THE FREQUENCY OF COMORBID CONDITIONS IN PATIENTS WITH HYPERTENSION

1MD Kuzminova N. V.
1Gribenyuk O. V.
1Romanova V. O.
1MD Osovska N. Y.
2MD Knyazkova I. I.

1Ukraine, Vinnitsa, Vinnitsa National Medial University named after M. Pyrogov, Department of Internal Medicine No1
2Ukraine, Kharkiv, Kharkiv National Medical University, Department of Clinical Pharmacology

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Abstract.

Today, weight gain is considered to be not only an important factor in the development and progression of hypertension, but also in the development of nonalcoholic fatty liver disease. According to the results of the examination of 170 patients with stage II hypertension, optimal body weight was observed only in 30 patients (17.6%), overweight — in 37 patients (21.7%), first degree obesity — in 58 (34.1%), second degree obesity — in 45 patients (26.5%). Abdominal fat distribution type predominated in more than 80% of patients with hypertension. The signs of nonalcoholic fatty liver disease, such as steatosis, were registered in 109 (64.1%) patients, its incidence progressively increasing together with body weight gain (from 40.0 % of patients with an optimal body weight and 54.1% of patients with overweight to 65.5% of patients with the 1st degree obesity and up to 86.7% of the 2nd degree obesity patients (p<0.05 compared to patients with optimal weight and overweight). Thus, this study demonstrated overweight, 1st and 2nd degrees obesity, to occur in the vast majority of patients with stage II essential hypertension. The frequency of hepatic steatosis increased with the increase in body mass index.


Keywords: 
hepatic steatosis, hypertension, optimal body weight, overweight, obesity.

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