Key result
Khat chewing is linked to ~19.3-fold higher odds of hypertension in diabetic patients.
Why the study?
Hypertension commonly coexists with diabetes and aggravates its complications, motivating an assessment of its prevalence and determinants among diabetic patients.
What are the prevalence and independent determinants of hypertension among adult diabetic patients attending follow-up at Jimma University Medical Center in Southwest Ethiopia?
Cross-Sectional (n=366)
No
What are the prevalence and independent determinants of hypertension among adult diabetic patients attending follow-up at Jimma University Medical Center in Southwest Ethiopia?
Over one-third (37.4%) of diabetic patients in this Ethiopian clinic had comorbid hypertension—with 40% of those cases newly discovered during the study—highlighting the need for routine blood pressure screening and targeted interventions for older, overweight, and khat-chewing patients.
Answers are grounded in this paper and cite their sources.
Supports hypertension screening in Ethiopian diabetics with khat use or overweight; hypothesis-generating for causality and external validity.
Purpose: Hypertension is a growing public health problem with a remarkable contribution to morbidity and mortality. It is a common condition which usually coexists with diabetes and aggravates its complications. The objective of this study was to assess the prevalence and determinants of hypertension among diabetic patients attending their follow-up at Jimma University Medical Center (JUMC) from June 1 to August 30, 2019. Methods: A hospital-based cross-sectional study was conducted in diabetic patients attending their follow-up at JUMC. Systematic random sampling and a pretested interviewer-administered structured questionnaire were used to collect information. Data were entered into EPI data 3.1 and exported to SPSS version 20. A variable having a p-value of < 0.25 in the bivariate model was subjected to multivariate analysis to avoid the confounding variable’s effect. Adjusted odds ratios were calculated at the 95% confidence interval and considered significant with a p-value of < 0.05. Results: A total of 366 diabetic patients were included in the study. Their mean age was 50.1 ± 14.28 years, and the mean duration of diabetes was 6.8 ± 5.3 years. The study finding showed that the prevalence of hypertension among diabetic patients was 37.4%. According to the multivariate logistic regression analysis, age of ≥ 50 years [AOR = 4.79; 95% CI: 1.4, 16.4], having body mass index (BMI) of ≥ 25 [AOR = 3.11; 95% CI: 1.58, 6.12] and khat chewing [AOR =19.34; 95% CI: 10.26, 36.44] were independent predictors of hypertension among diabetic patients. Conclusion: Our study found that there is high prevalence of hypertension among diabetic patients. Age of ≥ 50 years, having BMI of ≥ 25 kg/m 2 and khat chewing were associated with hypertension among participants. Early detection and appropriate interventions should be an important action among patients with age ≥ 50 years, having BMI ≥ 25kg/m 2 and khat chewers.
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Abdissa et al. (2020) conducted a cross-sectional in Diabetes mellitus (n=366). Khat chewing, BMI ≥ 25 kg/m2, and age ≥ 50 years vs. Non-chewers, normal BMI (18.5-24.9 kg/m2), and age < 30 years was evaluated on Prevalence of hypertension (average SBP/DBP ≥ 140/90 mmHg and/or taking antihypertensive drugs) (OR 19.34, 95% CI 10.26-36.44, p=<0.001). Hypertension affected 37.4% of diabetic patients, with khat chewing (AOR 19.34), age ≥50 years (AOR 4.79), and BMI ≥25 kg/m2 (AOR 3.11) as independent predictors.
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