Effect of cardiometabolic risk factors on hypertension management: a cross-sectional study among 28 physician practices in the United States.

Cardiovascular Diabetology
Daniel A BellettiJenifer Wogen

Abstract

This cross-sectional study sought to determine the prevalence of cardiometabolic risk factor clusters (CMRFCs) and their effect on BP control among hypertensive patients from 28 US physician practices. Each participating practice identified a random sample of 150-300 adults aged >or= 18 years diagnosed with hypertension. The primary outcome variable was BP control (BP < 140/90 mmHg for non-diabetic and <130/80 mmHg for diabetic patients). CMRFCs included hypertension in addition to obesity, dyslipidemia, and diabetes. Overall, 6,527 hypertensive patients were identified for study inclusion. More than half (54.3%) were female, and mean age was 64.7 years. Almost half (48.7%) were obese (BMI >or= 30 kg/m2). About 1 in every 4 patients (25.3%) had diabetes, and 60.7% had dyslipidemia. Mean blood pressure was 132.5/77.9 mmHg, and 55.0% of all patients had controlled BP; 62.4% of non-diabetic patients, and 33.3% of diabetic hypertensive patients, had BP controlled to recommended levels. Most (81.7%) hypertensive patients had >or= 1 cardiometabolic risk factor, and 12.2% had all 3 risk factors. As compared to hypertensive patients without additional risk factors, adjusted odds ratios for BP control were significantly lower for all co...Continue Reading

References

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Citations

May 18, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Finlay A McAlisterNorm Campbell
Apr 14, 2012·International Journal of Hypertension·Quang Ngoc NguyenPeter Byass
Mar 14, 2014·The Journal of Clinical Hypertension·Konstantinos TziomalosApostolos I Hatzitolios
Jan 14, 2012·Cardiology Research and Practice·Martin ThoenesDavid Spirk
May 27, 2015·Obesity Research & Clinical Practice·Tanmay Nag, Arnab Ghosh
Jan 10, 2012·Therapeutic Advances in Cardiovascular Disease·Serap Erdine
Jun 3, 2011·Journal of Human Hypertension·G P VyssoulisC I Stefanadis

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