Key result
~94% of diabetic and hypertensive patients have low ten-year cardiovascular risk.
Why the study?
Hypertension and diabetes are key determinants of cardiovascular risks, but the 10-year cardiovascular risk, risk factors, and control of diabetes and hypertension in patients at Massawa Hospital, Eritrea, were not well characterized.
Cross-Sectional (n=600)
No
In a cross-sectional study of diabetic and hypertensive patients in Eritrea, traditional risk factors such as age, smoking, and hypertension were significantly associated with higher 10-year cardiovascular risk and poor glycemic control.
Background: Hypertension and diabetes are key determinants of cardiovascular risks. The objective of this study was to calculate 10-year incidence of cardiovascular risk, determine cardiovascular risk factors, and evaluate how diabetes and hypertension are controlled in patients in Massawa Hospital, Eritrea. Methods: This was a hospital-based cross-sectional study using census sampling. A checklist and interview were used as data-collection tool from October 10 to November 20, 2020. Written consent was obtained from each study participant before starting the study. Descriptive statistics were wasused, and results are presented in percentages in tables, p < 0.05 was considered significant. Results: A total of 600 patients were enrolled in the study, dominated by the Tigrigna (58.7%) and Tigre (26.7%) ethnic groups. About half the patients (58.8%) had a body-mass index of 18– 25 kg/m 2 , with abdominal circumference of < 95 cm (74%). Most (93.5%) patients had < 10% risk of cardiovascular complications in the coming 10 years. Age showed significant association with hypertension, diabetes mellitus, cardiovascular risk, and poor glycemic and blood-pressure control ( p < 0.001). Body-mass index, abdominal obesity, and history of stroke were associated with hypertension and diabetes mellitus ( p < 0.001). Moreover, smoking, hypertension, and monthly income were associated with higher cardiovascular risk ( p < 0.001). In addition, hypertension and abdominal obesity were associated with glycemic control ( p < 0.001), and blood-pressure control was significantly associated with diabetes and hypertension ( p < 0.001). Conclusion: Age and hypertension were associated with diabetes, cardiovascular risk and poor glycemic control, and smoking, abdominal obesity, and monthly income also significant associations with higher cardiovascular risk and glycemic control. Cessation and adjustment of modifiable factors, such as smoking, hypertension, and regular exercise are highly recommended.
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Tesfai et al. (2021) conducted a cross-sectional in Hypertension and diabetes (n=600). Cardiovascular risk factors (age, smoking, hypertension, abdominal obesity, income) was evaluated on < 10% risk of cardiovascular complications in the coming 10 years. Among 600 diabetic and hypertensive patients, 93.5% had a <10% 10-year cardiovascular risk, with age, smoking, and hypertension significantly associated with higher risk (p<0.001).
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