Diabetes Mellitus and Hyperlipidemia Status Among Hypertensive Patients in the Community and Influencing Factors Analysis of Blood Pressure Control
Abstract To evaluate the prevalence of type 2 diabetes mellitus (T2DM) and hyperlipidemia in hypertensive patients in South China and assess the relationship between these comorbidities and blood pressure control to develop targeted strategies for hypertension management. Data from the 2020 Guangzho...
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| Format: | Article |
| Language: | English |
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Wiley
2025-02-01
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| Series: | The Journal of Clinical Hypertension |
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| Online Access: | https://doi.org/10.1111/jch.14965 |
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| author | Shijia Zhang Yunou Yang Xiongfei Chen Liumei Fan Jiagang Wu Xiangyi Liu Weiquan Lin Zhiyu Zhai Guozhen Lin Hui Liu Qin Zhou |
| author_facet | Shijia Zhang Yunou Yang Xiongfei Chen Liumei Fan Jiagang Wu Xiangyi Liu Weiquan Lin Zhiyu Zhai Guozhen Lin Hui Liu Qin Zhou |
| author_sort | Shijia Zhang |
| collection | DOAJ |
| description | Abstract To evaluate the prevalence of type 2 diabetes mellitus (T2DM) and hyperlipidemia in hypertensive patients in South China and assess the relationship between these comorbidities and blood pressure control to develop targeted strategies for hypertension management. Data from the 2020 Guangzhou National Basic Public Health Service Program were analyzed using Chi‐square tests, t‐tests, and logistic regression with R 4.1.2. Among 275,789 hypertensive patients, the blood pressure control rate was 51.51%. The prevalence of T2DM and hyperlipidemia comorbidities was 12.79%, with 12.78% for T2DM alone, 33.54% for hyperlipidemia alone, and 40.89% with no comorbidities. Blood pressure control rates significantly differed by comorbidity (p < 0.05): 52.84% for those without T2DM/hyperlipidemia, 54.18%, 49.25% for T2DM or hyperlipidemia alone, and 50.52% for both conditions. Multivariate analysis indicated a lower blood pressure control rate in patients with hyperlipidemia alone (OR = 1.144) or both T2DM and hyperlipidemia (OR = 1.082), and a higher rate in those with T2DM alone (OR = 0.936). Subgroup analysis revealed that males, older age, higher education, obesity, alcohol use, lack of physical activity, and poor medication adherence were associated with lower control rates. This study found a high prevalence of diabetes and hyperlipidemia among hypertensive patients in Guangzhou. Additionally, hypertensive patients with hyperlipidemia had poorer blood pressure control compared to other diabetic patients. Key factors such as obesity, being overweight, and unhealthy lifestyle choices significantly impact blood pressure management in this population. Therefore, comprehensive measures should be implemented to integrate lipid management into community health efforts and to effectively control blood pressure levels among hypertensive patients. |
| format | Article |
| id | doaj-art-34218d4c8efb4bf79d03a768c64803a9 |
| institution | DOAJ |
| issn | 1524-6175 1751-7176 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj-art-34218d4c8efb4bf79d03a768c64803a92025-08-20T02:45:33ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762025-02-01272n/an/a10.1111/jch.14965Diabetes Mellitus and Hyperlipidemia Status Among Hypertensive Patients in the Community and Influencing Factors Analysis of Blood Pressure ControlShijia Zhang0Yunou Yang1Xiongfei Chen2Liumei Fan3Jiagang Wu4Xiangyi Liu5Weiquan Lin6Zhiyu Zhai7Guozhen Lin8Hui Liu9Qin Zhou10Department of Chronic Diseases Control and Prevention Guangzhou Center for Disease Control and Prevention Guangzhou ChinaDepartment of Chronic Diseases Control and Prevention Guangzhou Center for Disease Control and Prevention Guangzhou ChinaDepartment of Chronic Diseases Control and Prevention Guangzhou Center for Disease Control and Prevention Guangzhou ChinaDepartment of Chronic Diseases Control and Prevention Guangzhou Baiyun District Center for Disease Control and Prevention Guangzhou ChinaDepartment of Chronic Diseases Control and Prevention Guangzhou Center for Disease Control and Prevention Guangzhou ChinaDepartment of Chronic Diseases Control and Prevention Guangzhou Center for Disease Control and Prevention Guangzhou ChinaDepartment of Chronic Diseases Control and Prevention Guangzhou Center for Disease Control and Prevention Guangzhou ChinaDepartment of Public Health and Preventive Medicine School of Medicine Jinan University Guangzhou ChinaDepartment of Chronic Diseases Control and Prevention Guangzhou Center for Disease Control and Prevention Guangzhou ChinaDepartment of Chronic Diseases Control and Prevention Guangzhou Center for Disease Control and Prevention Guangzhou ChinaDepartment of Chronic Diseases Control and Prevention Guangzhou Center for Disease Control and Prevention Guangzhou ChinaAbstract To evaluate the prevalence of type 2 diabetes mellitus (T2DM) and hyperlipidemia in hypertensive patients in South China and assess the relationship between these comorbidities and blood pressure control to develop targeted strategies for hypertension management. Data from the 2020 Guangzhou National Basic Public Health Service Program were analyzed using Chi‐square tests, t‐tests, and logistic regression with R 4.1.2. Among 275,789 hypertensive patients, the blood pressure control rate was 51.51%. The prevalence of T2DM and hyperlipidemia comorbidities was 12.79%, with 12.78% for T2DM alone, 33.54% for hyperlipidemia alone, and 40.89% with no comorbidities. Blood pressure control rates significantly differed by comorbidity (p < 0.05): 52.84% for those without T2DM/hyperlipidemia, 54.18%, 49.25% for T2DM or hyperlipidemia alone, and 50.52% for both conditions. Multivariate analysis indicated a lower blood pressure control rate in patients with hyperlipidemia alone (OR = 1.144) or both T2DM and hyperlipidemia (OR = 1.082), and a higher rate in those with T2DM alone (OR = 0.936). Subgroup analysis revealed that males, older age, higher education, obesity, alcohol use, lack of physical activity, and poor medication adherence were associated with lower control rates. This study found a high prevalence of diabetes and hyperlipidemia among hypertensive patients in Guangzhou. Additionally, hypertensive patients with hyperlipidemia had poorer blood pressure control compared to other diabetic patients. Key factors such as obesity, being overweight, and unhealthy lifestyle choices significantly impact blood pressure management in this population. Therefore, comprehensive measures should be implemented to integrate lipid management into community health efforts and to effectively control blood pressure levels among hypertensive patients.https://doi.org/10.1111/jch.14965blood pressure controldiabeteshyperlipidemiahypertension |
| spellingShingle | Shijia Zhang Yunou Yang Xiongfei Chen Liumei Fan Jiagang Wu Xiangyi Liu Weiquan Lin Zhiyu Zhai Guozhen Lin Hui Liu Qin Zhou Diabetes Mellitus and Hyperlipidemia Status Among Hypertensive Patients in the Community and Influencing Factors Analysis of Blood Pressure Control The Journal of Clinical Hypertension blood pressure control diabetes hyperlipidemia hypertension |
| title | Diabetes Mellitus and Hyperlipidemia Status Among Hypertensive Patients in the Community and Influencing Factors Analysis of Blood Pressure Control |
| title_full | Diabetes Mellitus and Hyperlipidemia Status Among Hypertensive Patients in the Community and Influencing Factors Analysis of Blood Pressure Control |
| title_fullStr | Diabetes Mellitus and Hyperlipidemia Status Among Hypertensive Patients in the Community and Influencing Factors Analysis of Blood Pressure Control |
| title_full_unstemmed | Diabetes Mellitus and Hyperlipidemia Status Among Hypertensive Patients in the Community and Influencing Factors Analysis of Blood Pressure Control |
| title_short | Diabetes Mellitus and Hyperlipidemia Status Among Hypertensive Patients in the Community and Influencing Factors Analysis of Blood Pressure Control |
| title_sort | diabetes mellitus and hyperlipidemia status among hypertensive patients in the community and influencing factors analysis of blood pressure control |
| topic | blood pressure control diabetes hyperlipidemia hypertension |
| url | https://doi.org/10.1111/jch.14965 |
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