Volume 5, Issue 1 (2-2020)                   J Res Dent Maxillofac Sci 2020, 5(1): 1-7 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Nori H, Hajifattahi F, Moezzi ghadim N, Alirezaei S. Evaluation of Patients’ Awareness of Their Blood Pressure and Blood Glucose at the Dental Faculty of Islamic Azad University of Medical Sciences, Tehran, Iran, in 2018. J Res Dent Maxillofac Sci 2020; 5 (1) :1-7
URL: http://jrdms.dentaliau.ac.ir/article-1-262-en.html
1- Dentist
2- Assistant professor, Oral Medecine Dept, Faculty of Dentistry,Tehran Medical Sciences
3- Assistant professor, Oral Medecine Dept, Member ship of Dental Material Research Center, Faculty of Dentistry,Tehran medical sciences, Islamic Azad University, Tehran, Iran , dr.nahid.moezzi@gmail.com
Abstract:   (2518 Views)

Background and Aim: Most dentists rely on the patient's history when assessing a patient's medical status although many patients are unaware of their medical condition. We aimed to evaluate patients' knowledge of their blood pressure (BP) and blood glucose (BG) at the Dental Faculty of Islamic Azad University of Medical Sciences, Tehran, Iran, in 2018.
Materials and Methods: In this cross-sectional study, 200 patients aged 18 years and over were enrolled with consent. Patients' body mass index (BMI) was classified according to the World Health Organization (WHO) criteria. Patients' BP was measured from the right arm and was considered abnormal when BP≥140/90 mmHg based on the JNC7 criteria. BG levels were measured from the capillary blood of the third finger of patients’ hands and were classified according to the American Diabetes Association (ADA) criteria. Data were analyzed using the chi-square test.
Results: Eighty-nine male patients (44%) and 111 female patients (56%) with the mean age of 44±14.1 years were studied. Thirty percent of the subjects had high BP, and 21% had diabetes. Thirteen percent and 9.5% of the subjects were not aware of their high BP and BG, respectively. Lack of awareness of hypertension was significantly associated with being male and with a BMI higher than normal. Lack of awareness of high BG was associated with being male, older age, a BMI higher than normal, and lower education level (P<0.05).
Conclusion: It seems that knowledge of BP and BG in dental patients is inadequate and requires more precision and sensitivity in assessing these cases before any dental intervention. 

Full-Text [PDF 271 kb]   (1133 Downloads) |   |   Full-Text (HTML)  (671 Views)  
Type of Study: Original article | Subject: Oral medicine

References
1. Bloch MJ. Worldwide prevalence of hypertension exceeds 1.3 billion. J Am Soc Hypertens. 2016 Oct;10(10):753-754. [DOI:10.1016/j.jash.2016.08.006] [PMID]
2. Saeed AA, Al-Hamdan NA, Bahnassy AA, Abdalla AM, Abbas MA, Abuzaid LZ. Prevalence, Awareness, Treatment, and Control of Hypertension among Saudi Adult Population: A National Survey. Int J Hypertens. 2011;2011:174135. [DOI:10.4061/2011/174135] [PMID] [PMCID]
3. World Health Organization. A global brief on hypertension: silent killer, global public health crisis [Internet]. 2013 [cited 2019 Jul 5]. Available from: http://www.who.int/cardiovascular_diseases/publications/global_brief_hypertension/en/
4. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004 May;27(5):1047-53. [DOI:10.2337/diacare.27.5.1047] [PMID]
5. Echouffo-Tcheugui JB, Dzudie A, Epacka ME, Choukem SP, Doualla MS, Luma H, et al. Prevalence and determinants of undiagnosed diabetes in an urban sub-Saharan African population. Prim Care Diabetes. 2012 Oct;6(3):229-34. [DOI:10.1016/j.pcd.2012.05.002] [PMID]
6. Mortaz S, Wessman C, Duncan R, Gray R, Badawi A. Impact of screening and early detection of impaired fasting glucose tolerance and type 2 diabetes in Canada: a Markov model simulation. Clinicoecon Outcomes Res. 2012;4:91-7. [DOI:10.2147/CEOR.S30547] [PMID] [PMCID]
7. World Health Organization. Diabetes [Internet]. 2013 [cited 2019 Oct 28]. Available from: https://www.who.int/health-topics/diabetes.
8. Hadlaq EM, Faraj ZT, AlGamdi FM, Al Obattani FA, Abuabat MF, Awan KH. Early Screening of Diabetes and Hypertension in Primary Care Dental Clinics at King Saud University in Riyadh, Kingdom of Saudi Arabia. J Contemp Dent Pract. 2017 Aug 1;18(8):652-9. [DOI:10.5005/jp-journals-10024-2101] [PMID]
9. Ship JA. Diabetes and oral health: an overview. J Am Dent Assoc. 2003 Oct;134 Spec No:4S-10S. [DOI:10.14219/jada.archive.2003.0367] [PMID]
10. Jerant A, Franks P. Body mass index, diabetes, hypertension, and short-term mortality: a population-based observational study, 2000-2006. J Am Board Fam Med. 2012 Jul-Aug;25(4):422-31. [DOI:10.3122/jabfm.2012.04.110289] [PMID]
11. Ostchega Y, Hughes JP, Terry A, Fakhouri TH, Miller I. Abdominal Obesity, Body Mass Index and Hypertension in US Adults: NHANES 2007-2010. Am J Hypertens. 2012 Dec;25(12):1271-8. [DOI:10.1038/ajh.2012.120] [PMID]
12. Uhernik AI, Erceg M, Milanovic SM. Association of hypertension with long-term overweight status and weight gain: the CroHort study. Coll Antropol. 2012 Jan;36 Suppl 1:131-4. [DOI:10.5671/ca.2012361s.131]
13. Awa WL, Fach E, Krakow D, Welp R, Kunder J, Voll A, et al. Type 2 diabetes from pediatric to geriatric age: analysis of gender and obesity among 120,183 patients from the German/Austrian DPV database. Eur J Endocrinol. 2012 Aug;167(2):245-54. [DOI:10.1530/EJE-12-0143] [PMID]
14. Nasseh K, Greenberg B, Vujicic M, Glick M. The effect of chairside chronic disease screening by oral health professionals on health care costs. Am J Public Health. 2014 Apr;104(4):744-50. [DOI:10.2105/AJPH.2013.301644] [PMID] [PMCID]
15. Opeodu OI, Adeyemi BF. Undiagnosed diabetes mellitus: a survey of dental outpatients in a tertiary hospital. Afr J Med Med Sci. 2013 Mar;42(1):39-45.
16. World Health Organization. Overweight and Obesity - Global Observatory Data [Internet]. 2015 [cited 2019 Aug 1]. Available from: https://www.who.int/gho/ncd/risk_factors/overweight_text/en/
17. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, et al. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. JAMA. 2003 May 21;289(19):2560-72. [DOI:10.1001/jama.289.19.2560] [PMID]
18. American Diabetes Association. Diagnosis and Classification of Diabetes Mellitus. Diabetes Care. 2014 Jan;37 Suppl 1:S81-90. [DOI:10.2337/dc14-S081] [PMID]
19. Morris-Paxton AA, Rheeder P, Ewing RG, Woods D. Detection, referral and control of diabetes and hypertension in the rural Eastern Cape Province of South Africa by community health outreach workers in the rural primary healthcare project: Health in Every Hut. Afr J Prim Health Care Fam Med. 2018 Apr 11;10(1):e1-e8. [DOI:10.4102/phcfm.v10i1.1610] [PMID] [PMCID]
20. Al-Kayyal MA, Halawani SY, Al-Ghalayini RM, Al-Jefri AY, Al-Hazmi N. Dentists may play a pivotal role in the screening of diabetes and hypertension. Forum. 2013 Jan;1(1):44-53.
21. Barasch A, Gilbert GH, Spurlock N, Funkhouser E, Persson LL, Safford MM; DPBRN Collaborative Group. Random plasma glucose values measured in community dental practices: findings from the Dental Practice-Based Research Network. Tex Dent J. 2013 Apr;130(4):291-7.
22. Lim NK, Park SH, Choi SJ, Lee KS, Park HY. A risk score for predicting the incidence of type 2 diabetes in a middle-aged Korean cohort: the Korean genome and epidemiology study. Circ J. 2012;76(8):1904-10. [DOI:10.1253/circj.CJ-11-1236] [PMID]
23. Arnlöv J, Sundström J, Ingelsson E, Lind L. Impact of BMI and the metabolic syndrome on the risk of diabetes in middle-aged men. Diabetes Care. 2011 Jan;34(1):61-5. [DOI:10.2337/dc10-0955] [PMID] [PMCID]
24. Engström S, Berne C, Gahnberg L, Svärdsudd K. Efficacy of screening for high blood pressure in dental health care. BMC Public Health. 2011 Mar 30;11:194. [DOI:10.1186/1471-2458-11-194] [PMID] [PMCID]
25. Ma ZA, Zhao Z, Turk J. Mitochondrial dysfunction and β-cell failure in type 2 diabetes mellitus. Exp Diabetes Res. 2012;2012:703538. [DOI:10.1155/2012/703538] [PMID] [PMCID]
26. Taghibakhsh M, Moezzi ghadim N, Rayat zadeh M .Evaluation of the Prevalence of Systemic Diseases in Patients Referring to the Oral and Maxillofacial Medicine Department of the Dental Branch of Islamic Azad University of Tehran During 2016-17. J Res Dentomaxillofac Sci. 2018;3(3):9-18. [DOI:10.29252/jrdms.3.3.9]
27. Fukuda Y, Nakamura K, Takano T. Municipal socioeconomic status and mortality in Japan: sex and age differences, and trends in 1973-1998. Soc Sci Med. 2004 Dec;59(12):2435-45 [DOI:10.1016/j.socscimed.2004.04.012] [PMID]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Research in Dental and Maxillofacial Sciences

Designed & Developed by: Yektaweb