TÌNH HÌNH TIỀN ĐÁI THÁO ĐƯỜNG VÀ CÁC YẾU TỐ LIÊN QUAN TRÊN BỆNH NHÂN TĂNG HUYẾT ÁP TẠI BỆNH VIỆN ĐA KHOA BẮC NINH SỐ 1

Abstract

Background: Hypertension (HTN) and prediabetes are significant public health issues with a strong correlation. However, data on the prevalence of prediabetes among hypertensive patients in regions like Bac Ninh is limited. This study aimed to determine the prevalence of prediabetes and identify associated factors among hypertensive outpatients at Bac Ninh General Hospital No. 1. Methods: A cross-sectional descriptive study was conducted on 345 hypertensive outpatients from April 2025 to September 2025. Data were collected through interviews, clinical examinations, anthropometric measurements, and fasting plasma glucose tests. Prediabetes was diagnosed based on fasting glucose levels between 5.6 and 6.9 mmol/L. Data were analyzed using SPSS 20.0. Results: The mean age of participants was 70.96 ± 9.51 years, with males accounting for 65.5%. The prevalence of prediabetes was 48.7%. Statistically significant factors associated with prediabetes included male gender (54.4% vs. 37.8% in females, p=0.003), duration of HTN ≥ 5 years (52.1% vs. 38.1%, p=0.025), overweight/obesity (58.6% vs. 39.4% in the normal BMI group, p=0.002), and abdominal obesity (55.7% vs. 37.8%, p=0.001). The prevalence of left ventricular hypertrophy was 66.4% and renal function impairment was 93.6%; however, no significant association was found between these target organ damages and prediabetes (p > 0.05). Conclusion: The prevalence of prediabetes among hypertensive outpatients at Bac Ninh General Hospital No. 1 is very high. Male gender, long-term hypertension, overweight, obesity, and abdominal obesity are significant associated factors. Enhanced screening and early intervention for prediabetes are crucial in this patient population.