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ESSENTIAL HYPERTENSION, PREVALENCE, AND DETERMINANTS AMONG ADULT TYPE II DIABETIC’S PATIENTS IN AL ADEL PRIMARY HEALTH CARE CENTER, MAKKAH, 2018

Osama Mohammed Noor, Ahmed Al-Katheri, Saud Al Zahrani

Aim: To determine the prevalence of HTN and its risk factors among diabetic patients. Method: This was a cross-sectional study conducted among 292 diabetes patients attend Al Adel PHCC during September 2018. Result: Out of 292 diabetics patients, 172 (58.9%) were male and 120 (41.1%) were female, with mean age 52.82±7.05, 281 (96.2%) were Saudi, 102 (34.9%) had university degree, 95 (32.5%) were private employee, 62 (21.2%) were retired, and 42 (14.4%) were housewives. The mean score of BMI was 31.62±4.72, where 157 (66.2%) were obese, and 71 (30.3%) were overweight. The median of DM duration was 7.0 years, 124 (42.5%) had HTN, 102 of HTN patients were diagnosed (>5 years). 111 (76.0%) reported "feeling better comparing to last 12 months", 131 patients had a Family history of DM & HTN, 4 (1.4%) cases hospitalized due to HTN. 70 (23.9%) stated smoking, with a mean age of smoking 21.56±5.36, 37 (52.9%) attend the tabaco cessation program, 220 (75.3%) reported “walking” as physical activity type, 198 (67.8%) reported “diet counseling." A significantly higher rate of HTN was among older, male, obese, heavy smokers, those who did not attend any cessation program, and had DM for a longer time (p<0.05). Conclusion: Reliable information about the incidence of hypertension is essential to develop national health policies to prevent and control the burden of such comorbid conditions. The prevalence of HTN was at a moderate level, where less than half had HTN. Recommendation: To present the most key points in this study to PHCC doctors and to write brochures. Further nation-wide studies on assessment of the prevalence and risk factors of HTN among DM patients need to be conducted in larger sample sizes and regions other than Makkah Al-Mukarramah.

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