Association between social determinants and the presence of essential hypertension in type 2 diabetes mellitus patients

2019 ◽  
Vol 25 (2) ◽  
pp. 146 ◽  
Author(s):  
Hong Fan ◽  
Jianming Wang ◽  
Xiaoxu Gu
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Essential Hypertension ◽  
Social Determinants ◽  
Cluster Sampling ◽  
Research Subjects ◽  
Univariate Analyses

The purpose of this study was to analyse the association between social determinants and the presence of essential hypertension in type 2 diabetes mellitus patients in one rural county (Jintan) of China. A health survey of Jintan residents was conducted in 2013, applying a cluster sampling method. Three hundred and fifty-seven type 2 diabetes mellitus patients were selected as research subjects. Among the patients selected, essential hypertension prevalence was 45.4% (n=162). After univariate analyses and logistic regression analyses, an association was observed between the presence of essential hypertension in type 2 diabetes mellitus patients and marital status, described as ‘others (unmarried, divorce, widower, etc.)’, and participating in active physical activity. Both of these two significant variables were positively associated with the higher prevalence of essential hypertension in type 2 diabetes mellitus patients. In conclusion, the patients suffering from type 2 diabetes mellitus combined with essential hypertension often reported an association with more negative social determinants (with the exception of participation in physical activity). Further strengthening the comprehensive multi-disease management to control and reduce the prevalence of essential hypertension in type 2 diabetes mellitus patients is required.

scholarly journals Education And Eating Pattern As Risk Factors Of Diabetes Mellitus

2017 ◽  
Vol 6 (4) ◽  
Author(s):  
Ninna Rohmawati
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Basic Education ◽  
Sport Activity ◽  
Research Subjects ◽  
Eating Pattern

Education and eating pattern has significant contributions in determining incident of Diabetes Mellitus. Based on Riskesdas 2013, patient of Diabetes Mellitus who age >15 years increased from 5.7% (2007) to 6.9% (2013). Prevalence of Diabetes Mellitus in east java diagnosed by a doctor at 2.1%. The aim to determine risk factors affecting Diabetes Mellitus. This research was observational study. Subjects were patient of type 2 Diabetes Mellitus in RSD Kalisat who fulfilled inclusion criteria. Research subjects consisted of 40 people. Risk factors patients type 2 diabetes mellitus in the work area of Kalisat hospital Jember regency was in majority 45 years (82.5%), female (62.5%), basic education (77.5%), low levels of knowledge (47.5%), housewives 45%, eating pattern (87.5%), less sport activity (67.5%), less physical activity (55% ), overweight (37.5%) and not have the acts of hypertension (55%). Advice: education relation to knowledge needs to be improved, have good eating pattern, and need for regular physical activity.

Efficacy of a pedometer-based physical activity program on parameters of diabetes control in type 2 diabetes mellitus

Metabolism ◽  
2006 ◽  
Vol 55 (10) ◽  
pp. 1382-1387 ◽  
Author(s):  
Paul Araiza ◽  
Hilary Hewes ◽  
Carrie Gashetewa ◽  
Chantal A. Vella ◽  
Mark R. Burge
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetes Control ◽  
Physical Activity Program ◽  
Activity Program

scholarly journals Development of Type 2 Diabetes Mellitus Phenotyping Framework Using Expert Knowledge and Machine Learning Approach

2016 ◽  
Vol 11 (4) ◽  
pp. 791-799 ◽  
Author(s):  
Rina Kagawa ◽  
Yoshimasa Kawazoe ◽  
Yusuke Ida ◽  
Emiko Shinohara ◽  
Katsuya Tanaka ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Machine Learning ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Expert Knowledge ◽  
The Other ◽  
Learning Approach ◽  
Research Subjects ◽  
Machine Learning Approach

Background: Phenotyping is an automated technique that can be used to distinguish patients based on electronic health records. To improve the quality of medical care and advance type 2 diabetes mellitus (T2DM) research, the demand for T2DM phenotyping has been increasing. Some existing phenotyping algorithms are not sufficiently accurate for screening or identifying clinical research subjects. Objective: We propose a practical phenotyping framework using both expert knowledge and a machine learning approach to develop 2 phenotyping algorithms: one is for screening; the other is for identifying research subjects. Methods: We employ expert knowledge as rules to exclude obvious control patients and machine learning to increase accuracy for complicated patients. We developed phenotyping algorithms on the basis of our framework and performed binary classification to determine whether a patient has T2DM. To facilitate development of practical phenotyping algorithms, this study introduces new evaluation metrics: area under the precision-sensitivity curve (AUPS) with a high sensitivity and AUPS with a high positive predictive value. Results: The proposed phenotyping algorithms based on our framework show higher performance than baseline algorithms. Our proposed framework can be used to develop 2 types of phenotyping algorithms depending on the tuning approach: one for screening, the other for identifying research subjects. Conclusions: We develop a novel phenotyping framework that can be easily implemented on the basis of proper evaluation metrics, which are in accordance with users’ objectives. The phenotyping algorithms based on our framework are useful for extraction of T2DM patients in retrospective studies.

Glucagon gene polymorphism modifies the effects of smoking and physical activity on risk of type 2 diabetes mellitus in Han Chinese

Gene ◽  
2014 ◽  
Vol 534 (2) ◽  
pp. 352-355 ◽  
Author(s):  
Linlin Li ◽  
Kaiping Gao ◽  
Jingzhi Zhao ◽  
Tianping Feng ◽  
Lei Yin ◽  
...  
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Gene Polymorphism ◽  
Han Chinese

The Influence of the Intermediate Phenotype of Essential Hypertension, Non-Modulation, on Salt Sensitivity in Type 2 Diabetes Mellitus

2011 ◽  
pp. P2-615-P2-615
Author(s):  
Patricia C Underwood ◽  
Bindu Chamarthi ◽  
Jonathan S Williams ◽  
Anthony McCall ◽  
Donald McClain ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Essential Hypertension ◽  
Salt Sensitivity ◽  
Intermediate Phenotype

scholarly journals Salud paso por paso : a culturally-tailored physical activity intervention with hispanic adults with type 2 diabetes mellitus

2021 ◽  
Author(s):  
◽  
Julio Cesar Loya
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Physical Activity Intervention ◽  
Controlled Trial ◽  
Control Group ◽  
Culturally Tailored ◽  
Hispanic Adults

Limited information is available regarding culturally-tailored physical activity (PA) interventions for Hispanic adults with type 2 diabetes mellitus (T2DM). A community-partnered approach was used to examine a novel culturally-tailored PA intervention using a pre-post, no control group design. The intervention consisted of six weekly 45-minute sessions for participants to engage in PA led by the researcher. A total of 21 individuals participated in the study. The typical participant was a 53-year-old female (90 percent) Hispanic adult living with T2DM with low acculturation. On average, before the intervention, the participants walked 10,285 (sd 14,779) steps per week with 43.4 (sd 68.1) minutes of PA per week. Despite implementation during the COVID-19 pandemic, the intervention was feasible and acceptable, and 19 (90.5 percent) participants attended all intervention sessions. There were significant increases in steps per week (p=0.007; d=1.03) and minutes of PA per week (p=0.000; d=1.62). Findings suggest that Salud Paso por Paso has promise as a strategy to enhance PA behaviors in the priority population. A randomized, controlled trial with a larger study sample is warranted to examine efficacy and impact on the diabetes health outcomes of Hispanic adults with T2DM.

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