Document Detail


Prevalence of hypertension in type 2 diabetes mellitus: impact of the tightening definition of high blood pressure and association with confounding risk factors.
MedLine Citation:
PMID:  17679829     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) has recommended a downward shift in target blood pressure to <130/80 mm Hg in diabetic patients, thus operatively setting a new threshold level for the definition of hypertension at 130/80 mm Hg. The authors performed a retrospective chart analysis of 2227 type 2 diabetes patients treated in one hospital-based and two community-based clinics in central Israel to determine the prevalence of hypertension as a function of three diagnostic threshold levels. The prevalence of hypertension in this cohort was 60.2%, 76.5%, and 85.8% at blood pressure thresholds of 140/90, 130/85, and 130/80 mm Hg respectively. Hypertension prevalence increased with age, reaching a rate of 94.4% in patients aged 80 years or more when the cutoff value of 130/80 mm Hg was used. At this cutoff, 93.3% and 86.6% of patients with a body mass index over or under 30 kg/m(2), respectively, were diagnosed with hypertension. As hypertension appears to eventually afflict the vast majority of diabetic patients, the minority of subjects not developing hypertension emerges as a unique group, which potentially deserves further in-depth study.
Authors:
Emma Kabakov; Clara Norymberg; Esther Osher; Michael Koffler; Karen Tordjman; Yona Greenman; Naftali Stern
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study    
Journal Detail:
Title:  Journal of the cardiometabolic syndrome     Volume:  1     ISSN:  1559-4564     ISO Abbreviation:  -     Publication Date:  2006  
Date Detail:
Created Date:  2007-08-07     Completed Date:  2007-08-24     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  101284690     Medline TA:  J Cardiometab Syndr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  95-101     Citation Subset:  IM    
Affiliation:
Institute of Endocrinology, Metabolism and Hypertension, Tel Aviv-Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
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MeSH Terms
Descriptor/Qualifier:
Age Distribution
Age Factors
Aged
Aged, 80 and over
Blood Pressure*
Body Mass Index
Cohort Studies
Creatinine / blood
Diabetes Mellitus, Type 2 / blood,  complications*,  epidemiology,  physiopathology
Female
Humans
Hypertension / blood,  diagnosis,  epidemiology*,  etiology,  physiopathology
Israel / epidemiology
Lipids / blood
Logistic Models
Male
Middle Aged
Practice Guidelines as Topic
Prevalence
Retrospective Studies
Risk Assessment
Risk Factors
Sex Distribution
Sex Factors
Chemical
Reg. No./Substance:
0/Lipids; 60-27-5/Creatinine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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