Blood Pressure Control Among Diabetic Patients in the Eastern Mediterranean Region: A Systematic Review and Meta-Analysis

IF 2.4 Q3 ENDOCRINOLOGY & METABOLISM Current diabetes reviews Pub Date : 2024-07-31 DOI:10.2174/0115733998327293240729080250

Amir Hossein Behnoush, Sepehr Khosravi, Fateme Ziamanesh, Rasha Atlasi, Ali Sheidaei, Negin Sanadgol, Amirmohammad Khalaji, Ozra Tabatabaei-Malazy, Afshin Ostovar

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Abstract

Background: The control of blood pressure (BP) is a challenge in diabetic patients and is associated with adverse outcomes of diabetes. In this systematic review and metaanalysis, we investigated the BP control rate among hypertensive diabetic patients in the Eastern Mediterranean Region (EMR) countries.

Methods: We systematically searched PubMed, Scopus, Embase, Cochrane, and Web of Science databases up to January 2023 for observational studies on BP control among hypertensive diabetic patients in all EMR countries. We included studies reporting the proportion of hypertensive, type 2 diabetic patients with controlled BP, defined as systolic/diastolic BP < 140/90 or <130/80 mmHg. Study quality was assessed using modified STROBE guidelines, and a random-effect meta-analysis was conducted to pool prevalence data and calculate overall rates. Subgroup analysis was performed by gender, study design, country, and BP control cut-offs (140/90 and 130/80).

Results: Among the 1949 retrieved studies, 20 studies assessing 27956 individuals were included. The proportion of BP control regardless of cut-off points was 36.8% (95% CI=29.1%45.3%) based on the studies reported for both genders.The prevalence was 53.2% (95% CI=36.1%- 69.6%) and 43.5% (95% CI=20.0%-70.3%) based on the studies reported just for women or men, respectively.

Conclusion: Our findings indicate that BP control targets are not successfully achieved in hypertensive diabetic patients in the Eastern Mediterranean region. It is recommended to place greater emphasis on the quality of hypertension care in the management of type 2 diabetes.

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东地中海地区糖尿病患者的血压控制：系统回顾与元分析》。

背景：控制血压（BP）是糖尿病患者面临的一项挑战，而且与糖尿病的不良后果有关。在本系统综述和荟萃分析中，我们调查了东地中海地区（EMR）国家高血压糖尿病患者的血压控制率：我们系统检索了截至 2023 年 1 月的 PubMed、Scopus、Embase、Cochrane 和 Web of Science 数据库中有关所有东地中海地区国家高血压糖尿病患者血压控制情况的观察性研究。我们纳入了报告血压得到控制的高血压 2 型糖尿病患者比例的研究，定义为收缩压/舒张压 < 140/90 或结果：在检索到的 1949 项研究中，有 20 项研究对 27956 人进行了评估。无论截断点如何，血压得到控制的男女比例均为 36.8%（95% CI=29.1%-45.3%），其中女性和男性的比例分别为 53.2%（95% CI=36.1%-69.6%）和 43.5%（95% CI=20.0%-70.3%）。以 130/80 和 140/90 mmHg 为目标值，估计血压控制率分别为 38.2% (95%CI 24.5, 54.1) 和 36.5% (95%CI 27.1, 47.0)：我们的研究结果表明，东地中海地区的高血压糖尿病患者并未成功实现血压控制目标。建议在 2 型糖尿病管理中更加重视高血压护理的质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current diabetes reviews ENDOCRINOLOGY & METABOLISM-

CiteScore

6.30

自引率

0.00%

发文量

158

期刊介绍： Current Diabetes Reviews publishes frontier reviews on all the latest advances on diabetes and its related areas e.g. pharmacology, pathogenesis, complications, epidemiology, clinical care, and therapy. The journal"s aim is to publish the highest quality review articles dedicated to clinical research in the field. The journal is essential reading for all researchers and clinicians who are involved in the field of diabetes.