A Study on the Circadian Blood Pressure Rhythm of Diabetic Patients.
10.4040/jkan.2000.30.3.741
- Author:
Hwa Soon KIM
1
;
Wha Sook SUH
Author Information
1. Department of Nursing, Inha University, Korea.
- Publication Type:Original Article
- Keywords:
Diabetes Mellitus;
Circadian Blood Pressure rhythm;
Risk Factors of Peripheral Vascular Disease;
Complications of Diabetes Mellitus
- MeSH:
Academic Medical Centers;
Blood Pressure*;
Diabetes Complications;
Diabetes Mellitus;
Diabetes Mellitus, Type 2;
Humans;
Hypertension;
Incheon;
Korea;
Peripheral Vascular Diseases;
Risk Factors;
Sphygmomanometers
- From:
Journal of Korean Academy of Nursing
2000;30(3):741-749
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
This study was performed to investigate the relationship between reversed circadian blood pressure and risk factors of peripheral vascular disease in non-insulin-dependent diabetes mellitus (NIDDM) subjects. The subjects in this study were 18 NIDDM patients who were hospitalized in a medical unit of an university medical center located in Incheon, Korea, between November, 1998 and March, 1999. Blood pressure was measured with a mercury sphygmomanometer by 2 trained examiners every 2 hours during 24 hours. NIDDM subjects were divided into a dipper group and non-dipper group. Dippers are defined as those who show a mean nighttime blood pressure(BP) drop of more than 10% compared with daytime BP. Non-dippers are defined as those who show a mean nighttime BP drop of less than 10%, or an elevation in BP compared with daytime BP. Daytime BP included values obtained between 6 a.m. and 10 p.m. Night time BP included values obtained between 10 p.m. and 6 a.m. Data was analyzed by SPSS/PC package. Chi-square( 2) test was used for the comparison of sex between The dipper group and non-dipper group. Mann-Whitney test was used for comparisons of values of the risk factors of peripheral vascular disease and the frequency of complications of diabetes between the dipper group and non-dipper group. The results are as follows. There were no significant differences in daytime systolic, diastolic, and mean blood pressures between the dipper group and non-dipper group. However, night time systolic, diastolic, and mean blood pressures in the non-dipper group were significantly nigher than those in the dipper group (p=.021). There were no differences in sex, age, body, weight, duration of diabetes, serum lipid levels, BUN and HbA1c between the two groups. On the contrary, 87.5% of non-dipper group subjects showed having hypertension, 30% of dipper group subjects showed having hypertension and this difference was statistically significant (p=.018). All of the non-dipper group subjects (N=8) showed having at least one diabetic complication. However, 40% of the dipper group subjects (N=10) showed having no diabetic complication at all and this difference was also statistically significant (p=.049). There were no significant differences in frequency of nephropathy, neuropathy and retinopathy between the dipper group and non-dipper group.
