title: Differences in the management of hypertension, diabetes mellitus and dyslipidemia between obesity classes.
abstract: We did not find any paper that assessed clinical inertia in obese patients. Therefore, no paper has compared the clinical inertia rates between morbidly and nonmorbidly obese patients. A cross-sectional observational study was carried out. We analysed 8687 obese patients ⩾40 years of age who attended their health-care center for a checkup as part of a preventive program. The outcome was morbid obesity. Secondary variables were as follows: failure in the management of high blood pressure (HBP), high blood cholesterol (HBC) and high fasting blood glucose (HFBG); gender; personal history of hypertension, dyslipidemia, diabetes, smoking and cardiovascular disease; and age (years). We analysed the association between failures and morbid obesity by calculating the adjusted odds ratio (OR). Of 8687 obese patients, 421 had morbid obesity (4.8%, 95% confidence interval (CI): 4.4-5.3%). The prevalence rates for failures were as follows: HBP, 34.7%; HBC, 35.2%; and HFBG, 12.4%. Associated factors with morbid obesity related with failures were as follows: failure in the management of HBP (OR=1.42, 95% CI: 1.15-1.74, P=0.001); failure in the management of HBC (OR=0.73, 95% CI: 0.58-0.91, P=0.004); and failure in the management of HFBG (OR=2.24, 95% CI: 1.66-3.03, P<0.001). Morbidly obese patients faced worse management for HBP and HFBG, and better management for HBC. It would be interesting to integrate alarm systems to avoid this problem.
authors.affiliation: Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain.
authors.forename: D R J
authors.initials: DR
authors.lastname: Martínez-St John
authors.affiliation: Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain.|Research Unit, Elda Hospital, Elda, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Palazón-Bru
authors.affiliation: Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain.|Research Unit, Elda Hospital, Elda, Spain.
authors.forename: V F
authors.initials: VF
authors.lastname: Gil-Guillén
authors.affiliation: Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Sepehri
authors.affiliation: Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain.
authors.forename: F
authors.initials: F
authors.lastname: Navarro-Cremades
authors.affiliation: Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain.
authors.forename: D
authors.initials: D
authors.lastname: Orozco-Beltrán
authors.affiliation: Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Carratalá-Munuera
authors.affiliation: Department of Pharmacology, Pediatrics and Organic Chemistry, Miguel Hernández University, San Juan de Alicante, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Cortés
authors.affiliation: Department of Nursing, University of Alicante, San Juan de Alicante, Spain.
authors.forename: M M
authors.initials: MM
authors.lastname: Rizo-Baeza
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D019468:Disease Management; D050171:Dyslipidemias / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000145:classification* / Q000150:complications* / Q000453:epidemiology; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*
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