Long-term changes of the prevalence and control rate of hypertension among Korean adults with diagnosed diabetes: 1998-2008 Korean National Health and Nutrition Examination Survey
Long-term changes of the prevalence and control rate of hypertension among Korean adults with diagnosed diabetes: 1998-2008 Korean National Health and Nutrition Examination Survey
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DOI：
10.1016/j.diabres.2012.04.004
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发表时间：
2012-07-01
影响因子：
5.1
通讯作者：
Park, Yong-Moon
中科院分区：
文献类型：
--
作者：
Ko, Seung-Hyun;Kwon, Hyuk-Sang;Park, Yong-Moon
目的：我们调查了韩国成年糖尿病患者高血压患病率和控制率的长期变化。使用韩国国家健康和营养检查调查的数据（1998-2008），包括1384名诊断为糖尿病的成年人，我们分析了高血压患病率的变化结果：1998年和2008年糖尿病患者高血压患病率分别为50.9%和51.7%（P = 0.563）。平均血压从138.1 ± 1.1/80.0 ± 0.6 mmHg降至124.7 ± 0.8/76.0 ± 0.5 mmHg知晓率（37.4 ~ 85.2%，P <0.001）、治疗率（37.4 ~ 81.8%，P < 0.001）和控制率（20.1 ~ 34.7%，P = 0.001）稳步上升。肥胖组高血压患病率较非肥胖组显著增加（1998年53.3% vs. 49.0%，P = 0.784; 2008年64.3% vs. 42.0%，P < 0.0001，趋势P = 0.0001）。虽然高血压的治疗率有了显著提高，但控制率仍然不足，迫切需要加强干预。(C)2012爱思唯尔爱尔兰有限公司保留所有权利。
Aims: We investigated the long-term changes in the prevalence and the control rate of hypertension among Korean adults diagnosed with diabetes.Methods: Using data from the Korean National Health and Nutrition Examination Survey (1998-2008), including 1384 adults diagnosed with diabetes, we analyzed changes in the prevalence of hypertension (mean SBP >= 140 mmHg, DBP >= 90 mmHg, or use of antihypertensive medication) and the control rate of hypertension (BP < 130/80 mmHg).Results: The prevalence of hypertension in diabetic adults was 50.9% in 1998 and 51.7% in 2008 (P = 0.563). The mean blood pressure decreased from 138.1 +/- 1.1/80.0 +/- 0.6 mmHg to 124.7 +/- 0.8/76.0 +/- 0.5 mmHg (P < 0.001); awareness (37.4 to 85.2%, P < 0.001), treatment (37.4 to 81.8%, P < 0.001), and the control rate (20.1 to 34.7%, P = 0.001) steadily increased. The prevalence of hypertension increased significantly more in the obese group compared with the non-obese group (53.3% vs. 49.0% in 1998, P = 0.784; 64.3% vs. 42.0% in 2008, P < 0.0001, respectively, P for trend = 0.0001).Conclusions: Although the rates of hypertension treatment have significantly improved, the control rate remains inadequate, and intensive intervention is urgently needed. (C) 2012 Elsevier Ireland Ltd. All rights reserved.