Associated Factors of Nutritional Status Among Patients with Both Type 2 Diabetes Mellitus and Hypertension: A Cross-Sectional Study Hung NT, et al. Associated Factors of Nutritional Status Among Patients with Both Type 2 Diabetes Mellitus and Hypertension
Main Article Content
Abstract
Background: The growing prevalence of overweight/obesity in patients with diabetes mellitus and hypertension has become a global health concern, which is increasing the risk of deaths. Knowing some factors leading to obesity allows more effective and appropriate prevention.
Aims: To identify some related factors to the nutritional status of patients with both type 2 diabetes mellitus and hypertension at the National hospital of Endocrinology in 2019-2020.
Methods: A cross-sectional study on 228 patients with type 2 Diabetes mellitus and hypertension at the National Hospital of Endocrinology from September 2019 to December 2019.
Results: The results revealed that the elderly group has a higher obesity rate than the middle-aged group (P<0.05). Overweight/obesity subjects had higher protein intake than those with Non-overweight/obesity (P<0.05). Unsatisfactory anthropometric indexes such as waist circumference (WC), waist-hip ratio (WHR), body fat percentage (BFP) had higher odds of overweight/obesity than those who have satisfactory index (OR=10.3, 18.4 and 13.5, respectively). Besides, 24-hours intake, eating habits and physical activity affected the risk of overweight/obesity. Lower frequency consumption of milk for diabetics and participation in physical activities had higher odds of overweight/obesity (OR=2.2, P<0.05). Conclusion: The body mass index of patients is associated with the anthropometric indexes, diets and physical activity.
Keywords:
Diabetes mellitus, Hypertension, Overweight/obesity, Body mass index, 24-hour dietary recall
Article Details
How to Cite
NGUYEN, Hung Trong et al.
Associated Factors of Nutritional Status Among Patients with Both Type 2 Diabetes Mellitus and Hypertension: A Cross-Sectional Study.
Medical Research Archives, [S.l.], v. 10, n. 5, june 2022.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/2771>. Date accessed: 05 nov. 2024.
doi: https://doi.org/10.18103/mra.v10i5.2771.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
1. Landsberg L, Molitch M. Diabetes and hypertension: pathogenesis, prevention and treatment. Clin Exp Hypertens. 2004;26(7–8):621-628.
2. Amanda NL, Samuel DJ. Comorbidities of Diabetes and Hypertension: Mechanisms and Approach to Target Organ Protection. J Clin Hypertens (Greenwich). 2011;13(4):244-251.
3. Cameron H, Bandit T, Hoang TT. The Association between Hypertension Comorbidity and Microvascular Complications in Type 2 Diabetes Patients: A Nationwide Cross-Sectional Study in Thailand. Diabetes Metab J. 2015;39(5):395-404.
4. Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014;103(2):137-149.
5. Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87(1):4-14.
6. World Health Organization. Hypertension. 2019. https://www.who.int/news-room/events/world-hypertension-day-2019.
7. World Health Organization. STEPS Noncommunicable Disease Risk Factors Survey. 2015. https://www.who.int ›VietNam_2015_STEPS_Report.
8. Khan NC, Khoi HH. Double burden of malnutrition: the Vietnamese perspective. Asia Pac J Clin Nutr. 2008;17 Suppl 1:116-118.
9. Hu L, Huang X, You C, et al. Prevalence of overweight, obesity, abdominal obesity and obesity-related risk factors in southern China. PLoS One. 2017;12(9):e0183934.
10. Hoang VM, Tran QB, Vu THL, et al. Patterns of Raised Blood Pressure in Vietnam: Findings from the WHO STEPS Survey 2015. Int J Hypertens. 2019;2019:1219783.
11. Broussard BA, Valway SE, Kaufman S. Clinical hypertension and its interaction with diabetes among American Indians and Alaska Natives: estimated rates from ambulatory care data. Diabetes Care. 1993 Jan;16(1):292-6.
12. Cappuccio FP, Barbato A, và Kerry SM. Hypertension, diabetes and cardiovascular risk in ethnic minorities in the UK. Br J Diabetes Vasc Dis. 2003;3:286-93.
13. Sowers JR. Diabetes mellitus and associated hypertension, vascular disease, and nephropathy. An update. Hypertension. 1995;26(6):869-79.
14. Stamler J, Vaccaro O. Diabetes, other risk factors, and 12-yr cardiovascular mortality for men screened in the multiple risk factor intervention trial. Diabetes Care. 1993 Feb;16(2):434-44.
15. Curb JD, Pressel SL, Cutler JA, et al. Effect of diuretic-based antihypertensive treatment on cardiovascular disease risk in older diabetic patients with isolated systolic hypertension. Systolic Hypertension in the Elderly Program Cooperative Research Group. JAMA. 1996 Dec;276(23):1886-92.
16. Grossman E, Messerli F. Hypertension and diabetes. Adv Cardiol. 2008;45:82-106.
17. Tuomilehto J, Rastenyte D, Birkenhager WH. Effects of calcium-channel blockade in older patients with diabetes and systolic hypertension. Systolic Hypertension in Europe Trial Investigators. N Engl J Med 1999; 340:677-84.
18. Vinh PN. Treatment of hypertension in diabetic patients with chronic kidney disease. Report at the 12th National Congress of Cardiology. 2010. Nha Trang.
19. Wing RR, Lang W, Wadden TA, et al. Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes. Diabetes Care. 2011;34(7):1481-6.
20. Look AHEAD Research Group (2010). Long-term Effects of a Lifestyle Intervention on Weight and Cardiovascular Risk Factors in Individuals With Type 2 Diabetes Mellitus: Four-Year Results of the Look AHEAD Trial - PubMed. Arch Intern Med. 2010;170(17):1566-75.
21. Ministry of Health. Guidelines and diagnostics for treatment of diabetes 2017. Medical Publishing House. 2017. Hanoi.
22. Linh TTT. Study on the relationship between cardiac expression and ESC-EASD recommendation in patients with type 2 diabetes mellitus with hypertension. Doctor of Medicine thesis. 2016. Hue University of Medicine and Pharmacy. http://huemeduniv.edu.vn/upload/file/TT%20Luan%20an%20NCS/Tran%20Thi%20Truc%20Linh%20-%20K2009/1.%20Toan%20van%20Luan%20an.pdf
23. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157-163.
24. World Health Organization. Waist circumference and waist-hip ratio: report of a WHO expert consultation. 2008. https://www.who.int/publications/i/item/9789241501491.
25. Gallagher D, Heymsfield SB, Heo M, et al. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr. 2000;72(3):694-701.
26. Gemma SC, Lluis SM. What and how much do we eat? 24-hour dietary recall method. Nutr Hosp. 2015;31(3):46-48.
27. Doan TTH. Analysis of the current situation of drug use in hypertensive patients with diabetes at the outpatient clinic of the Traditional Medicine Hospital of the Ministry of Public Security. Doctoral thesis. 2015. Hanoi Pharmaceutical University.
28. Rizvi AA. Nutritional challenges in the elderly with diabetes. Int J Diabetes Mellitus. 2009;1(1):26-31.
29. Min H, Chang J, Balkrishnan R. Sociodemographic Risk Factors of Diabetes and Hypertension Prevalence in Republic of Korea. Int J Hypertens. 2010;2010:410794.
30. American Diabetes Association. Older Adults: Standards of Medical Care in Diabetes-2020. Diabetes Care. 2020;43(Suppl 1):S152-62.
31. Dung NT, Nguyet TTP, Hung NT. Nutritional status of patients with type 2 diabetes with kidney damage at the Department of Nephrology, National Hospital of Endocrinology in 2018-2019. J Vietnamese Med. 2019;477(2):76-79.
32. Marcin G, Joanna G, Marlena E, Adam A, Roman J. Correlation between Body Mass Index and Waist Circumference in Patients with Metabolic Syndrome. ISRN Endocrinol. 2014;2014:514589.
33. Shafriani NR, Hastuti P, Sadewa AH. Heterozygote polymorphisms of ARG16GLY and GLN27GLU ADRB2 gene is risk protective for obesity in Javanese population of Indonesia. AJB. 2018;17(37):1172-1179.
34. Duarte CK, Dos Santos ALT, Kirst C, et al. Dietary source of saturated fat and percentage body fat of patients with type 2 diabetes mellitus: A cross-sectional study. Food Sci Nutr. 2018;7(1):195-204.
35. Huong LT, Dinh NT, Phuong DT. Nutritional status of patients with type 2 diabetes and some related factors at Hanoi Medical University Hospital 2016. J Nutri Food Safety. 2017;13(4):1-7.
36. Tanasescu M, Cho E, Manson JE, et al. Dietary fat and cholesterol and the risk of cardiovascular disease among women with type 2 diabetes. Am J Clin Nutr. 2004;79(6):999-1005.
37. Nancy FS, Nathaniel GC, Karmeen K, Patti G, et al. Dietary carbohydrate (amount and type) in the prevention and management of diabetes: a statement by the american diabetes association. Diabetes Care. 2004;27(9):2266-2271.
38. Amy PC, Tia MR. Dietary protein is important in the practical management of prediabetes and type 2 diabetes. J Nutr. 2015;145(1):164S-169S.
39. Garabed E. Obesity, diabetes, and chronic kidney disease. Curr Diab Rep. 2007;7(6):449-453.
40. Gang JK, Yoshitsugu O, Amanda RT, Kamyar KZ. Dietary protein intake and chronic kidney disease. Curr Opin Clin Nutr Metab Care. 2017;20(1):77-85.
2. Amanda NL, Samuel DJ. Comorbidities of Diabetes and Hypertension: Mechanisms and Approach to Target Organ Protection. J Clin Hypertens (Greenwich). 2011;13(4):244-251.
3. Cameron H, Bandit T, Hoang TT. The Association between Hypertension Comorbidity and Microvascular Complications in Type 2 Diabetes Patients: A Nationwide Cross-Sectional Study in Thailand. Diabetes Metab J. 2015;39(5):395-404.
4. Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014;103(2):137-149.
5. Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87(1):4-14.
6. World Health Organization. Hypertension. 2019. https://www.who.int/news-room/events/world-hypertension-day-2019.
7. World Health Organization. STEPS Noncommunicable Disease Risk Factors Survey. 2015. https://www.who.int ›VietNam_2015_STEPS_Report.
8. Khan NC, Khoi HH. Double burden of malnutrition: the Vietnamese perspective. Asia Pac J Clin Nutr. 2008;17 Suppl 1:116-118.
9. Hu L, Huang X, You C, et al. Prevalence of overweight, obesity, abdominal obesity and obesity-related risk factors in southern China. PLoS One. 2017;12(9):e0183934.
10. Hoang VM, Tran QB, Vu THL, et al. Patterns of Raised Blood Pressure in Vietnam: Findings from the WHO STEPS Survey 2015. Int J Hypertens. 2019;2019:1219783.
11. Broussard BA, Valway SE, Kaufman S. Clinical hypertension and its interaction with diabetes among American Indians and Alaska Natives: estimated rates from ambulatory care data. Diabetes Care. 1993 Jan;16(1):292-6.
12. Cappuccio FP, Barbato A, và Kerry SM. Hypertension, diabetes and cardiovascular risk in ethnic minorities in the UK. Br J Diabetes Vasc Dis. 2003;3:286-93.
13. Sowers JR. Diabetes mellitus and associated hypertension, vascular disease, and nephropathy. An update. Hypertension. 1995;26(6):869-79.
14. Stamler J, Vaccaro O. Diabetes, other risk factors, and 12-yr cardiovascular mortality for men screened in the multiple risk factor intervention trial. Diabetes Care. 1993 Feb;16(2):434-44.
15. Curb JD, Pressel SL, Cutler JA, et al. Effect of diuretic-based antihypertensive treatment on cardiovascular disease risk in older diabetic patients with isolated systolic hypertension. Systolic Hypertension in the Elderly Program Cooperative Research Group. JAMA. 1996 Dec;276(23):1886-92.
16. Grossman E, Messerli F. Hypertension and diabetes. Adv Cardiol. 2008;45:82-106.
17. Tuomilehto J, Rastenyte D, Birkenhager WH. Effects of calcium-channel blockade in older patients with diabetes and systolic hypertension. Systolic Hypertension in Europe Trial Investigators. N Engl J Med 1999; 340:677-84.
18. Vinh PN. Treatment of hypertension in diabetic patients with chronic kidney disease. Report at the 12th National Congress of Cardiology. 2010. Nha Trang.
19. Wing RR, Lang W, Wadden TA, et al. Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes. Diabetes Care. 2011;34(7):1481-6.
20. Look AHEAD Research Group (2010). Long-term Effects of a Lifestyle Intervention on Weight and Cardiovascular Risk Factors in Individuals With Type 2 Diabetes Mellitus: Four-Year Results of the Look AHEAD Trial - PubMed. Arch Intern Med. 2010;170(17):1566-75.
21. Ministry of Health. Guidelines and diagnostics for treatment of diabetes 2017. Medical Publishing House. 2017. Hanoi.
22. Linh TTT. Study on the relationship between cardiac expression and ESC-EASD recommendation in patients with type 2 diabetes mellitus with hypertension. Doctor of Medicine thesis. 2016. Hue University of Medicine and Pharmacy. http://huemeduniv.edu.vn/upload/file/TT%20Luan%20an%20NCS/Tran%20Thi%20Truc%20Linh%20-%20K2009/1.%20Toan%20van%20Luan%20an.pdf
23. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157-163.
24. World Health Organization. Waist circumference and waist-hip ratio: report of a WHO expert consultation. 2008. https://www.who.int/publications/i/item/9789241501491.
25. Gallagher D, Heymsfield SB, Heo M, et al. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr. 2000;72(3):694-701.
26. Gemma SC, Lluis SM. What and how much do we eat? 24-hour dietary recall method. Nutr Hosp. 2015;31(3):46-48.
27. Doan TTH. Analysis of the current situation of drug use in hypertensive patients with diabetes at the outpatient clinic of the Traditional Medicine Hospital of the Ministry of Public Security. Doctoral thesis. 2015. Hanoi Pharmaceutical University.
28. Rizvi AA. Nutritional challenges in the elderly with diabetes. Int J Diabetes Mellitus. 2009;1(1):26-31.
29. Min H, Chang J, Balkrishnan R. Sociodemographic Risk Factors of Diabetes and Hypertension Prevalence in Republic of Korea. Int J Hypertens. 2010;2010:410794.
30. American Diabetes Association. Older Adults: Standards of Medical Care in Diabetes-2020. Diabetes Care. 2020;43(Suppl 1):S152-62.
31. Dung NT, Nguyet TTP, Hung NT. Nutritional status of patients with type 2 diabetes with kidney damage at the Department of Nephrology, National Hospital of Endocrinology in 2018-2019. J Vietnamese Med. 2019;477(2):76-79.
32. Marcin G, Joanna G, Marlena E, Adam A, Roman J. Correlation between Body Mass Index and Waist Circumference in Patients with Metabolic Syndrome. ISRN Endocrinol. 2014;2014:514589.
33. Shafriani NR, Hastuti P, Sadewa AH. Heterozygote polymorphisms of ARG16GLY and GLN27GLU ADRB2 gene is risk protective for obesity in Javanese population of Indonesia. AJB. 2018;17(37):1172-1179.
34. Duarte CK, Dos Santos ALT, Kirst C, et al. Dietary source of saturated fat and percentage body fat of patients with type 2 diabetes mellitus: A cross-sectional study. Food Sci Nutr. 2018;7(1):195-204.
35. Huong LT, Dinh NT, Phuong DT. Nutritional status of patients with type 2 diabetes and some related factors at Hanoi Medical University Hospital 2016. J Nutri Food Safety. 2017;13(4):1-7.
36. Tanasescu M, Cho E, Manson JE, et al. Dietary fat and cholesterol and the risk of cardiovascular disease among women with type 2 diabetes. Am J Clin Nutr. 2004;79(6):999-1005.
37. Nancy FS, Nathaniel GC, Karmeen K, Patti G, et al. Dietary carbohydrate (amount and type) in the prevention and management of diabetes: a statement by the american diabetes association. Diabetes Care. 2004;27(9):2266-2271.
38. Amy PC, Tia MR. Dietary protein is important in the practical management of prediabetes and type 2 diabetes. J Nutr. 2015;145(1):164S-169S.
39. Garabed E. Obesity, diabetes, and chronic kidney disease. Curr Diab Rep. 2007;7(6):449-453.
40. Gang JK, Yoshitsugu O, Amanda RT, Kamyar KZ. Dietary protein intake and chronic kidney disease. Curr Opin Clin Nutr Metab Care. 2017;20(1):77-85.