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Prevalence, awareness, treatment and control of hypertension in adults with diagnosed diabetes: The Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV)

Abstract

We evaluated the prevalence, awareness, treatment and control of hypertension in Korean adults with diagnosed diabetes using nationally representative data. Among subjects aged 30 years who participated in the Fourth Korea National Health and Nutrition Examination Survey in 2007 and 2008, a total of 745 subjects (336 men and 409 women) with a previous diagnosis of diabetes mellitus were analyzed. The prevalence of hypertension in adults with diagnosed diabetes was 55.5%. The rates of awareness, treatment and control were 88.0, 94.2, and 30.8%, respectively. Compared with the general population, the prevalence of hypertension in adults with diagnosed diabetes was higher in all age groups in both genders. Factors independently associated with a high prevalence of hypertension included being male, increasing age, single, <9 years of education, the presence of chronic kidney disease risk, hypercholesterolemia (240 mg dl−1) and high body mass index (25 kg m−2). Regular medical screening was positively associated with hypertension control, whereas a high triglyceride level (150 mg dl−1) was inversely associated. A high prevalence and a low control rate of hypertension in adults with diagnosed diabetes suggest that stringent efforts are needed to control blood pressure in diabetic patients.

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Acknowledgements

We wish to acknowledge the financial support of the Catholic Medical Center Research Foundation made in the program year of 2011. In addition, this study was partly supported by a grant of the Korea Healthcare Technology R&D Project, Ministry for Health, Welfare and Family Affairs, Republic of Korea (A084001).

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Correspondence to Y-M Park.

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The authors declared no conflict of interest.

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A portion of the work was previously presented at the 8th International Diabetes Federation Western Pacific Region (IDF WPR) Congress. Busan, Korea, October 17–20, 2010.

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Lee, HS., Lee, SS., Hwang, IY. et al. Prevalence, awareness, treatment and control of hypertension in adults with diagnosed diabetes: The Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV). J Hum Hypertens 27, 381–387 (2013). https://doi.org/10.1038/jhh.2012.56

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  • DOI: https://doi.org/10.1038/jhh.2012.56

Keywords

  • diabetes mellitus
  • prevalence
  • control
  • blood pressure

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