To Study the Relation Between Diabetics and Obesity Among Patients With Uncontrolled Hypertension

BACKGROUND: To study the relation between diabetics and obesity among patients with uncontrolled hypertension.METHODS: The study was conducted in the department of General Medicine of Yenepoya Medical College, during May 2013 to August 2013.All the patients with hypertension who provided informed written consent were recruited to the study (n = 300).A pretested interviewer-administered questionnaire was used for data collection from all the subjects. RESULTS:The study result shows that the Mean age group of the study population was 52± 11.2 years.Among the study population 60 % (180) were males and 40 % (120) were female.The mean of average systolic and diastolic blood pressures (BP) were 130.42 ± 13.81 mmHg and 85.03 ± 7.22 mmHg respectively.Uncontrolled BP was present in 45.2% (n = 136) of patients, of which Resistant hypertension was present in 24 % (n =72).Uncontrolled BP was due to therapeutic inertia in 25.7% of the study population.Those with diabetes mellitus, obesity (BMI > 27.5 kg/m2) and those who were older than 55 years were significantly higher in the resistant hypertension group than in the non-resistant hypertension group.CONCLUSION: A significant proportion of the hypertensive patients were having uncontrolled hypertension.Nearly 24% of the population was suffering from resistant hypertension which was significantly associated with the presence of obesity and diabetes mellitus.