Journal article
Blood pressure in adolescents and young adults with type 1 diabetes: data from the Australasian Diabetes Data Network registry
Acta Diabetologica, Vol.60, pp.797-803
2023
PMCID: PMC10148782
PMID: 36920547
Abstract
Aim:
Hypertension increases complication risk in type 1 diabetes (T1D). We examined blood pressure (BP) in adolescents and young adults with T1D from the Australasian Diabetes Data Network, a prospective clinical diabetes registry in Australia and New Zealand.
Methods:
This was a longitudinal study of prospectively collected registry data. Inclusion criteria: T1D (duration ≥ 1 year) and age 16–25 years at last visit (2011–2020). Hypertension was defined as (on ≥ 3 occasions) systolic BP and/or diastolic BP > 95th percentile for age < 18 years, and systolic BP > 130 and/or diastolic BP > 80 mmHg for age ≥ 18 years. Multivariable Generalised Estimating Equations were used to examine demographic and clinical factors associated with BP in the hypertensive range across all visits.
Results:
Data from 6338 young people (male 52.6%) attending 24 participating centres across 36,655 T1D healthcare visits were included; 2812 (44.4%) had BP recorded at last visit. Across all visits, 19.4% of youth aged < 18 years and 21.7% of those aged ≥ 18 years met criteria for hypertension. In both age groups, BP in the hypertensive range was associated with male sex, injection (vs. pump) therapy, higher HbA1c, and higher body mass index.
Conclusions:
There is a high proportion of adolescents and young adults reported with BP persistently in hypertensive ranges. Findings flag the additive contribution of hypertension to the well-established body of evidence indicating a need to review healthcare models for adolescents and young adults with T1D.
Details
- Title
- Blood pressure in adolescents and young adults with type 1 diabetes: data from the Australasian Diabetes Data Network registry
- Authors
- Steven James (Corresponding Author) - University of the Sunshine Coast, Queensland, School of Health - NursingLin Perry (Author) - Prince of Wales HospitalJulia Lowe (Author) - University of TorontoMargaret Harris (Author) - University of Newcastle AustraliaPeter G Colman (Author) - Diabetes and Endocrinology, The Royal Melbourne Hospital, Parkville, 3050, AustraliaMaria E Craig (Author) - Children's Hospital at WestmeadAustralasian Diabetes Data Network Study Group (Author)
- Publication details
- Acta Diabetologica, Vol.60, pp.797-803
- Publisher
- Springer Milano
- Date published
- 2023
- DOI
- 10.1007/s00592-023-02057-4
- ISSN
- 1432-5233
- PMID
- 36920547; PMC10148782
- Copyright note
- This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
- Organisation Unit
- School of Health - Nursing
- Language
- English
- Record Identifier
- 99713198802621
- Output Type
- Journal article
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