TY - JOUR
T1 - Higher Prevalence and Awareness, but Lower Control Rate of Hypertension in Patients with Diabetes than General Population
T2 - The Fifth Korean National Health and Nutrition Examination Survey in 2011
AU - Ko, Seung Hyun
AU - Kwon, Hyuk Sang
AU - Kim, Dae Jung
AU - Kim, Jae Hyeon
AU - Kim, Nan Hee
AU - Kim, Chul Sik
AU - Song, Kee Ho
AU - Won, Jong Chul
AU - Lim, Soo
AU - Choi, Sung Hee
AU - Han, Kyungdo
AU - Park, Yong Moon
AU - Cha, Bong Yun
PY - 2014/2
Y1 - 2014/2
N2 - Background: We investigated the prevalence, awareness, treatment, and control rate of hypertension in Korean adults with diabetes using nationally representative data. Methods: Using data of 5,105 adults from the fifth Korea National Health and Nutrition Examination Survey in 2011 (4,389 nondiabetes mellitus [non-DM]), 242 newly diagnosed with DM (new-DM), and 474 previously diagnosed with DM (known-DM), we analyzed the prevalence of hypertension (mean systolic blood pressure ≥140 mm Hg, diastolic blood pressure ≥90 mm Hg, or use of antihypertensive medication) and control rate of hypertension (blood pressure [BP] <130/80 mm Hg). Results: The prevalence of hypertension in diabetic adults was 54.6% (44.4% in new-DM and 62.6% in known-DM, P<0.0001 and P<0.0001, respectively) compared with non-DM adults (26.2%). Compared to non-DM, awareness (85.7%, P<0.001) and treatment (97.0%, P=0.020) rates were higher in known-DM, whereas no differences were found between new-DM and non-DM. Control rate among all hypertensive subjects was lower in new-DM (14.9%), compared to non-DM (35.1%, P<0.001) and known-DM (33.3%, P=0.004). Control rate among treated subjects was also lower in new-DM (25.2%), compared to non-DM (68.4%, P<0.0001) and known-DM (39.9%, P<0.0001). Conclusion: Higher prevalence and low control rate of hypertension in adults with diabetes suggest that stringent efforts are needed to control BP in patients with diabetes, particularly in newly diagnosed diabetic patients.
AB - Background: We investigated the prevalence, awareness, treatment, and control rate of hypertension in Korean adults with diabetes using nationally representative data. Methods: Using data of 5,105 adults from the fifth Korea National Health and Nutrition Examination Survey in 2011 (4,389 nondiabetes mellitus [non-DM]), 242 newly diagnosed with DM (new-DM), and 474 previously diagnosed with DM (known-DM), we analyzed the prevalence of hypertension (mean systolic blood pressure ≥140 mm Hg, diastolic blood pressure ≥90 mm Hg, or use of antihypertensive medication) and control rate of hypertension (blood pressure [BP] <130/80 mm Hg). Results: The prevalence of hypertension in diabetic adults was 54.6% (44.4% in new-DM and 62.6% in known-DM, P<0.0001 and P<0.0001, respectively) compared with non-DM adults (26.2%). Compared to non-DM, awareness (85.7%, P<0.001) and treatment (97.0%, P=0.020) rates were higher in known-DM, whereas no differences were found between new-DM and non-DM. Control rate among all hypertensive subjects was lower in new-DM (14.9%), compared to non-DM (35.1%, P<0.001) and known-DM (33.3%, P=0.004). Control rate among treated subjects was also lower in new-DM (25.2%), compared to non-DM (68.4%, P<0.0001) and known-DM (39.9%, P<0.0001). Conclusion: Higher prevalence and low control rate of hypertension in adults with diabetes suggest that stringent efforts are needed to control BP in patients with diabetes, particularly in newly diagnosed diabetic patients.
KW - Blood pressure
KW - Diabetes mellitus
KW - Hypertension
KW - Korea national health and nutrition examination survey
UR - http://www.scopus.com/inward/record.url?scp=84897870234&partnerID=8YFLogxK
U2 - 10.4093/dmj.2014.38.1.51
DO - 10.4093/dmj.2014.38.1.51
M3 - Article
AN - SCOPUS:84897870234
SN - 2233-6079
VL - 38
SP - 51
EP - 57
JO - Diabetes and Metabolism Journal
JF - Diabetes and Metabolism Journal
IS - 1
ER -