Blood Pressure and Blood Glucose Control and Associated Factors Among Adults With Hypertension at Three Public Hospitals in Southern Ethiopia Publisher Pubmed

Summary: Poor BP/FBG control in hypertensives? Study finds 86% uncontrolled; links to obesity, comorbidity, inactivity. Suggests screening, lifestyle pushes for better management. #Hypertension #Diabetes

Sorato MM^{1, 2} ; Davari M³ ; Kebriaeezadeh A³ ; Sarrafzadegan N⁴ ; Shibru T⁵
Source: High Blood Pressure and Cardiovascular Prevention Published:2022

Abstract

Introduction: There is inadequate information on blood pressure (BP) and FBG (Blood pressure and Fasting blood glucose) control among adult hypertensive patients in Southern Ethiopia. Aim: To determine the level and factors associated with poor BP and FBG control among adult hypertensive patients on regular follow-up at three public hospitals Results: We included 406 adult hypertensives with mean age of 55.87 ± 11.03 years. Mean systolic BP was 134.46 ± 13.44 mmHg; and mean diastolic BP was 82.10 ± 9.44 mmHg. More than eight out of 205 (86.2%) of patients did not achieve BP and FBG target level. Having body mass index 18–24.9 kg/m2, Adjusted odds ratio (AOR) = 0.317 (95% C.I. for AOR, 0.135–0.740, p = 0.008); having no comorbidity, AOR = 0.425 (95% C.I. for AOR, 0.232–0.779, p = 0.006); physically activity, AOR = 0.303 (95% C.I., 0.110–0.829, p = 0.020); having low perceived health risk, AOR = 0.095 (95% C.I., 0.014–0.632, p = 0.015); taking monotherapy, AOR = 3.34 (95% C.I. for AOR, 1.121–10.524, p = 0.033); and history of hospitalization, AOR = 7.048 (95% C.I. for AOR, 2.486–19.954, p = 0.000) were associated with poor BP and FBG control. Conclusions: The level of BP and FBG control was low. Improving screening of hypertensive patients for diabetes; addressing obesity and mental health; strengthening healthy life style interventions and enhancing appropriate dose intensification of prescribed anti-hypertensives by responsible bodies are critical to improve BP and FBG control. © 2022, Italian Society of Hypertension.