Key result
The prevalence of hypertension among patients with type II diabetes was 55.2%, with higher odds in those aged ≥70 years (OR 5.61), smokers (OR 3.98), and those with ischemic heart disease (OR 16.86).
Why the study?
Hypertension is a major cause of premature death globally, and its co-existence with diabetes mellitus increases cardiovascular events and mortality, prompting evaluation of its prevalence and associated factors in northern Tanzania.
Cross-Sectional (n=315)
Yes
Odds Ratio: 2.75 (95% CI 1.14–6.64)
p-value: p=0.02
More than half of individuals with type II diabetes in northern Tanzania have co-existing hypertension, highlighting the need for routine blood pressure monitoring and cardiovascular risk management in diabetic clinics.
May inform targeted BP screening in older diabetic smokers with IHD; leaves open longitudinal confirmation of associations.
IntroductionHypertension is among the most common non-communicable diseases, being the major cause of premature deaths worldwide. The co-existence of hypertension and diabetes mellitus increases the risk of cardiovascular events and death.ObjectiveTo determine the prevalence of hypertension and associated factors among individuals with type II diabetes mellitus in the Kilimanjaro region, northern Tanzania.Research design and methodsWe conducted a cross-sectional study from June to September 2020 among 315 individuals with type II diabetes mellitus aged 18 years and above receiving care from two diabetic clinics in the Kilimanjaro region, northern Tanzania. Participants were selected using a systematic random sampling technique. The WHO Steps Survey for non-communicable diseases was used to collect data and analyzed using SPSS version 20. A multiple logistic regression model was used to estimate the odds ratios (OR) and 95% confidence intervals (CIs) for factors associated with hypertension adjusted for demographic, behavioral, and clinical characteristics.ResultsThe mean (±SD) age of 315 respondents was 58.62 ± 10.8 years and 58.4% were females. The prevalence of hypertension was 55.2% and was independently associated with older age; 60–69 years (OR = 2.75, 95%CI 1.14–6.64, p-value = 0.02) and ≥70 years (OR = 5.61; 95% CI: 1.65, 19.04), with history of cigarette smoking (OR = 3.98; 95% CI: 1.25, 12.72), and history of ischemic heart disease (OR = 16.86; 95% CI: 2.03, 140.3).ConclusionMore than half of individuals with diabetes in this study had co-existing hypertension, calling for routine and regular checkups of blood pressure at diabetic clinics. Special attention should be given to older individuals (≥60 years), smokers, and those with a history of ischemic heart disease for early prevention and management of adverse complications of diabetes and hypertension.
No takes yet. Share an insight, caveat, or question.
Mwimo et al. (2023) conducted a cross-sectional in Type II diabetes mellitus (n=315). Risk factors (older age, smoking, history of ischemic heart disease) vs. Absence of respective risk factors was evaluated on Hypertension (OR 2.75, 95% CI 1.14-6.64, p=0.02). The prevalence of hypertension among patients with type II diabetes was 55.2%, with higher odds in those aged ≥70 years (OR 5.61), smokers (OR 3.98), and those with ischemic heart disease (OR 16.86).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: