Determinants of blood pressure in type 2 diabetic subjects with high occurrence of inadequate glycemic control
Contribuinte(s) |
Universidade Estadual Paulista (UNESP) |
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Data(s) |
27/05/2014
27/05/2014
01/01/2012
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Resumo |
Study design: Association study Objective: To analyze the association between different biological/behavioral risk factors and blood pressure in a sample of type 2 diabetes mellitus patients with poor glycemic control. Methods: A sample of 121 type 2 diabetic patients was selected in the Public Healthcare System in a middle size Brazilian city. Blood pressure was measured using an aneroid device, previously calibrated. Six determinants of blood pressure were taken into count: age, hypoglycemic agents, general obesity, abdominal obesity, eating behaviors and physical activity level. Results: The type 2 diabetic patients presented mean age of 60.1±8.9 years-old and, at least, one risk factor. Eating behaviors (OR adj= 0.31 [0.12-0.75]) and sports practice (OR adj= 0.12 [0.02-0.75]) constituted protective factors associated with lower systolic blood pressure. On the other hand, age was positively associated with high systolic blood pressure (OR adj= 3.81 [1.39-10.38]). Patients with 5-6 risk factors, presented higher values of systolic and (F= 3.857; p= 0.011 [post hoc with p= 0.039]), diastolic blood pressure (F= 4.158; p= 0.008 [post hoc with p= 0.036]) and increased occurrence of hypertension (p= 0.010). Conclusion: Our findings indicate that, behavioral variables were important determinants of blood pressure in type 2 diabetic patients with poor glycemic control and clustering of behavioral and biological risk factors increase the hypertension occurrence. |
Formato |
49-57 |
Identificador |
http://revista.fmrp.usp.br/2012/vol45n1/ao_Determinants%20of%20blood%20pressure%20in%20diabetes.pdf Medicina (Brazil), v. 45, n. 1, p. 49-57, 2012. 0076-6046 2176-7262 http://hdl.handle.net/11449/73156 2-s2.0-84862580381 2-s2.0-84862580381.pdf |
Idioma(s) |
eng |
Relação |
Medicina (Brazil) |
Direitos |
openAccess |
Palavras-Chave | #Blood pressure #Diabetes mellitus #Diet #Physical activity #antidiabetic agent #abdominal obesity #adult #blood pressure #blood pressure measurement #Brazil #diastolic blood pressure #feeding behavior #female #glycemic control #human #hypertension #major clinical study #male #non insulin dependent diabetes mellitus #obesity #physical activity #risk factor #systolic blood pressure |
Tipo |
info:eu-repo/semantics/article |