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

作者：Martinez St John D R J; Palazon Bru A^*; Gil Guillen V F; Sepehri A; Navarro Cremades F; Orozco Beltran D; Carratala Munuera C; Cortes E; Rizo Baeza M M

来源：Journal of Human Hypertension, 2016, 30(1): 7-10.

DOI：10.1038/jhh.2015.29

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.

• 出版日期2016-1