Cardiovascular Risk Prediction, Glycemic Control, and Determinants in Diabetic and Hypertensive Patients in Massawa Hospital, Eritrea: Cross-Sectional Study on 600 Subjects

Berhe Tesfai,1 Fitsum Kibreab,2 Abraham Dawit,1 Zemui Mekonen,1 Solomon Ghebrezghi,1 Senait Kefele1 1Medical Department, Massawa Hospital, Northern Red Sea Zone, Ministry of Health, Massawa, Eritrea; 2Health Research and Resources Center Divisiony, Ministry of Health, Asmara, EritreaCorrespondence:...

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Autores principales:	Tesfai B, Kibreab F, Dawit A, Mekonen Z, Ghebrezghi S, Kefele S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	cardiovascular glycemic control diabetes hypertension massawa hospital Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/8f80d41e48df4f45a607360410df7e6f
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spelling	oai:doaj.org-article:8f80d41e48df4f45a607360410df7e6f2021-12-02T16:29:28ZCardiovascular Risk Prediction, Glycemic Control, and Determinants in Diabetic and Hypertensive Patients in Massawa Hospital, Eritrea: Cross-Sectional Study on 600 Subjects1178-7007https://doaj.org/article/8f80d41e48df4f45a607360410df7e6f2021-07-01T00:00:00Zhttps://www.dovepress.com/cardiovascular-risk-prediction-glycemic-control-and-determinants-in-di-peer-reviewed-fulltext-article-DMSOhttps://doaj.org/toc/1178-7007Berhe Tesfai,1 Fitsum Kibreab,2 Abraham Dawit,1 Zemui Mekonen,1 Solomon Ghebrezghi,1 Senait Kefele1 1Medical Department, Massawa Hospital, Northern Red Sea Zone, Ministry of Health, Massawa, Eritrea; 2Health Research and Resources Center Divisiony, Ministry of Health, Asmara, EritreaCorrespondence: Berhe TesfaiMedical Department, Massawa Hospital, Northern Red Sea Zone, Ministry of Health, Massawa, EritreaEmail berhetesfai04@gmail.comBackground: Hypertension and diabetes are key determinants of cardiovascular risks. The objective of this study was to calculate 10-year incidence of cardiovascular risk, determine cardiovascular risk factors, and evaluate how diabetes and hypertension are controlled in patients in Massawa Hospital, Eritrea.Methods: This was a hospital-based cross-sectional study using census sampling. A checklist and interview were used as data-collection tool from October 10 to November 20, 2020. Written consent was obtained from each study participant before starting the study. Descriptive statistics were wasused, and results are presented in percentages in tables, p< 0.05 was considered significant.Results: A total of 600 patients were enrolled in the study, dominated by the Tigrigna (58.7%) and Tigre (26.7%) ethnic groups. About half the patients (58.8%) had a body-mass index of 18– 25 kg/m2, with abdominal circumference of < 95 cm (74%). Most (93.5%) patients had < 10% risk of cardiovascular complications in the coming 10 years. Age showed significant association with hypertension, diabetes mellitus, cardiovascular risk, and poor glycemic and blood-pressure control (p< 0.001). Body-mass index, abdominal obesity, and history of stroke were associated with hypertension and diabetes mellitus (p< 0.001). Moreover, smoking, hypertension, and monthly income were associated with higher cardiovascular risk (p< 0.001). In addition, hypertension and abdominal obesity were associated with glycemic control (p< 0.001), and blood-pressure control was significantly associated with diabetes and hypertension (p< 0.001).Conclusion: Age and hypertension were associated with diabetes, cardiovascular risk and poor glycemic control, and smoking, abdominal obesity, and monthly income also significant associations with higher cardiovascular risk and glycemic control. Cessation and adjustment of modifiable factors, such as smoking, hypertension, and regular exercise are highly recommended.Keywords: cardiovascular, glycemic control, diabetes, hypertension, Massawa HospitalTesfai BKibreab FDawit AMekonen ZGhebrezghi SKefele SDove Medical Pressarticlecardiovascularglycemic controldiabeteshypertensionmassawa hospitalSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 14, Pp 3035-3046 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cardiovascular glycemic control diabetes hypertension massawa hospital Specialties of internal medicine RC581-951
spellingShingle	cardiovascular glycemic control diabetes hypertension massawa hospital Specialties of internal medicine RC581-951 Tesfai B Kibreab F Dawit A Mekonen Z Ghebrezghi S Kefele S Cardiovascular Risk Prediction, Glycemic Control, and Determinants in Diabetic and Hypertensive Patients in Massawa Hospital, Eritrea: Cross-Sectional Study on 600 Subjects
description	Berhe Tesfai,1 Fitsum Kibreab,2 Abraham Dawit,1 Zemui Mekonen,1 Solomon Ghebrezghi,1 Senait Kefele1 1Medical Department, Massawa Hospital, Northern Red Sea Zone, Ministry of Health, Massawa, Eritrea; 2Health Research and Resources Center Divisiony, Ministry of Health, Asmara, EritreaCorrespondence: Berhe TesfaiMedical Department, Massawa Hospital, Northern Red Sea Zone, Ministry of Health, Massawa, EritreaEmail berhetesfai04@gmail.comBackground: Hypertension and diabetes are key determinants of cardiovascular risks. The objective of this study was to calculate 10-year incidence of cardiovascular risk, determine cardiovascular risk factors, and evaluate how diabetes and hypertension are controlled in patients in Massawa Hospital, Eritrea.Methods: This was a hospital-based cross-sectional study using census sampling. A checklist and interview were used as data-collection tool from October 10 to November 20, 2020. Written consent was obtained from each study participant before starting the study. Descriptive statistics were wasused, and results are presented in percentages in tables, p< 0.05 was considered significant.Results: A total of 600 patients were enrolled in the study, dominated by the Tigrigna (58.7%) and Tigre (26.7%) ethnic groups. About half the patients (58.8%) had a body-mass index of 18– 25 kg/m2, with abdominal circumference of < 95 cm (74%). Most (93.5%) patients had < 10% risk of cardiovascular complications in the coming 10 years. Age showed significant association with hypertension, diabetes mellitus, cardiovascular risk, and poor glycemic and blood-pressure control (p< 0.001). Body-mass index, abdominal obesity, and history of stroke were associated with hypertension and diabetes mellitus (p< 0.001). Moreover, smoking, hypertension, and monthly income were associated with higher cardiovascular risk (p< 0.001). In addition, hypertension and abdominal obesity were associated with glycemic control (p< 0.001), and blood-pressure control was significantly associated with diabetes and hypertension (p< 0.001).Conclusion: Age and hypertension were associated with diabetes, cardiovascular risk and poor glycemic control, and smoking, abdominal obesity, and monthly income also significant associations with higher cardiovascular risk and glycemic control. Cessation and adjustment of modifiable factors, such as smoking, hypertension, and regular exercise are highly recommended.Keywords: cardiovascular, glycemic control, diabetes, hypertension, Massawa Hospital
format	article
author	Tesfai B Kibreab F Dawit A Mekonen Z Ghebrezghi S Kefele S
author_facet	Tesfai B Kibreab F Dawit A Mekonen Z Ghebrezghi S Kefele S
author_sort	Tesfai B
title	Cardiovascular Risk Prediction, Glycemic Control, and Determinants in Diabetic and Hypertensive Patients in Massawa Hospital, Eritrea: Cross-Sectional Study on 600 Subjects
title_short	Cardiovascular Risk Prediction, Glycemic Control, and Determinants in Diabetic and Hypertensive Patients in Massawa Hospital, Eritrea: Cross-Sectional Study on 600 Subjects
title_full	Cardiovascular Risk Prediction, Glycemic Control, and Determinants in Diabetic and Hypertensive Patients in Massawa Hospital, Eritrea: Cross-Sectional Study on 600 Subjects
title_fullStr	Cardiovascular Risk Prediction, Glycemic Control, and Determinants in Diabetic and Hypertensive Patients in Massawa Hospital, Eritrea: Cross-Sectional Study on 600 Subjects
title_full_unstemmed	Cardiovascular Risk Prediction, Glycemic Control, and Determinants in Diabetic and Hypertensive Patients in Massawa Hospital, Eritrea: Cross-Sectional Study on 600 Subjects
title_sort	cardiovascular risk prediction, glycemic control, and determinants in diabetic and hypertensive patients in massawa hospital, eritrea: cross-sectional study on 600 subjects
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/8f80d41e48df4f45a607360410df7e6f
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Cardiovascular Risk Prediction, Glycemic Control, and Determinants in Diabetic and Hypertensive Patients in Massawa Hospital, Eritrea: Cross-Sectional Study on 600 Subjects

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