Differences in the management of hypertension, diabetes mellitus and dyslipidemia between obesity classes
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Title: | Differences in the management of hypertension, diabetes mellitus and dyslipidemia between obesity classes |
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Authors: | Martínez-St John, Damian R.J. | Palazón Bru, Antonio | Gil Guillén, Vicente | Sepehri, Armina | Navarro-Cremades, Felipe | Orozco Beltrán, Domingo | Carratalá Munuera, Concepción | Cortés Castell, Ernesto | Rizo-Baeza, Mercedes |
Research Group/s: | Enfermería y Cultura de los Cuidados | Salud y Cuidados en Grupos Vulnerables (SACU) |
Center, Department or Service: | Universidad de Alicante. Departamento de Enfermería |
Keywords: | Hypertension | Diabetes | Dyslipidemia | Obesity |
Knowledge Area: | Enfermería |
Issue Date: | 2-Apr-2015 |
Publisher: | Macmillan Publishers |
Citation: | Journal of Human Hypertension. 2 April 2015. doi:10.1038/jhh.2015.29 |
Abstract: | We did not find any paper that assessed clinical inertia in obese patients. Therefore, no paper has compared the clinical inertia rates between morbidly and nonmorbidly obese patients. A cross-sectional observational study was carried out. We analysed 8687 obese patients greater than or equal to40 years of age who attended their health-care center for a checkup as part of a preventive program. The outcome was morbid obesity. Secondary variables were as follows: failure in the management of high blood pressure (HBP), high blood cholesterol (HBC) and high fasting blood glucose (HFBG); gender; personal history of hypertension, dyslipidemia, diabetes, smoking and cardiovascular disease; and age (years). We analysed the association between failures and morbid obesity by calculating the adjusted odds ratio (OR). Of 8687 obese patients, 421 had morbid obesity (4.8%, 95% confidence interval (CI): 4.4–5.3%). The prevalence rates for failures were as follows: HBP, 34.7%; HBC, 35.2%; and HFBG, 12.4%. Associated factors with morbid obesity related with failures were as follows: failure in the management of HBP (OR=1.42, 95% CI: 1.15–1.74, P=0.001); failure in the management of HBC (OR=0.73, 95% CI: 0.58–0.91, P=0.004); and failure in the management of HFBG (OR=2.24, 95% CI: 1.66–3.03, P<0.001). Morbidly obese patients faced worse management for HBP and HFBG, and better management for HBC. It would be interesting to integrate alarm systems to avoid this problem. |
Sponsor: | This work was supported by a grant from the Conselleria de Sanitat (Valencian Community). |
URI: | http://hdl.handle.net/10045/49345 |
ISSN: | 0950-9240 (Print) | 1476-5527 (Online) |
DOI: | 10.1038/jhh.2015.29 |
Language: | eng |
Type: | info:eu-repo/semantics/article |
Rights: | © 2015 Macmillan Publishers Limited |
Peer Review: | si |
Publisher version: | http://dx.doi.org/10.1038/jhh.2015.29 |
Appears in Collections: | INV - SACU - Artículos de Revistas INV - EYCC - Artículos de Revistas |
Files in This Item:
File | Description | Size | Format | |
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Hipertension_diabetes_y_dislipemias.pdf | Versión final (acceso restringido) | 530,28 kB | Adobe PDF | Open Request a copy |
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