Hipertensão arterial em pacientes com Diabetes Mellitus Tipo 2 atendidos na Associação Moçambicana dos Diabéticos

##plugins.themes.bootstrap3.article.main##

Sheila Tualufo https://orcid.org/0000-0001-6916-6242
Albertino Damasceno
Armindo Tiago

Keywords

prevalência, diabetes mellitus, hipertensão arterial, fatores associados

Resumo

Este estudo teve como objetivo analisar os fatores associados à hipertensão arterial em pacientes com diabetes mellitus tipo 2 atendidos na Associação Moçambicana dos Diabéticos. Foi realizado um estudo transversal analítico, que incluiu a revisão retrospetiva de dados de 1.753 doentes, atendidos na Associação Moçambicana dos Diabéticos entre 2006 e 2016. A relação entre a hipertensão arterial e as variáveis independentes foi estabelecida através do teste de qui-quadrado e da análise de regressão logística binária. Os valores foram considerados estatisticamente significativos se p-value <0.05. A prevalência da hipertensão arterial foi de 48%. Os participantes nas faixas etárias entre 50 e 60 anos e mais de 60 anos e aqueles com excesso de peso e obesidade apresentaram mais chances de serem hipertensos. Recomenda-se assim, o desenho de políticas direcionadas para o controlo do peso nos pacientes com diabetes mellitus tipo 2.

Abstract 728 | pdf Downloads 301

Referências

Akalu, Y., & Belsti, Y. (2020). Hypertension and Its Associated Factors Among Type 2 Diabetes Mellitus Patients at Debre Tabor General Hospital , Northwest Ethiopia. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 13, 1621–1631.
American Diabetes Association. (2004). Standards of Medical Care in Diabetes. Diabetes Care, 27(SUPPL. 1), S15–S35. ttps://doi.org/10.2337/diacare.27.2007.s15
Arauz-Pacheo, C., Parrott, M. A., & Raskin, P. (2003). Treatment of hypertension in adults with diabetes. Diabetes Care, 26(SUPPL. 1), 80–82. https://doi.org/10.2337/diacare.26.2007.s80
Berraho, M., El Achhab, Y., Benslimane, A., EL Rhazi, K., Chikri, M., & Nejjari, C. (2012). Hypertension and type 2 diabetes: a cross-sectional study in Morocco (EPIDIAM Study). PanAfrican Medical Journal, 8688, 1–9.
Cheung, B. M. Y., & Li, C. (2012). Diabetes and Hypertension : Is There a Common Metabolic Pathway ? Curr Atheroscler Rep, 14, 160–166. https://doi.org/10.1007/s11883-012-0227-2
DeMarco, V. G., Arror, A. R., & Sowers, J. R. (2015). The pathophysiology of hypertension in patients with obesity. Nat Rev Endocrinol., 10(6), 364–376. https://doi.org/10.1038/nrendo.2014.44.The
Faludi, A., Izar, M., Saraiva, J., Chacra, A., Bianco, H., Afiune Neto, A., … Simão, A. (2013). V Diretriz Brasileira de Dislipidemias e Prevenção da Aterosclerose. Arquivos Brasileiros de Cardiologia, 109, 1–76. https://doi.org/10.1016/S0140-6736(11)60739-3.09-2015-VYT-13-BR-J
Foëx, P., & Sear, J. W. (2004). Hypertension: Pathophysiology and treatment. Continuing Education in Anaesthesia, Critical Care and Pain, 4(3), 71–75. https://doi.org/10.1093/bjaceaccp/mkh020
Hashemizadeh, H., & Branch, Q. (2014). Hypertension and type 2 diabetes: a cross-sectional study. Iranian Journal of Diabetes and Obesity, 5(January 2013), 21–26.
International Diabetes Federation. (2019). IDF DIABETES ATLAS Ninth Edition. Brussels.
Kemche, B., Ulrich, B., Foudjo, S., & Fokou, E. (2020). Risk Factors of Hypertension among Diabetic Patients from Yaoundé Central Hospital and Etoug-Ebe Baptist Health. Journal Od Diabetes Research, 1–8.
Long, A. N., & Dagogo-Jack, S. (2011). Comorbidities of Diabetes and Hypertension: Mechanisms and Approach to Target Organ Protection. Journal of Clinical Hypertension, 13(4), 244–251. https://doi.org/10.1111/j.1751-7176.2011.00434.x
Mengesha, A. Y. (2007). Hypertension and related risk factors in type 2 diabetes mellitus ( DM ) patients in Gaborone City Council ( GCC ) clinics , Gaborone ,. African Health Sciences Vol, 7(4), 244–245.
Ministério da Saúde. (2013). Plano Estratégico do Sector da Saúde PESS 2014-2019. Direcção de Planificação e Cooperação Plano. Maputo.
Ministério da Saúde. (2016). STEPS – Moçambique 2014/2015. Maputo.
Petrie, J. R., Guzik, T. J., & Touyz, R. M. (2018). Diabetes, Hypertension, and Cardiovascular Disease: Clinical Insights and Vascular Mechanisms. Canadian Journal of Cardiology, 34(5), 575–584. https://doi.org/10.1016/j.cjca.2017.12.005
Savoia, C., & Touyz, R. M. (2017). Hypertension, Diabetes Mellitus, and Excess Cardiovascular Risk: Importance of Baseline Systolic Blood Pressure. Hypertension, 70(5), 882–883. https://doi.org/10.1161/HYPERTENSIONAHA.117.09764
Schütten, M. T. J., Houben, A. J. H. M., De Leeuw, P. W., & Stehouwer, C. D. A. (2017). The link between adipose tissue renin-angiotensin-aldosterone system signaling and obesity-associated hypertension. Physiology, 32(3), 197–209. https://doi.org/10.1152/physiol.00037.2016
Solomon, T., Tamiru, S., & Alemseged, F. (2010). RISK FACTORS FOR CARDIOVASCULAR DISEASES AMONG DIABETIC PATIENTS IN SOUTHWEST ETHIOPIA. Ethiop J Health Sci., 20(8), 121–128.
Sowers, J., Epstein, M., & Frohlich, E. (2001). Diabetes, hypertension, and cardiovascular disease: an update. Hypertension, 38(3), 1053–1059. https://doi.org/10.1161/01.hyp.38.3.e11
Tadesse, K., Amare, H., Hailemariam, T., & Gebremariam, T. (2018). Prevalence of Hypertension among Patients with Type 2 Diabetes Mellitus and Its Socio Demographic Factors in Nigist Ellen Mohamed Memorial Hospital Hosanna, Southern Ethiopia. Journal of Diabetes & Metabolism, 9(4), 4–10. https://doi.org/10.4172/2155-6156.1000792
Unadike, B. C., Eregie, A., & Ohwovoriole, A. E. (2011). Prevalence of hypertension amongst persons with diabetes mellitus in Benin City , Nigeria. Nigerian Journal of Clinical Practice, 14(3), 300–302. https://doi.org/10.4103/1119-3077.86772
Venugopal, K., & Mohammed, M. Z. (2014). Prevalence of hypertension in type-2 diabetes mellitus. CHRISMED Journal of Health and Research, 1(4), 223–227. https://doi.org/10.4103/2348-3334.142981
World Health Organization. (1995). PHYSICAL STATUS: THE USE AND INTERPRATATION OF ANTHROPOMETRY. Geneva.
World Health Organization. (1999). Guidelines set new definitions, update treatment for hypertension. Bulletin of the World Health Organization, 77(3), 293.
World Health Organization. (2016). GLOBAL REPORT ON DIABETES. Geneva.