Blood pressure in adolescents and young adults with type 1 diabetes : data from the Australasian Diabetes Data Network registry

S. James; L. Perry; J. Lowe; M. Harris; P.G. Colman; M.E. Craig; K. Anderson; S. Andrikopoulos; G. Ambler; H. Barrett; J. Batch; P. Bergman; F. Cameron; L. Conwell; A. Cotterill; C. Cooper; J. Couper; E. Davis; Bock de; K. Donaghue; J. Fairchild; G. Fegan; S. Fourlanos; S. Glastras; P. Goss; L. Gray; P.S. Hamblin; P. Hofman; D.J. Holmes-Walker; T. Huynh; S. Isaacs; C. Jefferies; S. Johnson; T. Jones; J. Kao; B.R. King; A. Lafferty; J. Makin; M. Martin; R. McCrossin; K. Neville; M. Pascoe; R. Paul; D. Pawlak; A. Peña; L. Phillips; D. Price; C. Rodda; David Simmons; R. Sinnott; C. Smart; A. Stell; M. Stone; S. Stranks; E. Tham; B. Waddell; G. Ward; B. Wheeler; H. Woodhead; A. Zimmermann; null Australasian Diabetes Data Network Study Group

doi:10.1007/s00592-023-02057-4

Blood pressure in adolescents and young adults with type 1 diabetes : data from the Australasian Diabetes Data Network registry

S. James, L. Perry, J. Lowe, M. Harris, P.G. Colman, M.E. Craig, K. Anderson, S. Andrikopoulos, G. Ambler, H. Barrett, J. Batch, P. Bergman, F. Cameron, L. Conwell, A. Cotterill, C. Cooper, J. Couper, E. Davis, Bock de, K. DonaghueJ. Fairchild, G. Fegan, S. Fourlanos, S. Glastras, P. Goss, L. Gray, P.S. Hamblin, P. Hofman, D.J. Holmes-Walker, T. Huynh, S. Isaacs, C. Jefferies, S. Johnson, T. Jones, J. Kao, B.R. King, A. Lafferty, J. Makin, M. Martin, R. McCrossin, K. Neville, M. Pascoe, R. Paul, D. Pawlak, A. Peña, L. Phillips, D. Price, C. Rodda, David Simmons, R. Sinnott, C. Smart, A. Stell, M. Stone, S. Stranks, E. Tham, B. Waddell, G. Ward, B. Wheeler, H. Woodhead, A. Zimmermann, Australasian Diabetes Data Network Study Group

Western Sydney University

Research output: Contribution to journal › Article › peer-review

Abstract

Aim: Hypertension increases complication risk in type 1 diabetes (T1D). We examined blood pressure (BP) in adolescents and young adults with T1D from the Australasian Diabetes Data Network, a prospective clinical diabetes registry in Australia and New Zealand. Methods: This was a longitudinal study of prospectively collected registry data. Inclusion criteria: T1D (duration ≥ 1ÃÂ year) and age 16–25ÃÂ years at last visit (2011–2020). Hypertension was defined as (on ≥ 3 occasions) systolic BP and/or diastolic BP > 95th percentile for age < 18ÃÂ years, and systolicÃÂ BP > 130 and/or diastolic BP > 80ÃÂ mmHg for age ≥ 18ÃÂ years. Multivariable Generalised Estimating Equations were used to examine demographic and clinical factors associated with BP in the hypertensive range across all visits. Results: Data from 6338 young people (male 52.6%) attending 24 participating centres across 36,655 T1D healthcare visits were included; 2812 (44.4%) had BP recorded at last visit. Across all visits, 19.4% of youth aged < 18ÃÂ years and 21.7% of those aged ≥ 18ÃÂ years met criteria for hypertension. In both age groups, BP in the hypertensive range was associated with male sex, injection (vs. pump) therapy, higher HbA1c, and higher body mass index. Conclusions: There is a high proportion of adolescents and young adults reported with BP persistently in hypertensive ranges. Findings flag the additive contribution of hypertension to the well-established body of evidence indicating a need to review healthcare models for adolescents and young adults with T1D.

Original language	English
Pages (from-to)	797-803
Number of pages	7
Journal	Acta Diabetologica
Volume	60
Issue number	6
DOIs	https://doi.org/10.1007/s00592-023-02057-4
Publication status	Published - 2023

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10.1007/s00592-023-02057-4

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James, S., Perry, L., Lowe, J., Harris, M., Colman, P. G., Craig, M. E., Anderson, K., Andrikopoulos, S., Ambler, G., Barrett, H., Batch, J., Bergman, P., Cameron, F., Conwell, L., Cotterill, A., Cooper, C., Couper, J., Davis, E., de, B., ... Australasian Diabetes Data Network Study Group (2023). Blood pressure in adolescents and young adults with type 1 diabetes : data from the Australasian Diabetes Data Network registry. Acta Diabetologica, 60(6), 797-803. https://doi.org/10.1007/s00592-023-02057-4

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title = "Blood pressure in adolescents and young adults with type 1 diabetes : data from the Australasian Diabetes Data Network registry",

abstract = "Aim: Hypertension increases complication risk in type 1 diabetes (T1D). We examined blood pressure (BP) in adolescents and young adults with T1D from the Australasian Diabetes Data Network, a prospective clinical diabetes registry in Australia and New Zealand. Methods: This was a longitudinal study of prospectively collected registry data. Inclusion criteria: T1D (duration ≥ 1{\~A}{\^A} year) and age 16–25{\~A}{\^A} years at last visit (2011–2020). Hypertension was defined as (on ≥ 3 occasions) systolic BP and/or diastolic BP > 95th percentile for age < 18{\~A}{\^A} years, and systolic{\~A}{\^A} BP > 130 and/or diastolic BP > 80{\~A}{\^A} mmHg for age ≥ 18{\~A}{\^A} years. Multivariable Generalised Estimating Equations were used to examine demographic and clinical factors associated with BP in the hypertensive range across all visits. Results: Data from 6338 young people (male 52.6%) attending 24 participating centres across 36,655 T1D healthcare visits were included; 2812 (44.4%) had BP recorded at last visit. Across all visits, 19.4% of youth aged < 18{\~A}{\^A} years and 21.7% of those aged ≥ 18{\~A}{\^A} years met criteria for hypertension. In both age groups, BP in the hypertensive range was associated with male sex, injection (vs. pump) therapy, higher HbA1c, and higher body mass index. Conclusions: There is a high proportion of adolescents and young adults reported with BP persistently in hypertensive ranges. Findings flag the additive contribution of hypertension to the well-established body of evidence indicating a need to review healthcare models for adolescents and young adults with T1D.",

author = "S. James and L. Perry and J. Lowe and M. Harris and P.G. Colman and M.E. Craig and K. Anderson and S. Andrikopoulos and G. Ambler and H. Barrett and J. Batch and P. Bergman and F. Cameron and L. Conwell and A. Cotterill and C. Cooper and J. Couper and E. Davis and Bock de and K. Donaghue and J. Fairchild and G. Fegan and S. Fourlanos and S. Glastras and P. Goss and L. Gray and P.S. Hamblin and P. Hofman and D.J. Holmes-Walker and T. Huynh and S. Isaacs and C. Jefferies and S. Johnson and T. Jones and J. Kao and B.R. King and A. Lafferty and J. Makin and M. Martin and R. McCrossin and K. Neville and M. Pascoe and R. Paul and D. Pawlak and A. Pe{\~n}a and L. Phillips and D. Price and C. Rodda and David Simmons and R. Sinnott and C. Smart and A. Stell and M. Stone and S. Stranks and E. Tham and B. Waddell and G. Ward and B. Wheeler and H. Woodhead and A. Zimmermann and {Australasian Diabetes Data Network Study Group}",

year = "2023",

doi = "10.1007/s00592-023-02057-4",

language = "English",

volume = "60",

pages = "797--803",

journal = "Acta Diabetologica",

issn = "0940-5429",

publisher = "Springer Milano",

number = "6",

}

James, S, Perry, L, Lowe, J, Harris, M, Colman, PG, Craig, ME, Anderson, K, Andrikopoulos, S, Ambler, G, Barrett, H, Batch, J, Bergman, P, Cameron, F, Conwell, L, Cotterill, A, Cooper, C, Couper, J, Davis, E, de, B, Donaghue, K, Fairchild, J, Fegan, G, Fourlanos, S, Glastras, S, Goss, P, Gray, L, Hamblin, PS, Hofman, P, Holmes-Walker, DJ, Huynh, T, Isaacs, S, Jefferies, C, Johnson, S, Jones, T, Kao, J, King, BR, Lafferty, A, Makin, J, Martin, M, McCrossin, R, Neville, K, Pascoe, M, Paul, R, Pawlak, D, Peña, A, Phillips, L, Price, D, Rodda, C, Simmons, D, Sinnott, R, Smart, C, Stell, A, Stone, M, Stranks, S, Tham, E, Waddell, B, Ward, G, Wheeler, B, Woodhead, H, Zimmermann, A & Australasian Diabetes Data Network Study Group 2023, 'Blood pressure in adolescents and young adults with type 1 diabetes : data from the Australasian Diabetes Data Network registry', Acta Diabetologica, vol. 60, no. 6, pp. 797-803. https://doi.org/10.1007/s00592-023-02057-4

TY - JOUR

T1 - Blood pressure in adolescents and young adults with type 1 diabetes : data from the Australasian Diabetes Data Network registry

AU - James, S.

AU - Perry, L.

AU - Lowe, J.

AU - Harris, M.

AU - Colman, P.G.

AU - Craig, M.E.

AU - Anderson, K.

AU - Andrikopoulos, S.

AU - Ambler, G.

AU - Barrett, H.

AU - Batch, J.

AU - Bergman, P.

AU - Cameron, F.

AU - Conwell, L.

AU - Cotterill, A.

AU - Cooper, C.

AU - Couper, J.

AU - Davis, E.

AU - de, Bock

AU - Donaghue, K.

AU - Fairchild, J.

AU - Fegan, G.

AU - Fourlanos, S.

AU - Glastras, S.

AU - Goss, P.

AU - Gray, L.

AU - Hamblin, P.S.

AU - Hofman, P.

AU - Holmes-Walker, D.J.

AU - Huynh, T.

AU - Isaacs, S.

AU - Jefferies, C.

AU - Johnson, S.

AU - Jones, T.

AU - Kao, J.

AU - King, B.R.

AU - Lafferty, A.

AU - Makin, J.

AU - Martin, M.

AU - McCrossin, R.

AU - Neville, K.

AU - Pascoe, M.

AU - Paul, R.

AU - Pawlak, D.

AU - Peña, A.

AU - Phillips, L.

AU - Price, D.

AU - Rodda, C.

AU - Simmons, David

AU - Sinnott, R.

AU - Smart, C.

AU - Stell, A.

AU - Stone, M.

AU - Stranks, S.

AU - Tham, E.

AU - Waddell, B.

AU - Ward, G.

AU - Wheeler, B.

AU - Woodhead, H.

AU - Zimmermann, A.

AU - Australasian Diabetes Data Network Study Group, null

PY - 2023

Y1 - 2023

N2 - Aim: Hypertension increases complication risk in type 1 diabetes (T1D). We examined blood pressure (BP) in adolescents and young adults with T1D from the Australasian Diabetes Data Network, a prospective clinical diabetes registry in Australia and New Zealand. Methods: This was a longitudinal study of prospectively collected registry data. Inclusion criteria: T1D (duration ≥ 1ÃÂ year) and age 16–25ÃÂ years at last visit (2011–2020). Hypertension was defined as (on ≥ 3 occasions) systolic BP and/or diastolic BP > 95th percentile for age < 18ÃÂ years, and systolicÃÂ BP > 130 and/or diastolic BP > 80ÃÂ mmHg for age ≥ 18ÃÂ years. Multivariable Generalised Estimating Equations were used to examine demographic and clinical factors associated with BP in the hypertensive range across all visits. Results: Data from 6338 young people (male 52.6%) attending 24 participating centres across 36,655 T1D healthcare visits were included; 2812 (44.4%) had BP recorded at last visit. Across all visits, 19.4% of youth aged < 18ÃÂ years and 21.7% of those aged ≥ 18ÃÂ years met criteria for hypertension. In both age groups, BP in the hypertensive range was associated with male sex, injection (vs. pump) therapy, higher HbA1c, and higher body mass index. Conclusions: There is a high proportion of adolescents and young adults reported with BP persistently in hypertensive ranges. Findings flag the additive contribution of hypertension to the well-established body of evidence indicating a need to review healthcare models for adolescents and young adults with T1D.

AB - Aim: Hypertension increases complication risk in type 1 diabetes (T1D). We examined blood pressure (BP) in adolescents and young adults with T1D from the Australasian Diabetes Data Network, a prospective clinical diabetes registry in Australia and New Zealand. Methods: This was a longitudinal study of prospectively collected registry data. Inclusion criteria: T1D (duration ≥ 1ÃÂ year) and age 16–25ÃÂ years at last visit (2011–2020). Hypertension was defined as (on ≥ 3 occasions) systolic BP and/or diastolic BP > 95th percentile for age < 18ÃÂ years, and systolicÃÂ BP > 130 and/or diastolic BP > 80ÃÂ mmHg for age ≥ 18ÃÂ years. Multivariable Generalised Estimating Equations were used to examine demographic and clinical factors associated with BP in the hypertensive range across all visits. Results: Data from 6338 young people (male 52.6%) attending 24 participating centres across 36,655 T1D healthcare visits were included; 2812 (44.4%) had BP recorded at last visit. Across all visits, 19.4% of youth aged < 18ÃÂ years and 21.7% of those aged ≥ 18ÃÂ years met criteria for hypertension. In both age groups, BP in the hypertensive range was associated with male sex, injection (vs. pump) therapy, higher HbA1c, and higher body mass index. Conclusions: There is a high proportion of adolescents and young adults reported with BP persistently in hypertensive ranges. Findings flag the additive contribution of hypertension to the well-established body of evidence indicating a need to review healthcare models for adolescents and young adults with T1D.

UR - https://hdl.handle.net/1959.7/uws:73929

U2 - 10.1007/s00592-023-02057-4

DO - 10.1007/s00592-023-02057-4

M3 - Article

SN - 0940-5429

VL - 60

SP - 797

EP - 803

JO - Acta Diabetologica

JF - Acta Diabetologica

IS - 6

ER -

Blood pressure in adolescents and young adults with type 1 diabetes : data from the Australasian Diabetes Data Network registry

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