Orthostatic Hypotension among Vietnamese Older Adults with Type 2 Diabetes And Its Predictors
نویسندگان
1 Faculty of Nursing, Da Nang University of Medical Technology and Pharmacy, Da Nang 50000, Vietnam
2 Faculty of Nursing, Da Nang University of Medical Technology and Pharmacy, Da Nang 50000, Vietnam
3 Institute of International Education, Hue University of Medicine and Pharmacy, Hue University, Hue City 49000, Vietnam
doi
Doi:10.34172/jept.2025.14چکیده
Objective: Orthostatic hypertension (OH) is one of the most common symptoms of autonomicnervous system disorder in patients with type 2 diabetes. This study aimed to determine thepercentage of OH among Vietnamese older adults with type 2 diabetes and its influencing factors.Methods: A cross‐sectional descriptive study was conducted using convenience sampling to recruit96 older adults with type 2 diabetes who received care at a large hospital in central Vietnam betweenNovember 2020 and June 2021. Data were collected using a demographic and health-relatedquestionnaire and Omron electronic sphygmomanometers for blood pressure (BP) measurement.OH was diagnosed according to the 1996 diagnosis criteria of the American Autonomic Societyand the American Academy of Neurology. Descriptive statistics, independent t-test, chi-square,and univariable and multivariable logistic regression were used for analysis, with p-value≤0.05considered significant.Results: The relative frequency of orthostatic hypotension (OH) among older adults with type 2diabetes was 46.9%. Multivariable logistic regression identified gender, HbA1C level, and durationof diabetes as significant predictors of OH. Specifically, females had 5.44-fold higher odds ofdeveloping OH compared to males (OR=5.44; 95% CI: 1.94–15.25; P=0.001). Each one-unit increasein HbA1C was associated with a 1.33-fold increase in the odds of OH (OR=1.33; 95% CI: 1.002–1.77; P=0.049). Additionally, longer diabetes duration was linked to higher odds of OH, with an8.3% increase in odds for each additional year of diabetes (OR=1.08; 95% CI: 1.01–1.16; P=0.018).Although stroke history and kidney failure showed elevated odds ratios, their associations with OHwere not statistically significant (P>0.05).Conclusion: Orthostatic hypotension (OH) is highly prevalent among older adults with type 2diabetes, particularly in females with prolonged disease duration and poor glycemic control(high HbA1C). Clinically, these findings highlight the need for healthcare providers to prioritizeroutine screening and tailored management strategies for this high-risk group, aiming to preventcomplications such as falls, cardiovascular events, and decreased quality of life
