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Comparing international guidelines for the remission of hypertension after bariatric surgery

2025-01Journal article Open access
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datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorDias, Carina Vieira
dc.contributor.authorSilva, Ana Lúcia
dc.contributor.authorDias, Joana
dc.contributor.authorCardoso, paulo
dc.contributor.authorCastanheira, Rute
dc.contributor.authorFernandes, Andreia
dc.contributor.authorNunes, Filipa
dc.contributor.authorSanai, Tina
dc.contributor.authorSanchez, Mercedes
dc.contributor.authorMaia-Teixeira, João
dc.contributor.authorSousa-Coelho, Ana Luísa de
dc.date.accessioned2025-02-18T16:30:35Z
dc.date.available2025-02-18T16:30:35Z
dc.date.issued2025-01
dc.description.abstractBackground/Objectives: Obesity remains a global health concern and is associated with an increased risk of type 2 diabetes, hypertension, and cardiovascular disease overall. Dissimilar hypertension guidelines are available for clinicians, namely those prepared by the American Heart Association (AHA) and the European Society of Cardiology (ESC), which may lead to a distinctive appreciation of health outcomes of patients with obesity after bariatric and metabolic surgery, such as hypertension remission. The main goal of this study was to compare the effects of applying stricter (AHA) versus looser (ESC) blood pressure criteria on hypertension diagnosis pre-bariatric surgery and remission assessment one-year post-op. Methods: A retrospective analysis of clinical data from patients who underwent surgical treatment for obesity at a single university hospital was performed. To evaluate the hypertension improvement or remission, two different types of blood pressure (BP) categorization were considered (based on AHA and ESC guidelines), in which each patient would fit according to their BP values pre- (m0) and 12 months postoperative (m12). Results: From a sample of 153 patients submitted for surgical treatment of obesity, more patients were considered with hypertension based on the AHA guideline (130 vs. 102; p < 0.001), while a higher rate of hypertension remission at 12 months after bariatric surgery was observed when following the ESC guideline (58.82 vs. 53.08%). Baseline patients’ clinical characteristics based on each hypertension outcome were mostly independent of the guideline used (p > 0.05), where only age and systolic blood pressure were relatively higher in “ESC groups”. Conclusions: We conclude that only minor differences exist between the two guidelines used. If evaluated based on ESC guidelines, it is expected that fewer patients are considered with hypertension, and the remission rate may be, at least numerically, higher.eng
dc.identifier.citationDias CV, Silva AL, Dias J, Cardoso P, Castanheira R, Fernandes A, et al. Comparing international guidelines for the remission of hypertension after bariatric surgery. Clin Pract. 2025;15(1):11.
dc.identifier.doi10.3390/clinpract15010011
dc.identifier.issn2039-7283
dc.identifier.urihttp://hdl.handle.net/10400.21/21525
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://www.mdpi.com/2039-7283/15/1/11
dc.relation.ispartofClinics and Practice
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectHypertension
dc.subjectGuidelines
dc.subjectRemission
dc.subjectObesity
dc.subjectBariatric surgery
dc.subjectMetabolic surgery
dc.titleComparing international guidelines for the remission of hypertension after bariatric surgeryeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1
oaire.citation.startPage11
oaire.citation.titleClinics and Practice
oaire.citation.volume15
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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