Higher Prevalence and Awareness, but Lower Control Rate of Hypertension in Patients with Diabetes than General Population: The Fifth Korean National Health and Nutrition Examination Survey in 2011

Seung Hyun Ko, Hyuk Sang Kwon, Dae Jung Kim, Jae Hyeon Kim, Nan Hee Kim, Chul Sik Kim, Kee Ho Song, Jong Chul Won, Soo Lim, Sung Hee Choi, Kyungdo Han, Yong Moon Park, Bong Yun Cha

Research output: Contribution to journalArticle

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Abstract

Background: We investigated the prevalence, awareness, treatment, and control rate of hypertension in Korean adults with diabetes using nationally representative data. Methods: Using data of 5,105 adults from the fifth Korea National Health and Nutrition Examination Survey in 2011 (4,389 nondiabetes mellitus [non-DM]), 242 newly diagnosed with DM (new-DM), and 474 previously diagnosed with DM (known-DM), we analyzed the prevalence of hypertension (mean systolic blood pressure ≥140 mm Hg, diastolic blood pressure ≥90 mm Hg, or use of antihypertensive medication) and control rate of hypertension (blood pressure [BP] <130/80 mm Hg). Results: The prevalence of hypertension in diabetic adults was 54.6% (44.4% in new-DM and 62.6% in known-DM, P<0.0001 and P<0.0001, respectively) compared with non-DM adults (26.2%). Compared to non-DM, awareness (85.7%, P<0.001) and treatment (97.0%, P=0.020) rates were higher in known-DM, whereas no differences were found between new-DM and non-DM. Control rate among all hypertensive subjects was lower in new-DM (14.9%), compared to non-DM (35.1%, P<0.001) and known-DM (33.3%, P=0.004). Control rate among treated subjects was also lower in new-DM (25.2%), compared to non-DM (68.4%, P<0.0001) and known-DM (39.9%, P<0.0001). Conclusion: Higher prevalence and low control rate of hypertension in adults with diabetes suggest that stringent efforts are needed to control BP in patients with diabetes, particularly in newly diagnosed diabetic patients.

Original languageEnglish
Pages (from-to)51-57
Number of pages7
JournalDiabetes and Metabolism Journal
Volume38
Issue number1
DOIs
Publication statusPublished - 2014 Jan 1

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Nutrition Surveys
Blood Pressure
Hypertension
Population
Korea
Antihypertensive Agents
Therapeutics

Keywords

  • Blood pressure
  • Diabetes mellitus
  • Hypertension
  • Korea national health and nutrition examination survey

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism

Cite this

Higher Prevalence and Awareness, but Lower Control Rate of Hypertension in Patients with Diabetes than General Population : The Fifth Korean National Health and Nutrition Examination Survey in 2011. / Ko, Seung Hyun; Kwon, Hyuk Sang; Kim, Dae Jung; Kim, Jae Hyeon; Kim, Nan Hee; Kim, Chul Sik; Song, Kee Ho; Won, Jong Chul; Lim, Soo; Choi, Sung Hee; Han, Kyungdo; Park, Yong Moon; Cha, Bong Yun.

In: Diabetes and Metabolism Journal, Vol. 38, No. 1, 01.01.2014, p. 51-57.

Research output: Contribution to journalArticle

Ko, Seung Hyun ; Kwon, Hyuk Sang ; Kim, Dae Jung ; Kim, Jae Hyeon ; Kim, Nan Hee ; Kim, Chul Sik ; Song, Kee Ho ; Won, Jong Chul ; Lim, Soo ; Choi, Sung Hee ; Han, Kyungdo ; Park, Yong Moon ; Cha, Bong Yun. / Higher Prevalence and Awareness, but Lower Control Rate of Hypertension in Patients with Diabetes than General Population : The Fifth Korean National Health and Nutrition Examination Survey in 2011. In: Diabetes and Metabolism Journal. 2014 ; Vol. 38, No. 1. pp. 51-57.
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abstract = "Background: We investigated the prevalence, awareness, treatment, and control rate of hypertension in Korean adults with diabetes using nationally representative data. Methods: Using data of 5,105 adults from the fifth Korea National Health and Nutrition Examination Survey in 2011 (4,389 nondiabetes mellitus [non-DM]), 242 newly diagnosed with DM (new-DM), and 474 previously diagnosed with DM (known-DM), we analyzed the prevalence of hypertension (mean systolic blood pressure ≥140 mm Hg, diastolic blood pressure ≥90 mm Hg, or use of antihypertensive medication) and control rate of hypertension (blood pressure [BP] <130/80 mm Hg). Results: The prevalence of hypertension in diabetic adults was 54.6{\%} (44.4{\%} in new-DM and 62.6{\%} in known-DM, P<0.0001 and P<0.0001, respectively) compared with non-DM adults (26.2{\%}). Compared to non-DM, awareness (85.7{\%}, P<0.001) and treatment (97.0{\%}, P=0.020) rates were higher in known-DM, whereas no differences were found between new-DM and non-DM. Control rate among all hypertensive subjects was lower in new-DM (14.9{\%}), compared to non-DM (35.1{\%}, P<0.001) and known-DM (33.3{\%}, P=0.004). Control rate among treated subjects was also lower in new-DM (25.2{\%}), compared to non-DM (68.4{\%}, P<0.0001) and known-DM (39.9{\%}, P<0.0001). Conclusion: Higher prevalence and low control rate of hypertension in adults with diabetes suggest that stringent efforts are needed to control BP in patients with diabetes, particularly in newly diagnosed diabetic patients.",
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T1 - Higher Prevalence and Awareness, but Lower Control Rate of Hypertension in Patients with Diabetes than General Population

T2 - The Fifth Korean National Health and Nutrition Examination Survey in 2011

AU - Ko, Seung Hyun

AU - Kwon, Hyuk Sang

AU - Kim, Dae Jung

AU - Kim, Jae Hyeon

AU - Kim, Nan Hee

AU - Kim, Chul Sik

AU - Song, Kee Ho

AU - Won, Jong Chul

AU - Lim, Soo

AU - Choi, Sung Hee

AU - Han, Kyungdo

AU - Park, Yong Moon

AU - Cha, Bong Yun

PY - 2014/1/1

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N2 - Background: We investigated the prevalence, awareness, treatment, and control rate of hypertension in Korean adults with diabetes using nationally representative data. Methods: Using data of 5,105 adults from the fifth Korea National Health and Nutrition Examination Survey in 2011 (4,389 nondiabetes mellitus [non-DM]), 242 newly diagnosed with DM (new-DM), and 474 previously diagnosed with DM (known-DM), we analyzed the prevalence of hypertension (mean systolic blood pressure ≥140 mm Hg, diastolic blood pressure ≥90 mm Hg, or use of antihypertensive medication) and control rate of hypertension (blood pressure [BP] <130/80 mm Hg). Results: The prevalence of hypertension in diabetic adults was 54.6% (44.4% in new-DM and 62.6% in known-DM, P<0.0001 and P<0.0001, respectively) compared with non-DM adults (26.2%). Compared to non-DM, awareness (85.7%, P<0.001) and treatment (97.0%, P=0.020) rates were higher in known-DM, whereas no differences were found between new-DM and non-DM. Control rate among all hypertensive subjects was lower in new-DM (14.9%), compared to non-DM (35.1%, P<0.001) and known-DM (33.3%, P=0.004). Control rate among treated subjects was also lower in new-DM (25.2%), compared to non-DM (68.4%, P<0.0001) and known-DM (39.9%, P<0.0001). Conclusion: Higher prevalence and low control rate of hypertension in adults with diabetes suggest that stringent efforts are needed to control BP in patients with diabetes, particularly in newly diagnosed diabetic patients.

AB - Background: We investigated the prevalence, awareness, treatment, and control rate of hypertension in Korean adults with diabetes using nationally representative data. Methods: Using data of 5,105 adults from the fifth Korea National Health and Nutrition Examination Survey in 2011 (4,389 nondiabetes mellitus [non-DM]), 242 newly diagnosed with DM (new-DM), and 474 previously diagnosed with DM (known-DM), we analyzed the prevalence of hypertension (mean systolic blood pressure ≥140 mm Hg, diastolic blood pressure ≥90 mm Hg, or use of antihypertensive medication) and control rate of hypertension (blood pressure [BP] <130/80 mm Hg). Results: The prevalence of hypertension in diabetic adults was 54.6% (44.4% in new-DM and 62.6% in known-DM, P<0.0001 and P<0.0001, respectively) compared with non-DM adults (26.2%). Compared to non-DM, awareness (85.7%, P<0.001) and treatment (97.0%, P=0.020) rates were higher in known-DM, whereas no differences were found between new-DM and non-DM. Control rate among all hypertensive subjects was lower in new-DM (14.9%), compared to non-DM (35.1%, P<0.001) and known-DM (33.3%, P=0.004). Control rate among treated subjects was also lower in new-DM (25.2%), compared to non-DM (68.4%, P<0.0001) and known-DM (39.9%, P<0.0001). Conclusion: Higher prevalence and low control rate of hypertension in adults with diabetes suggest that stringent efforts are needed to control BP in patients with diabetes, particularly in newly diagnosed diabetic patients.

KW - Blood pressure

KW - Diabetes mellitus

KW - Hypertension

KW - Korea national health and nutrition examination survey

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