Hidden barriers: obesity bias in hypertension treatment
Authors' conclusion
These findings suggest that patients with obesity may face potential disparities in hypertension management, and obesity status may be related to therapeutic inertia in the management of arterial hypertension in this group.
Study context
- Population
- Outpatients with T2D and arterial hypertension, Southern Brazil
- Participants
- 204 outpatients
- Exposure
- Obesity vs lower weight
- Obesityn = 151
- Lower weightn = 53reference
- Outcome
- Failure to receive treatment intensification when necessary for hypertension, by individualized American Diabetes Association (ADA), European Society of Hypertension (ESH) and European Society of Cardiology (ESC) BP targets
Methodological detailsmulticentric
- Multicentric
Main finding
As reported in the abstract
Failure to receive appropriate treatment intensification
Obesity vs Lower weightAdjusted odds ratio (95% CI)P value
ESH BP target
2.28(1.12–4.63)
P = 0.022ESC BP target
2.13(1.05–4.31)
P = 0.035ADA BP target
2.33(1.13–4.77)
P = 0.021Observational data: associations, not effects.
Original publication
Hidden barriers: obesity bias in hypertension treatment. Int J Obes (Lond). Published 19 August 2024. doi:10.
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