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
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

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