BP and FBG target level. Having body mass index 18–24.9 kg/m2, Adjusted odds ratio (AOR) = 0.317 (95% C.I. for AOR, 0.135–0.740, p = 0.008); having no comorbidity, AOR = 0.425 (95% C.I. for AOR, 0.232–0.779, p = 0.006); physically activity, AOR = 0.303 (95% C.I., 0.110–0.829, p = 0.020); having low perceived health risk, AOR = 0.095 (95% C.I., 0.014–0.632, p = 0.015); taking monotherapy, AOR = 3.34 (95% C.I. for AOR, 1.121–10.524, p = 0.033); and history of hospitalization, AOR = 7.048 (95% C.I. for AOR, 2.486–19.954, p = 0.000) were associated with poor BP and FBG control. The level of BP and FBG control was low. Improving screening of hypertensive patients for diabetes; addressing obesity and mental health; strengthening healthy life style interventions and enhancing appropriate dose intensification of prescribed anti-hypertensives by responsible bodies are critical to improve BP and FBG control.
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Sorato et al. (2022) conducted an observational in Hypertension (n=406). Among adult hypertensive patients, 86.2% did not achieve BP and FBG targets, with poor control strongly associated with monotherapy (AOR 3.34) and history of hospitalization (AOR 7.05).
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