López BJ, Diéguez MM, Rodríguez HR, Miguel-Soca PE

Language: Spanish
References: 0
Page: 3-19
PDF size: 187.15 Kb.

ABSTRACT

Introduction: Diabetes mellitus and high blood pressure are diseases with high morbidity and mortality rates.
Objective: To characterize clinically and epidemiologically high blood pressure in diabetic patients.
Methods: A cross-sectional study at the Care Center for the Diabetic Patient in Holguín, with a sample of 109 patients with type 2 diabetes, randomly selected from a universe of 452 patients given attention from January to July 2016, selected by simple random sampling according to the population size of 452, precision 7%, confidence level 95%, expected prevalence of hypertension in diabetics of 25%, and design effect of 1. The statistical analysis consisted of the mean values comparison with the Mann-Whitney test and multiple logistic regression with arterial hypertension as a dependent variable. The data were processed in EPIDAT 4.1 with a significance level of 5%.
Results: Mean age of 57.58 with standard deviation of 11.90 years, range 31-85 years. Waist/height index, skin folds and fat percentage were significantly higher in hypertensive patients. Serum uric acid and C-reactive protein were also higher in patients with hypertension. The independent risk factors associated with hypertension were fat percentage, ischemic heart disease, metabolic syndrome and hyperuricemia. High C-reactive protein was not an independent risk factor.
Conclusions: There are differences between clinical and anthropometric variables between hypertensive and non-hypertensive diabetic patients that allow risk assessment. The follow-up of these patients is needed to estimate long-term consequences.