Scopus
YÖKSİS Eşleşti
Characteristics of patients with hypertension in a population with type 2 diabetes mellitus. Results from the Turkish Nationwide SurvEy of Glycemic and Other Metabolic Parameters of Patients with Diabetes Mellitus (TEMD Hypertension Study)
Primary Care Diabetes · Nisan 2021
YÖKSİS Kayıtları
Characteristics of patients with hypertension in a population with type 2 diabetes mellitus. Results from the Turkish Nationwide SurvEy of Glycemic and Other Metabolic Parameters of Patients with Diabetes Mellitus (TEMD Hypertension Study)
Primary Care Diabetes · 2021 SCI-Expanded
PROFESÖR SÜLEYMAN BALDANE →
Makale Bilgileri
DergiPrimary Care Diabetes
Yayın TarihiNisan 2021
Cilt / Sayfa15 · 332-339
Scopus ID2-s2.0-85097169183
Özet
Background: The present survey aimed to find out the demographical and clinical characteristics of patients with hypertension in a population with type 2 diabetes mellitus (T2DM) in Turkey. Methods: Patients with T2DM who were followed-up in tertiary endocrine units for at least last one year were recruited. Demographic, clinical and biochemical data of the patients were collected. Hypertension was defined as taking anti-hypertensive medications or having office arterial blood pressure (ABP) ≥140/90 mmHg or home ABP ≥ 130/80 mmHg. Results: A total of 4756 (58.9% women) diabetic patients were evaluated. The percentage of patients with hypertension was 67.5% (n = 3212). Although 87.4% (n = 2808) of hypertensive patients were under treatment, blood pressure was on target in 52.7% (n = 1479) of patients. Hypertension proportions were higher in woman (p = 0.001), older, more obese, and those who had longer diabetes duration, lower education levels, higher frequency of hypoglycemic events (all p < 0.001) and higher triglyceride levels (p = 0.003). LDL cholesterol level and the percentage of smokers were lower in hypertensive group than in non-hypertensive group (both p < 0.001). The percentage of macro and microvascular complications was higher in the hypertensive group than in the normotensive one (both p < 0.001). In multivariate logistic regression analysis, being a woman (OR: 1.26, 95% CI: 1.04–1.51, p = 0.016), smoking (OR: 1.38, 95% CI: 1.05–1.80, p = 0.020), regular physical activity (OR: 1.24, 95% CI: 1.01–1.53, p = 0.039) and the presence of macrovascular complications (OR: 1.38 95% CI: 1.15–1.65, p = 0.001) were the significant predictors of good ABP regulation. The ratios of masked and white coat hypertension were 41.2% and 5.7%, respectively. Conclusion: Our findings indicate that two-thirds (67.5%) of adult patients with T2DM have hypertension. Co-existence of hypertension increases the frequency of macro and microvascular diabetic complications in these patients. Despite the critical role of hypertension in morbidity and mortality, only half of the patients have favorable ABP levels. Masked hypertension seems to be another important issue in this population.
Yazarlar (99)
1
Tevfik Sabuncu
ORCID: 0000-0001-6504-5355
2
Alper Sonmez
3
Mehmet Ali Eren
ORCID: 0000-0002-3588-2256
4
Ibrahim Sahin
5
Demet Çorapçioğlu
ORCID: 0000-0003-0940-9147
6
Rıfkı Üçler
7
Safak Akin
8
Cem Haymana
9
Ibrahim Demirci
ORCID: 0000-0002-6808-8550
10
Aysegul Atmaca
11
Halil Önder Ersöz
12
Ilhan Satman
13
Fahri Bayram
14
Sibel Güldiken
15
Semra Aytürk
16
Murat Yilmaz
17
M. Asik
18
Nevin Dinççağ
19
Ramazan Çakmak
20
Fulya Türker
21
Cemile İdiz
22
Hülya Hacişahinoğullari
ORCID: 0000-0001-9989-6473
23
Elif Bağdemir
24
Büşra Yildiz
25
Volkan Demirhan Yumuk
26
Özlem Haliloğlu
27
Serpil Salman
28
Seda Sancak
29
Levent Özsari
30
Eylem Çağiltay
31
Oğuzhan Deyneli
ORCID: 0000-0001-6582-7031
32
Eren İmre
ORCID: 0000-0003-4044-7133
33
Sait Gonen
34
Şerife Nur Boysan
35
Yüksel Altuntaş
36
Feyza Yener Öztürk
37
Meral Mert
38
Hamide Pişkinpaşa
39
Hasan Aydin
40
Şazi İmamoğlu
41
Canan Ersoy
42
Özen Öz Gül
43
Sinem Küçüksaraç Kiyici
44
B. Cetinarslan
45
Alev Selek
ORCID: 0000-0002-0646-8697
46
Teoman Doğru
47
Ali Kirik
48
Nur Kebapçi
49
Belgin Efe
50
Ahmet Kaya
51
İlker Çordan
52
Süleyman Baldane
53
Cem Onur Kirac
54
Zehra Çapa
55
Cem Barcin
56
M. Cesur
57
İlhan Yetkin
58
Şule Canlar
59
Okan Bülent Yildiz
60
Süleyman Nahit Şendur
61
Bekir Cakir
62
Didem Ozdemir
63
Ahmet Çorakçi
64
Mustafa Kutlu
65
Neslihan Başçil Tütüncü
66
Yusuf Bozkus
ORCID: 0000-0002-6976-6659
67
Erman Çakal
ORCID: 0000-0003-4455-7276
68
Berrin Demirbaş
69
Sibel Ertek
70
Mustafa Altay
71
Murat Dağdeviren
72
Oğuzhan Sıtkı Dizdar
73
Amir Hassein Abedi
74
S. Cetinkalp
75
Hatice Özişik
76
Gonca Örük
77
Serkan Yener
78
B. Ozgen Saydam
79
Engin Güney
80
Mustafa Unubol
ORCID: 0000-0002-6444-3500
81
Güzin Fidan Yaylali
82
Şenay Topsakal
83
Zeliha Hekimsoy
84
Gülhan Akbaba
85
I. Aslan
86
Mustafa Kemal Balci
87
Şefika Dalkiran
88
Esen Akbay
89
Kamile Gul
90
Eren Gürkan
ORCID: 0000-0002-3118-4549
91
Kemal Ağbaht
ORCID: 0000-0003-3122-5491
92
Müge Özsan Yilmaz
93
Emre Bozkirli
94
B. Tamer Tetiker
95
Seher Çetinkaya Altuntaş
96
Elif Tutku Durmuş
97
Türkan Mete
98
Faruk Kutlutürk
99
Ferit Kerim Kucukler
Anahtar Kelimeler
Arterial blood pressure
Hypertension
Masked hypertension
Type 2 diabetes
White coat hypertension
Kurumlar
Ankara Memorial Hospital
Ankara Turkey
Ankara Üniversitesi
Ankara Turkey
Erciyes University, Faculty of Medicine
Kayseri Turkey
Harran University, Faculty of Medicine
Sanliurfa Turkey
Inönü Üniversitesi Tip Fakültesi
Malatya Turkey
İstanbul Tıp Fakültesi
Istanbul Turkey
Karadeniz Teknik Üniversitesi Tip Fakültesi
Trabzon Turkey
Ondokuz Mayis Üniversitesi
Samsun Turkey
University of Health Sciences
Istanbul Turkey
Van Yüzüncü Yıl Üniversitesi
Van Turkey
Metrikler
14
Atıf
99
Yazar
5
Anahtar Kelime