Why the study?
Kidney failure is increasing among diabetic kidney disease patients in low-income countries, and the burden and associated factors of suboptimal blood pressure driving kidney failure and mortality are not well documented.
There is a high prevalence (84.4%) of suboptimal blood pressure among Ugandan patients with diabetic kidney disease, which is strongly associated with alcohol use and higher body mass index.
High suboptimal BP prevalence in diabetic kidney disease warrants closer monitoring; leaves open causal roles for alcohol and BMI.
Background: Kidney failure prevalence is increasing among diabetic kidney disease (DKD) patients in low-income countries. Suboptimal blood pressure (BP) drives kidney failure and mortality. The burden of suboptimal BP and its associated factors among these patients are not well documented. Objectives: To determine the prevalence of suboptimal BP and associated factors among those with DKD attending Kiruddu National Referral Hospital. Methods: July 2020. A pretested questionnaire was administered, BP, height and weight were measured. Suboptimal BP was defined as systolic BP > 130mmHg and or diastolic BP > 80mmHg. A Poisson regression model analysed the associated factors. Results: 250 participants with DKD, mean age of 52(11) years were included of whom 199 (79.6%) were female. Suboptimal BP prevalence was 84.4%, associated with past (p = 0.04) and current (p < 0.001) alcohol use, overweight (p < 0.001) and obesity (p < 0.001), wage earning (p < 0.001) and professionals (p = 0.048). Conclusion: The prevalence of suboptimal BP was high among the overweight, obese, unemployed and alcohol users. Thus, there is a need for better BP control interventions.
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Wamala et al. (2023) studied this question.
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