Assessment and Management of Patients with Obesity and Hypertension in European Society of Hypertension Excellence Centres. A survey from the ESH Working Group on Diabetes and Metabolic Risk Factors.
AbstractBackground Healthcare providers are faced with an increasing number of patients with obesity and arterial hypertension. Preventing obesity-associated hypertension and appropriately managing patients with established disease are both important. Hence, the aim of our study was to evaluate the...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Blood Pressure |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/08037051.2024.2317256 |
| _version_ | 1797294717480730624 |
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| author | Christina Antza Guido Grassi Thomas Weber Alexandre Persu Jens Jordan Peter M Nilsson Josep Redon Stella Stabouli Reinhold Kreutz Vasilios Kotsis |
| author_facet | Christina Antza Guido Grassi Thomas Weber Alexandre Persu Jens Jordan Peter M Nilsson Josep Redon Stella Stabouli Reinhold Kreutz Vasilios Kotsis |
| author_sort | Christina Antza |
| collection | DOAJ |
| description | AbstractBackground Healthcare providers are faced with an increasing number of patients with obesity and arterial hypertension. Preventing obesity-associated hypertension and appropriately managing patients with established disease are both important. Hence, the aim of our study was to evaluate the clinical care of patients with obesity and hypertension among ESH Excellence Centres (ECs).Methods We conducted a cross-sectional, international 30-item survey through e-mails.Results In total, 70 representatives of ECs participated (78% men) with 66% of them practicing medicine for more than 30 years and working in well-equipped clinics. Most were internists (41%) and cardiologists (37%) and 73% reported training on the management of obese patients with hypertension. A majority weigh their patients (77%) and evaluate patients for sleep disorders (93%). However, only 47% spend more than 5min to advise for lifestyle modification in general, 59% for weight loss, 56% for salt intake and 64% for exercise. Finally, a minority of participants ask patients if they like their body (6%) or about previous attempts to lose weight (28%), evaluate 24h urinary sodium excretion rate (22%) and provide written (15%) or personalized (10%) dietary advices. If the patient suffers also from type 2 diabetes mellitus, 66% switch treatment to GLP1 receptor agonists and 60% to SGLT2 inhibitors.Conclusion Most clinicians in ESH ECs are well educated regarding obesity-associated hypertension, and clinics are sufficiently equipped to manage these patients, as well. However, several deficits were reported regarding efforts to address and implement obesity specific aspects and interventions to improve care in patients with obesity and hypertension. |
| first_indexed | 2024-03-07T21:36:12Z |
| format | Article |
| id | doaj.art-0323d8e5cd78443b9ab3c7a86d3d74d4 |
| institution | Directory Open Access Journal |
| issn | 0803-7051 1651-1999 |
| language | English |
| last_indexed | 2024-03-07T21:36:12Z |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Blood Pressure |
| spelling | doaj.art-0323d8e5cd78443b9ab3c7a86d3d74d42024-02-26T13:02:05ZengTaylor & Francis GroupBlood Pressure0803-70511651-19992024-12-0133110.1080/08037051.2024.2317256Assessment and Management of Patients with Obesity and Hypertension in European Society of Hypertension Excellence Centres. A survey from the ESH Working Group on Diabetes and Metabolic Risk Factors.Christina Antza0Guido Grassi1Thomas Weber2Alexandre Persu3Jens Jordan4Peter M Nilsson5Josep Redon6Stella Stabouli7Reinhold Kreutz8Vasilios Kotsis93rd Department of Internal Medicine, Aristotle University of Thessaloniki, Thessaloniki, GreeceClinical Medica, School of Medicine and Surgery, Milano-Bicocca UniversityCardiology Department, Klinikum Wels-Grieskirchen, Wels, AustriaDivision of Cardiology, Department of Cardiovascular Diseases, Cliniques Universitaires Saint-Luc and Pole of Cardiovascular Research, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, BelgiumInstitute of Aerospace Medicine, German Aerospace Center, Medical Faculty, University of Cologne, Cologne, GermanyDepartment of Clinical Sciences, Internal Medicine, Skåne University Hospital, Malmö, SwedenCardiometabolic Renal Risk Research Group, INCLIVA Biomedical Research Institute, University of Valencia, Valencia, Spain1st Department of Pediatrics, Aristotle University of Thessaloniki, Hippokratio General Hospital, Thessaloniki, GreeceCharité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin. - Institute of Clinical Pharmacology and Toxicology, Berlin, Germany.Clinical Medica, School of Medicine and Surgery, Milano-Bicocca UniversityAbstractBackground Healthcare providers are faced with an increasing number of patients with obesity and arterial hypertension. Preventing obesity-associated hypertension and appropriately managing patients with established disease are both important. Hence, the aim of our study was to evaluate the clinical care of patients with obesity and hypertension among ESH Excellence Centres (ECs).Methods We conducted a cross-sectional, international 30-item survey through e-mails.Results In total, 70 representatives of ECs participated (78% men) with 66% of them practicing medicine for more than 30 years and working in well-equipped clinics. Most were internists (41%) and cardiologists (37%) and 73% reported training on the management of obese patients with hypertension. A majority weigh their patients (77%) and evaluate patients for sleep disorders (93%). However, only 47% spend more than 5min to advise for lifestyle modification in general, 59% for weight loss, 56% for salt intake and 64% for exercise. Finally, a minority of participants ask patients if they like their body (6%) or about previous attempts to lose weight (28%), evaluate 24h urinary sodium excretion rate (22%) and provide written (15%) or personalized (10%) dietary advices. If the patient suffers also from type 2 diabetes mellitus, 66% switch treatment to GLP1 receptor agonists and 60% to SGLT2 inhibitors.Conclusion Most clinicians in ESH ECs are well educated regarding obesity-associated hypertension, and clinics are sufficiently equipped to manage these patients, as well. However, several deficits were reported regarding efforts to address and implement obesity specific aspects and interventions to improve care in patients with obesity and hypertension.https://www.tandfonline.com/doi/10.1080/08037051.2024.2317256assessmentESH Excellence Centreshypertensionmanagementobesitysurvey |
| spellingShingle | Christina Antza Guido Grassi Thomas Weber Alexandre Persu Jens Jordan Peter M Nilsson Josep Redon Stella Stabouli Reinhold Kreutz Vasilios Kotsis Assessment and Management of Patients with Obesity and Hypertension in European Society of Hypertension Excellence Centres. A survey from the ESH Working Group on Diabetes and Metabolic Risk Factors. Blood Pressure assessment ESH Excellence Centres hypertension management obesity survey |
| title | Assessment and Management of Patients with Obesity and Hypertension in European Society of Hypertension Excellence Centres. A survey from the ESH Working Group on Diabetes and Metabolic Risk Factors. |
| title_full | Assessment and Management of Patients with Obesity and Hypertension in European Society of Hypertension Excellence Centres. A survey from the ESH Working Group on Diabetes and Metabolic Risk Factors. |
| title_fullStr | Assessment and Management of Patients with Obesity and Hypertension in European Society of Hypertension Excellence Centres. A survey from the ESH Working Group on Diabetes and Metabolic Risk Factors. |
| title_full_unstemmed | Assessment and Management of Patients with Obesity and Hypertension in European Society of Hypertension Excellence Centres. A survey from the ESH Working Group on Diabetes and Metabolic Risk Factors. |
| title_short | Assessment and Management of Patients with Obesity and Hypertension in European Society of Hypertension Excellence Centres. A survey from the ESH Working Group on Diabetes and Metabolic Risk Factors. |
| title_sort | assessment and management of patients with obesity and hypertension in european society of hypertension excellence centres a survey from the esh working group on diabetes and metabolic risk factors |
| topic | assessment ESH Excellence Centres hypertension management obesity survey |
| url | https://www.tandfonline.com/doi/10.1080/08037051.2024.2317256 |
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