Hidden barriers: obesity bias in hypertension treatment

Background and objectives Individuals with obesity often face obesity bias, which may influence the delivery of appropriate medical care. Our aim is to evaluate the adequacy of therapeutic decisions regarding the pharmacological treatment for hypertension in patients with diabetes, both with and wit...

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Bibliographic Details
Published in:International Journal of Obesity 2024-10, Vol.48 (10), p.1506-1512
Main Authors: Telo, Guilherme Heiden, Matzenbacher, Lucas Strassburger, Fontoura, Lucas Friedrich, Avila, Georgia Oliveira, Gheno, Vicenzo, Brum, Maria Antônia Bertuzzo, Teixeira, Julia Belato, Erthal, Isadora Nunes, Schneiders, Josiane, Schaan, Beatriz D., Alessi, Janine, Telo, Gabriela Heiden
Format: Article
Language:English
Subjects:
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692/163/2743/393
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692/700/478
692/700/565
Aged
Antihypertensive Agents - therapeutic use
Bias
Blood pressure
Body Mass Index
Body size
Body weight
Brazil - epidemiology
Cardiology
Cross-Sectional Studies
Decisions
Diabetes
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - epidemiology
Drug therapy
Epidemiology
Female
Health Promotion and Disease Prevention
Humans
Hypertension
Hypertension - drug therapy
Hypertension - epidemiology
Internal Medicine
Male
Medicine
Medicine & Public Health
Metabolic Diseases
Middle Aged
Obesity
Obesity - complications
Obesity - epidemiology
Patients
Pharmacology
Public Health
Weight
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Summary:Background and objectives Individuals with obesity often face obesity bias, which may influence the delivery of appropriate medical care. Our aim is to evaluate the adequacy of therapeutic decisions regarding the pharmacological treatment for hypertension in patients with diabetes, both with and without obesity. Methods This is a multicentric cross-sectional study of patients with type 2 diabetes and arterial hypertension who received outpatient care in Southern Brazil. Participants were stratified into two groups according to their body mass index (BMI): lower weight (BMI 
ISSN:0307-0565
1476-5497
1476-5497
DOI:10.1038/s41366-024-01613-4