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TITLE:

THE ASSOCIATIONS AND RISK FACTORS RELATED WITH DIABETES HYPERTENSION AND PROTEINURIA AMONG ADULTS

AUTHORS:

Dr Ejaz ullah, Dr Hasham Hussain Farooqi, Dr Gohar Rahman

ABSTRACT:

Aim: The purpose of this study was to investigate the relationship between hypertension, diabetes, and proteinuria and their risk factors in adults. Place and Duration: In the Medicine department of Lady Reading Hospital (LRH) Peshawar for one-year duration from February 2019 to January 2020. Methods: Data were collected from 2,890 people who agreed to participate in the study. The data included basic information about demographic and health research. Multivariate logistic regression models were used with three outcome variables (proteinuria, diabetes, and hypertension) and four independent and control variables (age, sex, pulse rate, and body mass index). Results: Of the participants who had both hypertension and diabetes, 77% had proteinuria. Of those with diabetes, 55% had proteinuria and 45% had hypertension. Logistic regression models adjusted for age and sex showed that diabetes mellitus was significantly associated with proteinuria (odds ratio OR = 3.0, p = 0.005), while the relationship between hypertension and proteinuria was borderline significant (p <0.057). Hypertension was significantly associated with diabetes after adjusting for age and sex (OR = 1.5, P less than 0.001). Participants over the age of 40 had a greater chance of having diabetes or high blood pressure compared to participants aged 15 to 39. Conclusions: Prevention of complications in non-communicable diseases (NCD) should focus on subpopulations over 40 years of age and people with hypertension, diabetes and / or proteinuria. Healthcare services are important for screening large numbers of unaware and undiagnosed patients with diabetes, hypertension and proteinuria. Key words: diabetes, hypertension, proteinuria, risk factors.

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