Key result
Age-adjusted cut-offs detect more hypertension in diabetic patients under 50, who average ~14 mmHg higher SBP.
Why the study?
Does the use of age-adjusted centile cut-offs alter the defined prevalence of hypertension in individuals with diabetes compared to conventional cut-offs?
Population
8,330 individuals, excluding those on anti-hypertensives and with established vascular disease.
Comparison
Age-adjusted centile cut-offs derived from the… vs Conventional cut-offs (140 and 160 mmHg)
Design
Cross-sectional
Authors
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May flag more hypertension in younger diabetics than standard thresholds; leaves open whether age-adjusted cut-offs improve risk stratification or outcomes.
Observational (n=8,330)
Does the use of age-adjusted centile cut-offs alter the defined prevalence of hypertension in individuals with diabetes compared to conventional cut-offs?
Absolute Event Rate: 145% vs 131%
p-value: p=<0.001
Age-adjusted centile cut-offs may identify more younger patients with diabetes as having hypertension compared to conventional cut-offs, potentially allowing earlier intervention.
Baskar et al. (2004) conducted an observational in Diabetes and hypertension (n=8,330). Diabetes vs. Controls was evaluated on Systolic blood pressure (mmHg) (p=<0.001). Diabetic individuals had higher systolic blood pressure than controls (145 vs 131 mmHg, p<0.001), and age-adjusted cut-offs identified more hypertension in diabetic patients aged <50 years.
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