Ambulatory blood pressure monitoring in children and adolescents with type-1 diabetes mellitus and its relation to diabetic control and microalbuminuria

Joint Authors

Abbadi, Said Futuh
Hakimi, Ghulam Husayn Amir
Karamizadeh, Zahrah
Karamifar, Hamd Allah
Basiratnia, Mitra

Source

Saudi Journal of Kidney Diseases and Transplantation

Issue

Vol. 23, Issue 2 (30 Apr. 2012), pp.311-315, 5 p.

Publisher

Saudi Center for Organ Transplantation

Publication Date

2012-04-30

Country of Publication

Saudi Arabia

No. of Pages

5

Main Subjects

Medicine

Topics

Abstract EN

Diabetes mellitus (DM) is now considered as the major cause of end-stage kidney failure, and hypertension (HTN) is one of the main determinants of progression of renal disease.

The aim of this study was to assess the role of blood pressure (BP) by ambulatory blood pressure monitoring (ABPM) in children and adolescents with type-1 DM and its correlation with micro albuminuria (MA) and diabetic control.

Eighty-one patients with type-1 DM (mean age 13 ± 4 years), whose duration of DM was at least two years, were enrolled in this study.

The prevalence of HTN based on ABPM was 28.4 %, while by casual method it was 32.1 %.

The pattern of HTN was as follows: mean systolic HTN 27.2 %, mean diastolic HTN 11.2 %, daytime systolic HTN 17.3 %, and daytime diastolic HTN 6.2 %, night systolic HTN 30.9 % and night diastolic HTN 29.7 %.

The systolic and diastolic BP loads were 33.4 and 27.2 %, respectively.

About 70.4 % of the patients were non-dippers, 12.4 % had masked HTN, and 3.7% had white coat HTN.

The prevalence of MA was 34.6 % and that of abnormal HbA1c was 82.7 %.

There was no correlation between HTN and both MA and HbA1c ; also, no correlation was found between the duration of diabetes and HbA1c.

Moreover, no significant correlation was found between the duration of diabetes and MA (P = 0.080).

Despite the high prevalence of abnormal BP profile among diabetic children, prospective longitudinal studies considering the other major risk factors, particularly genetic factors, which have an impact on the progression to diabetic nephropathy, are recommended.

American Psychological Association (APA)

Basiratnia, Mitra& Abbadi, Said Futuh& Hakimi, Ghulam Husayn Amir& Karamizadeh, Zahrah& Karamifar, Hamd Allah. 2012. Ambulatory blood pressure monitoring in children and adolescents with type-1 diabetes mellitus and its relation to diabetic control and microalbuminuria. Saudi Journal of Kidney Diseases and Transplantation،Vol. 23, no. 2, pp.311-315.
https://search.emarefa.net/detail/BIM-292825

Modern Language Association (MLA)

Basiratnia, Mitra…[et al.]. Ambulatory blood pressure monitoring in children and adolescents with type-1 diabetes mellitus and its relation to diabetic control and microalbuminuria. Saudi Journal of Kidney Diseases and Transplantation Vol. 23, no. 2 (Apr. 2012), pp.311-315.
https://search.emarefa.net/detail/BIM-292825

American Medical Association (AMA)

Basiratnia, Mitra& Abbadi, Said Futuh& Hakimi, Ghulam Husayn Amir& Karamizadeh, Zahrah& Karamifar, Hamd Allah. Ambulatory blood pressure monitoring in children and adolescents with type-1 diabetes mellitus and its relation to diabetic control and microalbuminuria. Saudi Journal of Kidney Diseases and Transplantation. 2012. Vol. 23, no. 2, pp.311-315.
https://search.emarefa.net/detail/BIM-292825

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references : p. 314-315

Record ID

BIM-292825