Characteristics Associated with Uncontrolled Blood Pressure Among Portuguese Primary Care Patients with Type 2 Diabetes
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321 |
Resumo: | Introduction: Determine whether socio-demographic, habits and risk factors are associated with a better tensional control in type 2 diabetes in primary care patients in order to identify a specific target population for compensatory interventions improving diabetes control and reducing its morbi-mortality.Material and Methods: Cross-sectional study in primary care. Randomized type 2 diabetes patient data collection by their volunteer family doctors, proportionally stratified from the 5 Portuguese continental regions. Variables: blood pressure, age, gender, education, diabetes duration, HbA1c, smoking habits, weight, waist circumference, physical activity and adherence to medication. Bivariate and logistic regression analysis to evaluate each measured variable’s independent association with uncontrolled blood pressure (≥ 140/90).Results: 709 patients were included in the study, 60.2% men, mean age 66.12 ± 10.47 years. In logistic regression analysis, the factors independently associated to uncontrolled BP were lower education (p = 0.014), shorter diabetes duration (p = 0.002), higher waist circumference (p < 0.001), higher pulse pressure (p < 0.001), higher physical activity level (p = 0.043) and being a smoker (p < 0.001).Discussion: The main limitations are the fact that the sample was not totaly random and included only primary care patients, a possible inter-observer bias and being a cross-sectional study, thus not providing information on temporal relation or causality.Conclusion: The sub-group of people with diabetes identified to have worse tensional control should have a different and more intensive approach in primary care. We recommend further longitudinal and population based confirmatory research. |
id |
RCAP_2d2f10ec8838b8cf2c3221d7ec16ce1a |
---|---|
oai_identifier_str |
oai:ojs.www.actamedicaportuguesa.com:article/8321 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Characteristics Associated with Uncontrolled Blood Pressure Among Portuguese Primary Care Patients with Type 2 DiabetesFatores Associados a Tensão Arterial Não Controlada em Pessoas com Diabetes Tipo 2 Seguidas nos Cuidados de Saúde Primários em PortugalBlood PressureBlood Pressure DeterminationDiabetes MellitusType 2PortugalPrimary Health CareCuidados de Saúde PrimáriosDeterminação da Pressão ArterialDiabetes Mellitus Tipo 2PortugalPressão ArterialIntroduction: Determine whether socio-demographic, habits and risk factors are associated with a better tensional control in type 2 diabetes in primary care patients in order to identify a specific target population for compensatory interventions improving diabetes control and reducing its morbi-mortality.Material and Methods: Cross-sectional study in primary care. Randomized type 2 diabetes patient data collection by their volunteer family doctors, proportionally stratified from the 5 Portuguese continental regions. Variables: blood pressure, age, gender, education, diabetes duration, HbA1c, smoking habits, weight, waist circumference, physical activity and adherence to medication. Bivariate and logistic regression analysis to evaluate each measured variable’s independent association with uncontrolled blood pressure (≥ 140/90).Results: 709 patients were included in the study, 60.2% men, mean age 66.12 ± 10.47 years. In logistic regression analysis, the factors independently associated to uncontrolled BP were lower education (p = 0.014), shorter diabetes duration (p = 0.002), higher waist circumference (p < 0.001), higher pulse pressure (p < 0.001), higher physical activity level (p = 0.043) and being a smoker (p < 0.001).Discussion: The main limitations are the fact that the sample was not totaly random and included only primary care patients, a possible inter-observer bias and being a cross-sectional study, thus not providing information on temporal relation or causality.Conclusion: The sub-group of people with diabetes identified to have worse tensional control should have a different and more intensive approach in primary care. We recommend further longitudinal and population based confirmatory research.Introdução: A hipertensão arterial está associada a maior morbimortalidade na diabetes tipo 2. É assim importante identificar quais as características socio demográficas, hábitos e fatores de risco das pessoas com diabetes tipo 2 que estão associadas a descontrolo tensional de modo a intervir de forma ajustada nesta população.Material e Métodos: Estudo observacional transversal nos cuidados de saúde primários com recolha de dados de pessoas com diabetes tipo 2 aleatorizadas pelos seus médicos de família, estratificados proporcionalmente pelas cinco regiões de saúde de Portugal continental. Variáveis: tensão arterial, idade, sexo, formação, duração da diabetes, HbA1c, hábitos tabágicos, peso, perímetro abdominal, nível de atividade física e adesão à medicação. Análise bivariada e por regressão logística para avaliar a associação independente de cada variável com descontrolo tensional (tensão arterial ≥ 140/90).Resultados: Estudados 709 doentes, 60,2% homens, idade média 66,12 ± 10,47 anos. Após análise de regressão logística, verificou-se que os fatores independentemente associados a não controlo da tensão arterial foram a menor formação académica (p = 0,014), a menor duração da diabetes (p = 0,002), o maior perímetro abdominal (p < 0,001), a maior pressão de pulso (p < 0,001) e o maior nível de atividade física (p = 0,043), assim como o facto de ser fumador (p < 0,001).Discussão: As principais limitações do estudo são o facto da amostra não ser totalmente aleatória e incluir apenas frequentadores dos cuidados primários, um possível vies inter-observador e o facto de ser um estudo transversal e não poder deduzir causalidade.Conclusão: O sub-grupo de pessoas com diabetes tipo 2 identificadas como tendo maior associação a pior controlo tensional deveriam ser alvo de uma abordagem diferente e mais intensiva nos cuidados de saúde primários em relação a este fator de risco. Recomendamos estudos longitudinais e populacionais para confirmar estes resultados.Ordem dos Médicos2017-03-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfimage/jpegapplication/zipapplication/zipapplication/mswordimage/jpeghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321oai:ojs.www.actamedicaportuguesa.com:article/8321Acta Médica Portuguesa; Vol. 30 No. 3 (2017): March; 197-204Acta Médica Portuguesa; Vol. 30 N.º 3 (2017): Março; 197-2041646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321/4969https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321/5136https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321/8815https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321/8841https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321/8842https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321/8976https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321/9142Direitos de Autor (c) 2017 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessRosendo, InêsSantiago, Luiz MiguelMarques, Margarida2022-12-20T11:05:29Zoai:ojs.www.actamedicaportuguesa.com:article/8321Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:34.602792Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Characteristics Associated with Uncontrolled Blood Pressure Among Portuguese Primary Care Patients with Type 2 Diabetes Fatores Associados a Tensão Arterial Não Controlada em Pessoas com Diabetes Tipo 2 Seguidas nos Cuidados de Saúde Primários em Portugal |
title |
Characteristics Associated with Uncontrolled Blood Pressure Among Portuguese Primary Care Patients with Type 2 Diabetes |
spellingShingle |
Characteristics Associated with Uncontrolled Blood Pressure Among Portuguese Primary Care Patients with Type 2 Diabetes Rosendo, Inês Blood Pressure Blood Pressure Determination Diabetes Mellitus Type 2 Portugal Primary Health Care Cuidados de Saúde Primários Determinação da Pressão Arterial Diabetes Mellitus Tipo 2 Portugal Pressão Arterial |
title_short |
Characteristics Associated with Uncontrolled Blood Pressure Among Portuguese Primary Care Patients with Type 2 Diabetes |
title_full |
Characteristics Associated with Uncontrolled Blood Pressure Among Portuguese Primary Care Patients with Type 2 Diabetes |
title_fullStr |
Characteristics Associated with Uncontrolled Blood Pressure Among Portuguese Primary Care Patients with Type 2 Diabetes |
title_full_unstemmed |
Characteristics Associated with Uncontrolled Blood Pressure Among Portuguese Primary Care Patients with Type 2 Diabetes |
title_sort |
Characteristics Associated with Uncontrolled Blood Pressure Among Portuguese Primary Care Patients with Type 2 Diabetes |
author |
Rosendo, Inês |
author_facet |
Rosendo, Inês Santiago, Luiz Miguel Marques, Margarida |
author_role |
author |
author2 |
Santiago, Luiz Miguel Marques, Margarida |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Rosendo, Inês Santiago, Luiz Miguel Marques, Margarida |
dc.subject.por.fl_str_mv |
Blood Pressure Blood Pressure Determination Diabetes Mellitus Type 2 Portugal Primary Health Care Cuidados de Saúde Primários Determinação da Pressão Arterial Diabetes Mellitus Tipo 2 Portugal Pressão Arterial |
topic |
Blood Pressure Blood Pressure Determination Diabetes Mellitus Type 2 Portugal Primary Health Care Cuidados de Saúde Primários Determinação da Pressão Arterial Diabetes Mellitus Tipo 2 Portugal Pressão Arterial |
description |
Introduction: Determine whether socio-demographic, habits and risk factors are associated with a better tensional control in type 2 diabetes in primary care patients in order to identify a specific target population for compensatory interventions improving diabetes control and reducing its morbi-mortality.Material and Methods: Cross-sectional study in primary care. Randomized type 2 diabetes patient data collection by their volunteer family doctors, proportionally stratified from the 5 Portuguese continental regions. Variables: blood pressure, age, gender, education, diabetes duration, HbA1c, smoking habits, weight, waist circumference, physical activity and adherence to medication. Bivariate and logistic regression analysis to evaluate each measured variable’s independent association with uncontrolled blood pressure (≥ 140/90).Results: 709 patients were included in the study, 60.2% men, mean age 66.12 ± 10.47 years. In logistic regression analysis, the factors independently associated to uncontrolled BP were lower education (p = 0.014), shorter diabetes duration (p = 0.002), higher waist circumference (p < 0.001), higher pulse pressure (p < 0.001), higher physical activity level (p = 0.043) and being a smoker (p < 0.001).Discussion: The main limitations are the fact that the sample was not totaly random and included only primary care patients, a possible inter-observer bias and being a cross-sectional study, thus not providing information on temporal relation or causality.Conclusion: The sub-group of people with diabetes identified to have worse tensional control should have a different and more intensive approach in primary care. We recommend further longitudinal and population based confirmatory research. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-03-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321 oai:ojs.www.actamedicaportuguesa.com:article/8321 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/8321 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321/4969 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321/5136 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321/8815 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321/8841 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321/8842 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321/8976 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8321/9142 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2017 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2017 Acta Médica Portuguesa |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf image/jpeg application/zip application/zip application/msword image/jpeg |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 30 No. 3 (2017): March; 197-204 Acta Médica Portuguesa; Vol. 30 N.º 3 (2017): Março; 197-204 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1817552085462286336 |