Prevalence, Awareness, and Treatment of Hypertension in Patients with Type 1 Diabetes: A Nationwide Multicenter Study in Brazil
Objective. This study evaluated the prevalence, awareness, and type of treatment for hypertension in Brazil in patients with type 1 diabetes (T1D). Methods. This was a cross-sectional, multicenter study that was conducted from December 2008 to December 2010 in 28 public clinics located in 20 Brazili...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | International Journal of Hypertension |
| Online Access: | http://dx.doi.org/10.1155/2013/565263 |
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| author | Marilia B. Gomes Lucianne Righeti Monteiro Tannus Alessandra Saldanha de Mattos Matheus Roberta Arnoldi Cobas Catia C. Sousa Palma Aline Tiemi Kano Silva Carlos Antonio Negrato Sergio Atala Dib Melanie Rodacki João Soares Felício Luis Henrique Canani |
| author_facet | Marilia B. Gomes Lucianne Righeti Monteiro Tannus Alessandra Saldanha de Mattos Matheus Roberta Arnoldi Cobas Catia C. Sousa Palma Aline Tiemi Kano Silva Carlos Antonio Negrato Sergio Atala Dib Melanie Rodacki João Soares Felício Luis Henrique Canani |
| author_sort | Marilia B. Gomes |
| collection | DOAJ |
| description | Objective. This study evaluated the prevalence, awareness, and type of treatment for hypertension in Brazil in patients with type 1 diabetes (T1D). Methods. This was a cross-sectional, multicenter study that was conducted from December 2008 to December 2010 in 28 public clinics located in 20 Brazilian cities. Results. A total of 3,591 patients were studied, 56% female, average age 21.2±11.7 years, with a median duration of diabetes 9.6±8.1 years. Blood pressure levels were available for a total of 3,323 patients and 689 (19.2%) patients were hypertensive. Hypertensive patients were older, exhibited longer duration of diabetes, and had higher body mass index (BMI), total cholesterol, triglycerides, and LDL-C values (P<0.001, for all comparisons), but only 370 (53.7%) received treatment. Patient awareness of hypertension was documented in 453 (65.5%) patients. However, only 76 (22.9%) of the treated patients attained the target systolic (sBP) and diastolic blood pressures (dBP). Conclusions. Our results demonstrate that a large number of T1D patients with hypertension do not receive appropriate treatment; few of the treated T1D patients achieved the target sBP and dBP values. Greater attention should be paid to blood pressure evaluation, hypertension diagnosis, and treatment of T1D patients in Brazil. |
| format | Article |
| id | doaj-art-e18a7e984cfe42bab29a339554fce701 |
| institution | Kabale University |
| issn | 2090-0384 2090-0392 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Hypertension |
| spelling | doaj-art-e18a7e984cfe42bab29a339554fce7012025-02-03T05:45:26ZengWileyInternational Journal of Hypertension2090-03842090-03922013-01-01201310.1155/2013/565263565263Prevalence, Awareness, and Treatment of Hypertension in Patients with Type 1 Diabetes: A Nationwide Multicenter Study in BrazilMarilia B. Gomes0Lucianne Righeti Monteiro Tannus1Alessandra Saldanha de Mattos Matheus2Roberta Arnoldi Cobas3Catia C. Sousa Palma4Aline Tiemi Kano Silva5Carlos Antonio Negrato6Sergio Atala Dib7Melanie Rodacki8João Soares Felício9Luis Henrique Canani10Department of Internal Medicine, Diabetes Unit, State University of Rio de Janeiro, 20551-030 Rio de Janeiro, RJ, BrazilDepartment of Internal Medicine, Diabetes Unit, State University of Rio de Janeiro, 20551-030 Rio de Janeiro, RJ, BrazilDepartment of Internal Medicine, Diabetes Unit, State University of Rio de Janeiro, 20551-030 Rio de Janeiro, RJ, BrazilDepartment of Internal Medicine, Diabetes Unit, State University of Rio de Janeiro, 20551-030 Rio de Janeiro, RJ, BrazilDepartment of Internal Medicine, Diabetes Unit, State University of Rio de Janeiro, 20551-030 Rio de Janeiro, RJ, BrazilDepartment of Internal Medicine, Diabetes Unit, State University of Rio de Janeiro, 20551-030 Rio de Janeiro, RJ, BrazilBauru’s Diabetics Association, 17010-130 Bauru, SP, BrazilDiabetes Unit, Federal University of São Paulo State, 04021-001 São Paulo, SP, BrazilFederal University of Rio de Janeiro, 21941-901 Rio de Janeiro, RJ, BrazilFederal University Hospital João Barreto, 66073-000 Belém, PA, BrazilFederal University Hospital of Porto Alegre, 90035-903 Porto Alegre, RS, BrazilObjective. This study evaluated the prevalence, awareness, and type of treatment for hypertension in Brazil in patients with type 1 diabetes (T1D). Methods. This was a cross-sectional, multicenter study that was conducted from December 2008 to December 2010 in 28 public clinics located in 20 Brazilian cities. Results. A total of 3,591 patients were studied, 56% female, average age 21.2±11.7 years, with a median duration of diabetes 9.6±8.1 years. Blood pressure levels were available for a total of 3,323 patients and 689 (19.2%) patients were hypertensive. Hypertensive patients were older, exhibited longer duration of diabetes, and had higher body mass index (BMI), total cholesterol, triglycerides, and LDL-C values (P<0.001, for all comparisons), but only 370 (53.7%) received treatment. Patient awareness of hypertension was documented in 453 (65.5%) patients. However, only 76 (22.9%) of the treated patients attained the target systolic (sBP) and diastolic blood pressures (dBP). Conclusions. Our results demonstrate that a large number of T1D patients with hypertension do not receive appropriate treatment; few of the treated T1D patients achieved the target sBP and dBP values. Greater attention should be paid to blood pressure evaluation, hypertension diagnosis, and treatment of T1D patients in Brazil.http://dx.doi.org/10.1155/2013/565263 |
| spellingShingle | Marilia B. Gomes Lucianne Righeti Monteiro Tannus Alessandra Saldanha de Mattos Matheus Roberta Arnoldi Cobas Catia C. Sousa Palma Aline Tiemi Kano Silva Carlos Antonio Negrato Sergio Atala Dib Melanie Rodacki João Soares Felício Luis Henrique Canani Prevalence, Awareness, and Treatment of Hypertension in Patients with Type 1 Diabetes: A Nationwide Multicenter Study in Brazil International Journal of Hypertension |
| title | Prevalence, Awareness, and Treatment of Hypertension in Patients with Type 1 Diabetes: A Nationwide Multicenter Study in Brazil |
| title_full | Prevalence, Awareness, and Treatment of Hypertension in Patients with Type 1 Diabetes: A Nationwide Multicenter Study in Brazil |
| title_fullStr | Prevalence, Awareness, and Treatment of Hypertension in Patients with Type 1 Diabetes: A Nationwide Multicenter Study in Brazil |
| title_full_unstemmed | Prevalence, Awareness, and Treatment of Hypertension in Patients with Type 1 Diabetes: A Nationwide Multicenter Study in Brazil |
| title_short | Prevalence, Awareness, and Treatment of Hypertension in Patients with Type 1 Diabetes: A Nationwide Multicenter Study in Brazil |
| title_sort | prevalence awareness and treatment of hypertension in patients with type 1 diabetes a nationwide multicenter study in brazil |
| url | http://dx.doi.org/10.1155/2013/565263 |
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