隐藏的障碍:高血压治疗中的肥胖偏差
Guilherme Heiden Telo1,2, Lucas Strassburger Matzenbacher3, Lucas Friedrich Fontoura1
1Medicine and Health Sciences Graduate Program, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.
International journal of obesity (2005)
|August 19, 2024
概括
肥胖和糖尿病患者不太可能获得足够的高血压治疗强化. 这表明在护理方面存在潜在的差异,影响肥胖患者的血压管理.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 肥胖偏见可能会影响医疗保健的提供.
- 肥胖患者可能会在医疗保健方面出现差异.
- 糖尿病患者肥胖的高血压管理需要进一步调查.
研究的目的:
- 评估2型糖尿病和动脉高血压患者的高血压药物治疗决策.
- 为了比较患有肥胖和没有肥胖的糖尿病患者之间的治疗充分性.
- 评估肥胖对高血压管理中的治疗惯性的影响.
主要方法:
- 巴西南部的多中心横截面研究.
- 将患者分层分为体重较低 (BMI < 25.0 kg/m2) 和肥胖 (BMI ≥ 30.0 kg/m2) 的组.
- 基于ADA,ESH和ESC指南,使用多变量逻辑回归来比较高血压的药理学治疗强化.
主要成果:
- 204名参与者:53人体重较低,151人肥胖.
- 患有肥胖症的患者接受适当的治疗加剧的可能性明显较小.
- 由于未能加强治疗而调整的OR为2.28 (ESH),2.13 (ESC) 和2.33 (ADA) 在肥胖组.
结论:
- 肥胖可能与糖尿病患者高血压管理中的治疗惯性有关.
- 研究结果表明,肥胖患者的高血压护理可能存在差异.
- 这凸显了所有患者需要公平,基于证据的高血压管理策略的需要.
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