Prevailing lifestyle risk factors and its association with complications among hypertensives in a rural area of Kancheepuram district in Tamil Nadu

Background: Hypertension is one of the more common non communicable diseases worldwide. There is the need for life style modifications along with the treatment for managing these diseases. But some people may continue with the lifestyle risk factors even after the occurrence of the disease, leading to complications in future. The study was planned with the objectives of identifying the prevailing lifestyle risk factors and association with blood pressure control and identifying the association between the lifestyle risk factors and complications of hypertensive patients in the study area.Methods: This is a descriptive cross sectional study done in the rural field practice area of a Medical College. Using purposive sampling technique, 300 hypertensive patients attending the rural health training centre were selected as study participant. Data collection was done by structured questionnaire. Data analysis was done using SPSS 17.Results: Among the study group, males were 54% and females were 46%. The most common life style risk factors was sedentary type physical activity (50.7%), 27% of them added extra salt to their diet, 47.7% of them were current drinkers and 31.7% of them were current smokers. About 53% had controlled hypertension and 47% had uncontrolled hypertension. Physical activity and smoking have statistically significant association with blood pressure control. All the four risk factors like sedentary lifestyle, adding extra salt, drinking and smoking had statistically significant association with complications.Conclusions: Hypertensive patients who tend to continue the lifestyle risk factors are more prone to develop uncontrolled blood pressure which in turn leads to further complications. Thus proper health education, and awareness creation programmes needs to be done for lifestyle modification, as part of intervention.

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Faktor Risiko yang Mempengaruhi Kejadian Stroke

Jurnal Keperawatan ◽

10.32583/keperawatan.v11i4.530 ◽

2019 ◽

Vol 11 (4) ◽

pp. 251-260

Author(s):

Putra Agina Widyaswara Suwaryo ◽

Wahyu Tri Widodo ◽

Endah Setianingsih

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Blood Pressure ◽

Blood Pressure Control ◽

Random Sampling ◽

Simple Random Sampling ◽

Pressure Control ◽

Chi Square ◽

Cross Sectional ◽

Routine Blood

Stroke adalah suatu penyakit cerebrovascular dimana terjadinya gangguan fungsi otak yang berhubungan dengan penyakit pembuluh darah yang mensuplai darah ke otak. Seperempat dari seluruh kejadian stroke adalah stroke. Faktor yang mempengaruhi stroke diantaranya kebiasaan meminum kopi, perilaku merokok, kurangnya aktifitas fisik, tidak melakukan kontrol tekanan darah secara rutin, dan stres. Tujuan penelitian ini untuk mengetahui faktor-faktor risiko yang mempengaruhi kejadian stroke di RS PKU Muhammadiyah Sruweng. Penelitian ini menggunakan metode korelasional dengan pendekatan cross-sectional. Sampel dalam penelitian ini adalah 38 pasien yang diambil secara simple random sampling. Instrumen berupa lembar kuesioner. Data dianalisa menggunakan analisa deskriptif dan korelatif menggunakan uji chi square. Hasil penelitian didapatkan tidak ada pengaruh kebiasaan meminum kopi dan merokok dengan kejadian stroke. Ada pengaruh pengaruh aktifitas fisik, kontrol tekanan darah secara rutin, dan stres dengan kejadian stroke. Penelitian selanjutnya dapat dikembangkan dengan melakukan penelitian intervensi seperti memberikan penyuluhan terkait cara meningkatkan aktifitas fisik, dan menurunkan stres serta keteraturan minum obat. Kata kunci: faktor risiko, aktifitas fisik, tekanan darah, stres, stroke THE RISK FACTORS THAT INFLUENCE THE INCIDENCE OF STROKE ABSTRACT Stroke is a cerebrovascular disease in which the occurrence of brain function disorders associated with vascular disease that supplies blood to the brain. A quarter of all stroke events are strokes. Factors affecting stroke include coffee drinking habits, smoking behavior, lack of physical activity, not exercising routine blood pressure control, and stress. The purpose of this study was to determine the risk factors that influence the incidence of stroke in PKU Muhammadiyah Sruweng Hospital. This study uses a correlational method with a cross-sectional approach. The sample in this study was 38 patients taken by simple random sampling. The instrument was in the form of a questionnaire sheet. Data were analyzed using descriptive and correlative analysis using chi square test. The results showed there was no effect of the habit of drinking coffee and smoking with the incidence of stroke. There is an influence of physical activity, routine blood pressure control, and stress with the incidence of stroke. Further research can be developed by conducting intervention studies such as providing counseling related to how to increase physical activity, and reduce stress and regular medication. Keywords: risk factors, physical activity, blood pressure, stress, stroke

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Incidence and risk factors for restenosis, and its impact on blood pressure control after percutaneous transluminal renal angioplasty in hypertensive patients with renal artery stenosis

Journal of Hypertension ◽

10.1097/hjh.0000000000000928 ◽

2016 ◽

Vol 34 (7) ◽

pp. 1407-1415 ◽

Cited By ~ 15

Author(s):

Yoshio Iwashima ◽

Tetsuya Fukuda ◽

Fumiki Yoshihara ◽

Hiroshi Kusunoki ◽

Masatsugu Kishida ◽

...

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Renal Artery ◽

Renal Artery Stenosis ◽

Blood Pressure Control ◽

Pressure Control ◽

Hypertensive Patients ◽

Renal Angioplasty ◽

Percutaneous Transluminal Renal Angioplasty ◽

Percutaneous Transluminal

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The Role of Lifestyle Factors in Controlling Blood Pressure among Hypertensive Patients in Two Health Facilities in Urban Ghana: A Cross-Sectional Study

International Journal of Hypertension ◽

10.1155/2020/9379128 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Emefa Modey Amoah ◽

Darlene Esinam Okai ◽

Adom Manu ◽

Amos Laar ◽

Joseph Akamah ◽

...

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Blood Pressure Control ◽

Pressure Control ◽

Cross Sectional Study ◽

Lifestyle Factors ◽

Sectional Study ◽

Hypertension Control ◽

Cross Sectional ◽

Hypertensive Patients

Introduction. Despite efforts to combat hypertension by pharmacotherapy, hypertension control rates remain low. Lifestyle modifications of individuals diagnosed with hypertension have prospects for the prevention and control of hypertension. This study assessed the effect of modifiable lifestyle factors on blood pressure control among adults in urban Accra. Methods. In this cross-sectional study, 360 diagnosed hypertensive patients who were ≥18 years old, selected from two secondary-level referral hospitals in the Greater Accra Region, were interviewed. Demographic information, diet components, and exercise assessments as well as blood pressure measurements were taken. Chi-squared tests and binomial logistic regression were used to determine the association between demographic and lifestyle factors with blood pressure control. Area under the receiver-operator curves (AUROC) was used to identify lifestyle factors predicting optimal blood pressure control among patients diagnosed with hypertension. Results. Approximately 54.2% of participants had no knowledge of either causes or complications of hypertension. Similarly, 52.5% of patients that had not achieved blood pressure control lacked knowledge of causes or complications of hypertension. Longer time since diagnosis of 2–5 years (AOR = 0.08 (95% CI: 0.01–0.47)) and 6–10 years (AOR = 0.08 (95% CI: 0.01–0.50)) and diets, mainly composed of meat (AOR = 0.13 (95% CI: 0.02–0.70)) and starch (AOR = 0.14 (95% CI: 0.03–0.79)), predicted poor blood pressure control compared to patients diagnosed within a year and diets without meat and starch as main components, respectively. Additionally, engaging in some physical activity of 30 minutes to one hour (AOR = 5.64 (95% CI: 2.08–15.32)) and more than an hour (AOR = 11.38, 95% CI: 2.01–64.47)) predicted blood pressure control. Conclusion. The study concludes that increased physical activity, abstaining from alcohol and smoking, increased intake of fruits and vegetables, and reduced intake of carbohydrates, meat, and fat have a positive influence on blood pressure control. Lifestyle modifying factors have a key role in complementing pharmacotherapy in hypertension control.

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Demographic and clinical characteristics of hypertensive patients in the internal medicine outpatient clinic of a university hospital in Rio de Janeiro

Sao Paulo Medical Journal ◽

10.1590/s1516-31802004000300003 ◽

2004 ◽

Vol 122 (3) ◽

pp. 87-93 ◽

Cited By ~ 13

Author(s):

Elizabeth Silaid Muxfeldt ◽

Armando da Rocha Nogueira ◽

Gil Fernando Salles ◽

Kátia Vergetti Bloch

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Cardiovascular Risk ◽

Blood Pressure Control ◽

Rio De Janeiro ◽

Pressure Control ◽

Organ Damage ◽

University Hospital ◽

High Cardiovascular Risk ◽

Hypertensive Patients

CONTEXT: Hypertension is one of the most important cardiovascular risk factors but its control is still a challenge for physicians all around the world. For blood pressure control to be improved, it is important to guarantee the quality of attendance provided for hypertensive patients, especially in teaching hospitals, where future physicians are being trained. OBJECTIVE: To characterize the profile of hypertensive patients attending the internal medicine outpatient clinic of a university hospital in Rio de Janeiro,describing their cardiovascular risk and identifying flaws in the treatment provided for severely hypertensive patients, in order to implement an arterial hypertension management program. TYPE OF STUDY: A descriptive cross-sectional population-based study. SETTING: Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro. METHODS: The study was carried out over a period of four months, involving all the hypertensive patients under treatment in the outpatient unit. The attending physician obtained information relating to demographic features, cardiovascular risk factors, target organ damage, blood pressure levels, therapeutic regimens and compliance with treatment. Means and the respective standard deviations and proportions were used to describe the distribution of patient data. RESULTS: Of the total number of patients seen, 24.2% (1,699 patients) were hypertensive. Women accounted for 65.0% of the patients. The mean age was 63.9 years. Dyslipidemia (49.2%) and diabetes (29.8%) were the most frequently reported risk factors and heart disease was the most prevalent end-organ damage. Seventy percent of the patients were classified as high cardiovascular risk. In spite of the high intensity treatment provided for the most severe patients (19.4% on a regimen of 3 or more antihypertensive drugs), the rate of blood pressure control was low (27%). CONCLUSIONS: The patients with arterial hypertension under treatment at the university hospital had a profile of high cardiovascular risk and poor blood pressure control. Greater effort for improving hypertension control is needed, since this is the only way to reduce the morbidity and mortality rates of cardiovascular diseases.

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