Please use this identifier to cite or link to this item:
http://hdl.handle.net/10397/105769
DC Field | Value | Language |
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dc.contributor | School of Nursing | - |
dc.creator | Yu, X | - |
dc.creator | Li, YT | - |
dc.creator | Cheng, H | - |
dc.creator | Zhu, S | - |
dc.creator | Hu, XJ | - |
dc.creator | Wang, JJ | - |
dc.creator | Mohammed, BH | - |
dc.creator | Xie, YJ | - |
dc.creator | Hernandez, J | - |
dc.creator | Wu, HF | - |
dc.creator | Wang, HHX | - |
dc.date.accessioned | 2024-04-23T04:31:08Z | - |
dc.date.available | 2024-04-23T04:31:08Z | - |
dc.identifier.uri | http://hdl.handle.net/10397/105769 | - |
dc.language.iso | en | en_US |
dc.publisher | Frontiers Research Foundation | en_US |
dc.rights | © 2023 Yu, Li, Cheng, Zhu, Hu, Wang, Mohammed, Xie, Hernandez, Wu and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (http://creativecommons.org/licenses/by/4.0/). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. | en_US |
dc.rights | The following publication Yu X, Li YT, Cheng H, Zhu S, Hu X-J, Wang JJ, Mohammed BH, Xie YJ, Hernandez J, Wu H-F and Wang HHX (2023) Longitudinal changes in blood pressure and fasting plasma glucose among 5,398 primary care patients with concomitant hypertension and diabetes: An observational study and implications for community-based cardiovascular prevention. Front. Cardiovasc. Med. 10:1120543 is available at https://doi.org/10.3389/fcvm.2023.1120543. | en_US |
dc.subject | Blood pressure | en_US |
dc.subject | Cardiovascular prevention | en_US |
dc.subject | Diabetes | en_US |
dc.subject | Fasting plasma glucose | en_US |
dc.subject | Hypertension | en_US |
dc.subject | Long-term follow-up | en_US |
dc.subject | Routine primary care | en_US |
dc.title | Longitudinal changes in blood pressure and fasting plasma glucose among 5,398 primary care patients with concomitant hypertension and diabetes : an observational study and implications for community-based cardiovascular prevention | en_US |
dc.type | Journal/Magazine Article | en_US |
dc.identifier.volume | 10 | - |
dc.identifier.doi | 10.3389/fcvm.2023.1120543 | - |
dcterms.abstract | Aims: To assess longitudinal changes in blood pressure (BP) and fasting plasma glucose (FPG) in primary care patients with concomitant hypertension and type 2 diabetes mellitus (T2DM), and to explore factors associated with patients' inability to improve BP and FPG at follow-up. | - |
dcterms.abstract | Methods: We constructed a closed cohort in the context of the national basic public health (BPH) service provision in an urbanised township in southern China. Primary care patients who had concomitant hypertension and T2DM were retrospectively followed up from 2016 to 2019. Data were retrieved electronically from the computerised BPH platform. Patient-level risk factors were explored using multivariable logistic regression analysis. | - |
dcterms.abstract | Results: We included 5,398 patients (mean age 66 years; range 28.9 to 96.1 years). At baseline, almost half [48.3% (2,608/5,398)] of patients had uncontrolled BP or FPG. During follow-up, more than one-fourth [27.2% (1,467/5,398)] of patients had no improvement in both BP and FPG. Among all patients, we observed significant increases in systolic BP [2.31 mmHg, 95% confidence interval (CI): 2.04 to 2.59, p < 0.001], diastolic BP (0.73 mmHg, 0.54 to 0.92, p < 0.001), and FPG (0.12 mmol/l, 0.09 to 0.15, p < 0.001) at follow-up compared to baseline. In addition to changes in body mass index [adjusted odds ratio (aOR)=1.045, 1.003 to 1.089, p = 0.037], poor adherence to lifestyle advice (aOR = 1.548, 1.356 to 1.766, p < 0.001), and unwillingness to actively enrol in health-care plans managed by the family doctor team (aOR = 1.379, 1.128 to 1.685, p = 0.001) were factors associated with no improvement in BP and FPG at follow-up. | - |
dcterms.abstract | Conclusion: A suboptimal control of BP and FPG remains an ongoing challenge to primary care patients with concomitant hypertension and T2DM in real-world community settings. Tailored actions aiming to improve patients' adherence to healthy lifestyles, expand the delivery of team-based care, and encourage weight control should be incorporated into routine healthcare planning for community-based cardiovascular prevention. | - |
dcterms.accessRights | open access | en_US |
dcterms.bibliographicCitation | Frontiers in cardiovascular medicine, 2023, v. 10, 1120543 | - |
dcterms.isPartOf | Frontiers in cardiovascular medicine | - |
dcterms.issued | 2023 | - |
dc.identifier.scopus | 2-s2.0-85153473511 | - |
dc.identifier.eissn | 2297-055X | - |
dc.identifier.artn | 1120543 | - |
dc.description.validate | 202404 bcch | - |
dc.description.oa | Version of Record | en_US |
dc.identifier.FolderNumber | OA_Scopus/WOS | en_US |
dc.description.fundingSource | Others | en_US |
dc.description.fundingText | National Natural Science Foundation of China; Basic and Applied Basic Research Foundation of Guangdong Province | en_US |
dc.description.pubStatus | Published | en_US |
dc.description.oaCategory | CC | en_US |
Appears in Collections: | Journal/Magazine Article |
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File | Description | Size | Format | |
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fcvm-10-1120543.pdf | 383.73 kB | Adobe PDF | View/Open |
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