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Prevalence, Patterns and Associated Factors of Undiagnosed Dysglycemia Among Hypertensive Patients Attending Bugando Medical Centre Hypertension Clinic, Mwanza, Tanzania.

By: Contributor(s): Material type: TextTextPublisher number: Wurzburg Road 35, Premises, Post Code: 33102 | P. O. Box 1464 Mwanza, Tanzania | Phone: (255) 28-298-3384 | Fax: (255) 28-298-3386 | Email: vc@bugando.ac.tz | Website: www.bugando.ac.tz Language: English Language: Kiswahili Publication details: Mwanza, Tanzania | Catholic University of Health and Allied Sciences [CUHAS-Bugando] | 2024. Description: 104 Pages; Includes ReferencesSubject(s): Summary: Abstract: Background: There is a bidirectional interaction between dysglycemia and hypertension. The development of hypertension and diabetes track each other over time. Obesity and physical inactivity are two leading predisposing factors for both diseases. Dysglycemia synergistically affects the development or worsening of hypertension complications such as coronary artery disease, heart failure, chronic kidney disease and eye complications. It is therefore important to screen and control for dysglycemia among hypertensives to reduce dysglycemia-related morbidity and mortality in hypertensives. Aim: To determine the prevalence, patterns and associated factors of undiagnosed dysglycemia among hypertensive patients attending Bugando Medical Centre. Methodology: This was a hospital-based cross-sectional study that took place at Bugando Medical Center in the outpatient department from February 2024 to May 2024. During the study, 301 hypertensive patients aged 18 and above were enrolled using a convenient sampling method at the BMC Medical Outpatient Clinic. Structured questionnaires were used to collect demographic and clinical information from patients. Blood samples were taken in order to assess the fasting blood glucose and glycated hemoglobin. The data were cleaned and processed in Microsoft Excel and analyzed by STATA 15. Prevalence was in the form of proportion, associated factors were in a univariate and multivariable binary regression analysis model, and the significance level was set at a p value of < 0.05. Results: Dysglycemia was found in 57.5% of hypertensive patients. Among these dysglycemic patients, 74.6% had a prediabetic pattern, and 25.4% had a diabetic pattern. Dysglycemia was associated with advanced age, a history of obesity in the family, and the duration of hypertension. Conclusion: Our findings showed a high prevalence of dysglycemia among hypertensive patients. Therefore, routine screening for dysglycemia should be done and even focused on the elderly population and those with a history of hypertension for more than 3 years.
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POSTGRADUATE DISSERTATIONS MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO Not for loan 20241007182253.0
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Abstract:

Background: There is a bidirectional interaction between dysglycemia and hypertension. The development of hypertension and diabetes track each other over time. Obesity and physical inactivity are two leading predisposing factors for both diseases. Dysglycemia synergistically affects the development or worsening of hypertension complications such as coronary artery disease, heart failure, chronic kidney disease and eye complications. It is therefore important to screen and control for dysglycemia among hypertensives to reduce dysglycemia-related morbidity and mortality in hypertensives.

Aim: To determine the prevalence, patterns and associated factors of undiagnosed dysglycemia among hypertensive patients attending Bugando Medical Centre.

Methodology: This was a hospital-based cross-sectional study that took place at Bugando Medical Center in the outpatient department from February 2024 to May 2024. During the study, 301 hypertensive patients aged 18 and above were enrolled using a convenient sampling method at the BMC Medical Outpatient Clinic. Structured questionnaires were used to collect demographic and clinical information from patients. Blood samples were taken in order to assess the fasting blood glucose and glycated hemoglobin. The data were cleaned and processed in Microsoft Excel and analyzed by STATA 15. Prevalence was in the form of proportion, associated factors were in a univariate and multivariable binary regression analysis model, and the significance level was set at a p value of < 0.05.

Results: Dysglycemia was found in 57.5% of hypertensive patients. Among these dysglycemic patients, 74.6% had a prediabetic pattern, and 25.4% had a diabetic pattern. Dysglycemia was associated with advanced age, a history of obesity in the family, and the duration of hypertension.

Conclusion: Our findings showed a high prevalence of dysglycemia among hypertensive patients. Therefore, routine screening for dysglycemia should be done and even focused on the elderly population and those with a history of hypertension for more than 3 years.

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