@article{0d5461fa41984fb5b7112056f647041e,
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 year) and age 16–25 years at last visit (2011–2020). Hypertension was defined as (on ≥ 3 occasions) systolic BP and/or diastolic BP > 95th percentile for age < 18 years, and systolic BP > 130 and/or diastolic BP > 80 mmHg for age ≥ 18 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 years and 21.7% of those aged ≥ 18 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.",
keywords = "Adolescents, Blood pressure, Hypertension, Type 1 diabetes, Young adults",
author = "{Australasian Diabetes Data Network Study Group} and Steven James and Lin Perry and Julia Lowe and Margaret Harris and Colman, {Peter G.} and Craig, {Maria E.} and Elizabeth Davis and {de Bock}, Martin and Gerry Fegan and Paul Hofman and Tim Jones",
note = "Funding Information: Open Access funding enabled and organized by CAUL and its Member Institutions. Maria E. Craig is supported by a NHMRC practitioner fellowship (APP1136735). Funding Information: This research was conducted as part of the Australasian Diabetes Data Network (ADDN), which is supported by The Australian Type 1 Diabetes Clinical Research Network, led by the Juvenile Diabetes Research Foundation (JDRF) Australia, the recipient of Australian Government funding from the Australian Research Council (through a Special Research Initiative) and the Department of Health and Ageing. We are grateful to the children, adolescents and young adults with type 1 diabetes and their families who contribute to ADDN, and to members of the ADDN Study Group who provided the data and reviewed the manuscript. Funding Information: This research was conducted as part of the Australasian Diabetes Data Network (ADDN), which is supported by The Australian Type 1 Diabetes Clinical Research Network, led by the Juvenile Diabetes Research Foundation (JDRF) Australia, the recipient of Australian Government funding from the Australian Research Council (through a Special Research Initiative) and the Department of Health and Ageing. We are grateful to the children, adolescents and young adults with type 1 diabetes and their families who contribute to ADDN, and to members of the ADDN Study Group who provided the data and reviewed the manuscript. Australasian Diabetes Data Network (ADDN) Study Group members Dr Kym Anderson, University Hospital Geelong, Geelong; A/Prof Sof Andrikopoulos, Australian Diabetes Society; Clinical Professor Geoff Ambler, The Children{\textquoteright}s Hospital at Westmead, Sydney; Dr Helen Barrett, The Mater Private Hospital, Brisbane; Professor Jenny Batch, Queensland Children's Hospital, Brisbane; A/Prof Philip Bergman, Monash Children{\textquoteright}s Hospital, Melbourne; Professor Fergus Cameron, Royal Children{\textquoteright}s Hospital, Melbourne; A/Prof Louise Conwell, Queensland Children's Hospital, Brisbane; A/Prof Andrew Cotterill, Queensland Children's Hospital, Brisbane; Dr Chris Cooper, University Hospital Geelong, Geelong; Professor Jennifer Couper, Women{\textquoteright}s and Children{\textquoteright}s Hospital, Adelaide; A/Prof Elizabeth Davis, Perth Children{\textquoteright}s Hospital, Perth; Dr Martin de Bock, Christchurch Hospital, New Zealand; Professor Kim Donaghue, The Children{\textquoteright}s Hospital at Westmead, Sydney; Dr Jan Fairchild, Women{\textquoteright}s and Children{\textquoteright}s Hospital, Adelaide; Dr Gerry Fegan, Fiona Stanley Hospital, Perth; A/Prof Spiros Fourlanos, The Royal Melbourne Hospital, Melbourne; A/Prof Sarah Glastras, Royal North Shore Hospital, Sydney; Dr Peter Goss, Geelong, Victoria; Dr Leonie Gray, Mater Medical Centre, Rockhampton; A/Prof Peter Shane Hamblin, Western Health, Melbourne; Professor Paul Hofman, University of Auckland, New Zealand; A/Prof Dianne Jane Holmes-Walker, Westmead Hospital, Sydney; A/Prof Tony Huynh, Queensland Children's Hospital, Brisbane; Sonia Isaacs, University of New South Wales, Sydney, A/Prof Craig Jefferies, Starship Children{\textquoteright}s Health, New Zealand; Dr Stephanie Johnson, Queensland Children's Hospital, Brisbane; Clinical Professor Tim Jones, Perth Children{\textquoteright}s Hospital, Perth; Dr Jeff Kao, Royal Children{\textquoteright}s Hospital, Melbourne; A/Prof Bruce R King, John Hunter Children{\textquoteright}s Hospital, Newcastle; Dr Antony Lafferty, The Canberra Hospital, Canberra; Jane Makin, Perth Children{\textquoteright}s Hospital, Ms Michelle Martin, Illawarra Shoalhaven Diabetes Service, Wollongong; Dr Robert McCrossin, Gladstone Hospital, Gladstone; Dr Kris Neville, Sydney Children{\textquoteright}s Hospital, Sydney; Dr Mark Pascoe, Royal Hobart Hospital, Hobart; Dr Ryan Paul, Waikato Hospital, New Zealand; Dr Dorota Pawlak, JDRF Australia; Dr Alexia Pe{\~n}a, The University of Adelaide, Adelaide; Dr Liza Phillips, The Mater Private Hospital, Brisbane; A/Prof Darrell Price, Pacific Private Clinic, Gold Coast; A/Prof Christine Rodda, Sunshine Hospital, Melbourne; Prof David Simmons, Campbelltown Hospital, Sydney; Professor Richard Sinnott, eResearch, University of Melbourne; Dr Carmel Smart, John Hunter Children{\textquoteright}s Hospital, Newcastle; Anthony Stell, University of Melbourne, Dr Monique Stone Royal North Shore Hospital, Sydney; A/Prof Steve Stranks, Australian Diabetes Society; Dr Elaine Tham, Women{\textquoteright}s and Children{\textquoteright}s Hospital, Adelaide; Barbara Waddell, University of New South Wales, Sydney, A/Prof Glenn Ward, St. Vincent's Hospital, Melbourne; A/Prof Ben Wheeler, Dunedin School of Medicine, New Zealand; Dr Helen Woodhead, Australasian Paediatric Endocrine Group; and Dr Anthony Zimmermann, Lyell McEwin Hospital, Elizabeth Vale. Publisher Copyright: {\textcopyright} 2023, The Author(s).",
year = "2023",
month = jun,
doi = "10.1007/s00592-023-02057-4",
language = "English",
volume = "60",
pages = "797--803",
journal = "Acta Diabetologica",
issn = "0940-5429",
publisher = "Springer-Verlag London Ltd.",
number = "6",
}
