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Differences in the management of hypertension, diabetes mellitus and dyslipidemia between obesity classes

Journal of Human Hypertension volume 30, pages 7–10 (2016)Cite this article

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Abstract

We did not find any paper that assessed clinical inertia in obese patients. Therefore, no paper has compared the clinical inertia rates between morbidly and nonmorbidly obese patients. A cross-sectional observational study was carried out. We analysed 8687 obese patients ⩾40 years of age who attended their health-care center for a checkup as part of a preventive program. The outcome was morbid obesity. Secondary variables were as follows: failure in the management of high blood pressure (HBP), high blood cholesterol (HBC) and high fasting blood glucose (HFBG); gender; personal history of hypertension, dyslipidemia, diabetes, smoking and cardiovascular disease; and age (years). We analysed the association between failures and morbid obesity by calculating the adjusted odds ratio (OR). Of 8687 obese patients, 421 had morbid obesity (4.8%, 95% confidence interval (CI): 4.4–5.3%). The prevalence rates for failures were as follows: HBP, 34.7%; HBC, 35.2%; and HFBG, 12.4%. Associated factors with morbid obesity related with failures were as follows: failure in the management of HBP (OR=1.42, 95% CI: 1.15–1.74, P=0.001); failure in the management of HBC (OR=0.73, 95% CI: 0.58–0.91, P=0.004); and failure in the management of HFBG (OR=2.24, 95% CI: 1.66–3.03, P<0.001). Morbidly obese patients faced worse management for HBP and HFBG, and better management for HBC. It would be interesting to integrate alarm systems to avoid this problem.

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Acknowledgements

This work was supported by a grant from the Conselleria de Sanitat (Valencian Community). This public organization subsidized and authorized this study exclusively to determine the situation in patients attending their health-care center. It played no part in the study design, data collection, analysis or interpretation, in writing the manuscript or in the decision to send it for publication. The grant was used to contract a person (Antonio Fernández) to collect and computerize the data.

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Authors and Affiliations

  1. Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain

    D R J Martínez-St John, A Palazón-Bru, V F Gil-Guillén, A Sepehri, F Navarro-Cremades, D Orozco-Beltrán & C Carratalá-Munuera

  2. Research Unit, Elda Hospital, Elda, Spain

    A Palazón-Bru & V F Gil-Guillén

  3. Department of Pharmacology, Pediatrics and Organic Chemistry, Miguel Hernández University, San Juan de Alicante, Spain

    E Cortés

  4. Department of Nursing, University of Alicante, San Juan de Alicante, Spain

    M M Rizo-Baeza

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  1. D R J Martínez-St John
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  2. A Palazón-Bru
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Correspondence to A Palazón-Bru.

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Martínez-St John, D., Palazón-Bru, A., Gil-Guillén, V. et al. Differences in the management of hypertension, diabetes mellitus and dyslipidemia between obesity classes. J Hum Hypertens 30, 7–10 (2016). https://doi.org/10.1038/jhh.2015.29

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