Non dipping pattern frequency and metabolic syndrome relationship according to two different metabolic syndrome diagnostic methods in newly diagnosed hypertensive individuals

Authors : Elif GÜNEŞ, Mutlu GÜNEŞ, Aslı ÇURGUNLU

Pages : 373-379

Doi:10.47582/jompac.1333399

View : 45 | Download : 43

Publication Date : 2023-08-30

Article Type : Research Paper

Abstract :Aim: The literature presents conflicting data regarding whether the non dipping pattern insert ignore into journalissuearticles values(NDP); in patients with metabolic syndrome insert ignore into journalissuearticles values(MS); compared to those without. In our study, we aimed to investigate the MS effect of the NDP in individuals with hypertension. Methods: This prospective study included 117 newly diagnosed hypertensive patients insert ignore into journalissuearticles values(79 women and 38 men); who were not receiving any anti-hypertensive treatment. MS was evaluated according to the currently used the US National Cholesterol Education Programme Adult Treatment Panel-III definition criteria insert ignore into journalissuearticles values(MS-ATP-III); and a new diagnostic scoring method insert ignore into journalissuearticles values(MS-Score);. NDP defined, nocturnal blood pressure insert ignore into journalissuearticles values(BP); fell by <10% from daytime BP Results: The mean age of the patients who met the MS-ATP-III criteria was 53.9+8.1 years. The prevalence of the MS-ATP-III among the study population was 60.6%. The NDP frequency was similar in patients with and without MS-ATP-III, high MS-Score and low MS-Score group insert ignore into journalissuearticles values(respectively; 44.8%, 47.5%, p=0.79, 44.7%, 46.9%, p= 0.9);. The reverse dipping pattern insert ignore into journalissuearticles values(RDP); frequency was higher in patients with MS-ATP-III compared to those without MS insert ignore into journalissuearticles values(13.8% and 2.5%, p=0.021);, RDP was 10.8% in the high MS-Score group and 8.2% in the low MS-Score group insert ignore into journalissuearticles values(p=0.66);. The LDL insert ignore into journalissuearticles values(mg/dL); values were higher in those with NDP compared to those without insert ignore into journalissuearticles values(142.6+32.2, 125.5+28.9, p=0.008);. Conclusion: Despite the high prevalence of MS among newly diagnosed hypertensive patients, the prevalence of NDP does not show a different distribution in patients with MS in both the MS-ATP-III and MS-Score method.
Keywords : Hipertansiyon, Non dipping patern, Metabolik sendrom, Ters dipping paterni, Metabolik skor