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Date Published: 28/12/2022
Abstract Views: 1770
Views PDF: 780
DOI: https://doi.org/10.51298/vmj.v520i1A.3807
Issue
Vol. 520 No. 1A (2022)
Section
Các bài báo
How to Cite
Văn Tuấn, T. ., Nguyễn Thắng, Đào ., Thượng Lễ, N. ., & Thượng Nghĩa, N. . (2022). PREVALENCE OF IMPAIRED GLYCEMIA & PRE-DIABETES ON ELDERLY PATIENTS WITH HYPERTENSION. Vietnam Medical Journal, 520(1A). https://doi.org/10.51298/vmj.v520i1A.3807

PREVALENCE OF IMPAIRED GLYCEMIA & PRE-DIABETES ON ELDERLY PATIENTS WITH HYPERTENSION

Tô Văn Tuấn1, Đào Nguyễn Thắng2, Nguyễn Thượng Lễ2, Nguyễn Thượng Nghĩa3,
1 District 11 Hospital, Ho Chi Minh City
2 Pham Ngoc Thach University of Medicine
3 Cho Ray Hospital

Main Article Content

Abstract

Background: Prediabetes is considered an intermediate stage leading to diabetes. Elderly people with high blood pressure, diabetes and prediabetes increase the risk of cardiovascular events and mortality. Scientific data of prediabetes in elderly hypertensive patients in primary care in Viêt Nam now are lacking. Therefore, we conducted a study to investigate the prevalence of prediabetes and some risk factors in the elderly with hypertension treated at outpatient department of District 1 Hospital. Objective: Determination of prediabetes prevalence and some risk factors in hypertensive elderly outpatients at outpatient department of District 1 Hospital, Ho Chi Minh City. Method: The study recruited all elderly patients (≥ 60 years old) who have a history of hypertension or currently meet the criteria for diagnosis of hypertension but never been diagnosed as diabetes type2 before. They have been treated as hypertension at outpatient department of District 1 Hospital, Ho Chi Minh City, and were selected for the study with a cross-sectional descriptive research design. Result: From September 2020 to June 2021, there were 361 cases that met the criteria for admission to the study. Prediabetes rate is 25, 8%; new onset diabetes rate is 11% in the study population. Family history of diabetes and sedentary lifestyle are  respectively risk factors  for prediabetes with OR: 2,44, 95% CI:1,43-4,17 (p=0,001) and OR: 1,9, 95% CI: 1,02 -3,55 (p=0,04). Other factors (age, gender, address, marital status, education level, overweight, obesity, large waist circumference, large waist/hip ratio, current smoker, alcohol/beer consumption, Sarcopenia, comorbid conditions, polypharmacy) not associated with prediabetes condition. Conclusion: The prevalence of pre-diabetes in elderly hypertensive patients currently treated at outpatient department of District 1 Hospital, Ho Chi Minh City is 25.8% with two risk factors:  having family history of diabetes, reduced physical exercise lifestyle. Therefore, relating to primary care of public health, physicians at outpatient department should pay more attention to this group of hypertension diseases that are increasing in the current time.

Article Details

Keywords

Pre-diabetes, the elderly with hypertension, risk factors for prediabetes

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