In Hypertension Patients is Diet and Exercise more Effective in Lowering High Blood Pressure Compared to Exercise Alone

The objective of this systematic review was to explore ways of using diet and regular exercise as a means of reducing of reducing high blood pressure levels the world over. High blood pressure is fundamentally associated with high morbidity, mortality rates, and disability. Generally, lifestyle modifications such as exercise and a healthy diet have been seen to lower blood pressure in hypertensive and normotensive. A search of the literature was conducted on the Medline database to identify articles related to the research question. We also obtained the primary studies from the reference list of the retrieved review articles. The search was performed using the following key terms combination; hypertension, diet, and exercise, regular exercise, exercise alone, and lowering high blood pressure. For this project, the Medline database was searched under EBSCO host on 29th of April 2013, and there was no restriction on the years covered by the search. A total of eight articles were found to be relevant. Of all these articles reviewed, three addressed the issue of diet, and the other five addressed the issue of exercise as an intervention. Lifestyle modifications using exercise and diet was found to have a great effect in reducing blood pressure in hypertensive patients and normotensive in all the reviewed articles. There is evidence that diet and exercise have a substantial effect in reducing blood pressure in hypertensive patients and the normotensive in all the reviewed articles. Keywords: Diet and Exercise, Exercise alone, Hypertension, Lowering High Blood Pressure.

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Abstract P136: Healthier Personal Habits Of Primary Care Physicians Increase The Likelihood Of Their Recommending Lifestyle Modifications For Their Hypertensive Patients That Are Consistent With The National Guidelines

Circulation ◽

10.1161/circ.125.suppl_10.ap136 ◽

2012 ◽

Vol 125 (suppl_10) ◽

Author(s):

Olivia Y Hung ◽

Nora L Keenan ◽

Jing Fang

Keyword(s):

Blood Pressure ◽

Primary Care ◽

High Blood Pressure ◽

Primary Care Physicians ◽

Lifestyle Modification ◽

Lifestyle Interventions ◽

Lifestyle Modifications ◽

Hypertensive Patients ◽

Attitudes And Behaviors ◽

And Behaviors

Introduction: The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VII) recommended lifestyle interventions, either with or without pharmacologic treatment, for all patients with high blood pressure. The objective of this study is to determine the association of physicians’ personal habits with their attitudes and behaviors regarding JNC VII lifestyle modification guidelines. Hypothesis: Primary care physicians who have healthier habits, as defined by eating more cups of fruits and/or vegetables, exercising more frequently, and/or not smoking, would be more likely to recommend lifestyle interventions consistent with JNC VII than their counterparts who have less healthy habits. Methods: One thousand primary care physicians completed DocStyles 2010, a voluntary web-based survey designed to provide insight into physician attitudes and behaviors regarding various health issues. Results: The respondents’ average age was 45.3 years and 68.5% (685 of 1000) were male. In regards to physician behavior, 4.0% (40 of 1000) smoked at least once a week, 38.6% (386 of 1000) ate ≥5 cups of fruits and/or vegetables ≥5 days/week, and 27.4% (274 of 1000) exercised ≥5 days/week. When asked about specific types of advice offered to their hypertensive patients, physicians reported recommending that their patients eat a healthy diet (922 of 1000), or cut down on salt (961 of 1000), or attain or maintain a healthy weight (948 of 1000), or limit the use of alcohol (754 of 1000), or be physically active (944 of 1000). Collectively, 66.5% (665 of 1000) made all 5 lifestyle modification recommendations. Physicians who were between 40 - 49 years old were 1.6 times as likely of making all 5 lifestyle recommendations compared with those who were under 40 years. Additionally, those who exercised at least once per week or did not actively smoke were approximately twice as likely to recommend these interventions. Conclusions: The probability of recommending all five lifestyle modifications increased with both the physician exercising at least once per week and not having smoked.

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Analisis Faktor Determinan yang berhubungan dengan Kepatuhan Rekomendasi Modifikasi Gaya Hidup Pasien Hipertensi

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) ◽

10.26699/jnk.v7i2.art.p256-263 ◽

2020 ◽

Vol 7 (2) ◽

pp. 256-263

Author(s):

Abdul Qodir

Keyword(s):

Blood Pressure ◽

Lifestyle Modification ◽

Multivariate Logistic Regression Analysis ◽

Cross Sectional Study ◽

Lifestyle Modifications ◽

Chi Square ◽

Cross Sectional ◽

Hypertensive Patients ◽

Consecutive Sampling ◽

Knowledge Practice

Penatalaksanaan farmakologis dan non farmakologis dipercaya dapat mengontrol tekanan darah dan mencegah komplikasi, tetapi banyak pasien hipertensi tekanan darahnya tidak terkontrol. Hal tersebut dikarenakan kepatuhan yang buruk dalam melaksanakan rekomendasi gaya hidup. Penelitian ini bertujuan untuk menganalisis determinan faktor yang berhungan dengan kepatuhan melaksanakan rekomendasi modifikasi gaya hidup. Penelitian ini menggunakan metode cross-sectional di pukesmas dinoyo Kota Malang tahun 2019. Teknik pengambilan sampel menggunakan Consecutive Sampling. Kuesioner yang digunakan meliputi : karakteristik demografi, pengetahuan dan rekomendasi mofifikasi gaya hidup pasien hipertensi. Hubungan antara rekomendasi modifikasi gaya hidup dengan variabel independen dianalisis menggunakan uji chi square dan analisis regresi logistik. 140 pasien hipertensi berpartisipasi dalam penelitian ini (60 laki-laki, 80 wanita). Prevalensi kepatuhan adalah 28,6 %. Tingkat pengetahuan berhubungan signifikan dengan kepatuhan melaksanakan rekomendasi gaya hidup (p=0,00). Jenis kelamin, usia, dan tingkat pendidikan tidak mempunyai hubungan signifikan dengan kepatuhan rekomendasi modifikasi gaya hidup (p= 0,06; p=0,21; p=0,87). Pengetahuan mempunyai hubungan yang signifikan dengan kepatuhan rekomendasi modifikasi gaya hidup. Management of pharmacological and non-pharmacological is believed to control blood pressure and prevent complications, but many hypertensive patients have uncontrolled blood pressure. This is due to poor adherence to recommended lifestyle modifications. This study was aimed to determine the factors associated with adherence to recommended lifestyle modifications of hypertensive patients. A cross-sectional study was conducted in Pukesmas Dinoyo Malang in 2019. Consecutive Sampling was used to select study subjects. The questionnaire included information about demographic characteristics, knowledge, practice of lifestyle-modification measures. Associations between adherence to lifestyle modification and independent variables were analyzed using chi square and multivariate logistic regression analysis. 140 hypertensive patients participated in the study (60 men, 80 women). The prevalence of adherence was 28.6%. The level of knowledge was significant associated with adherence to recommended lifestyle modifications (p = 0.00). Genders , age, and educational level were no significant associated with to recommended lifestyle modifications (p= 0.06; p=0.21; p=0.87). Knowledge was significant associated with adherence to recommended lifestyle modifications of hypertensive patients.

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Reduction of Sodium Intake is a Prerequisite for Preventing and Curing High Blood Pressure in Hypertensive Patients - Second Part: Guidelines

Current Hypertension Reviews ◽

10.2174/1573402111666141231124028 ◽

2015 ◽

Vol 10 (2) ◽

pp. 77-80 ◽

Cited By ~ 3

Author(s):

Natale De Santo

Keyword(s):

Blood Pressure ◽

High Blood Pressure ◽

Sodium Intake ◽

Hypertensive Patients

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Obstructive sleep apnea syndrome and sleep quality in hypertensive patients

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.63.12.1055 ◽

2017 ◽

Vol 63 (12) ◽

pp. 1055-1060 ◽

Cited By ~ 3

Author(s):

Marcelo Rodrigues Bacci ◽

Jonathan Naim Mora Emboz ◽

Beatriz da Costa Aguiar Alves ◽

Glaucia Luciano da Veiga ◽

Neif Murad ◽

...

Keyword(s):

Blood Pressure ◽

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Sleep Quality ◽

High Blood Pressure ◽

Antihypertensive Drugs ◽

Poor Sleep ◽

Hypertensive Patients ◽

Group I ◽

Obstructive Sleep

Summary Introduction: Obstructive sleep apnea and hypopnea syndrome (OSAHS) is one of the developmental factors of high blood pressure (HBP), a relevant global public health problem. OSAHS is characterized by the reduction or complete cessation of respiratory airflow due to intermittent airway collapse. Additionally, significant changes in sleep rhythm and pattern are observed in these patients. Objective: To evaluate the association between OSAHS and sleep quality in essential and resistant hypertensives. Method: A cross-sectional, observational study evaluated 43 hypertensive patients treated at the outpatient clinics of the Faculdade de Medicina do ABC (FMABC) who were medicated with two or more antihypertensive drugs and divided into nonresistant or resistant to treatment. Results: Group I (using up to two antihypertensive agents – 60.47% of the sample) presented mean systolic blood pressure (SBP) of 127.5±6.4 mmHg, mean diastolic blood pressure (DBP) of 79.6±5.2 mmHg, mean body mass index (BMI) of 27.2±5.3 kg/m2 and mean age of 51.2±15.1 years. Group II (using more than two antihypertensive drugs – 37.2% of the sample) presented mean SBP of 132.1±9.3 mmHg, mean DBP of 84.5±5.8 mmHg, mean BMI of 27.2±7.2 kg/m2 and mean age of 55.5±13.4 years. The patients presented low quality of sleep/sleep disorder evaluated by the Pittsburgh Sleep Quality Index (PSQI), which represents a preponderant factor for OSAHS. Conclusion: Patients at high risk for OSAHS had poor sleep quality and high levels of DBP, suggesting a causal relation between these parameters. However, they did not present a higher prevalence of resistant high blood pressure (RHBP).

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Counseling on life style modification and knowledge and belief of hypertension and its management among hypertensive patients visiting community based screening and management program in Eastern Nepal

Journal of Chitwan Medical College ◽

10.3126/jcmc.v8i1.23713 ◽

2018 ◽

Vol 8 (1) ◽

pp. 19-23

Author(s):

Bhawesh Koirala ◽

Gajendra Prasad Rauniar ◽

Anup Ghimire ◽

Sanjib Kumar Sharma

Keyword(s):

Blood Pressure ◽

Cardiovascular Diseases ◽

Kidney Disease ◽

Early Detection ◽

Lifestyle Modification ◽

Lifestyle Modifications ◽

Research Committee ◽

Community Based ◽

General Behaviour ◽

Hypertensive Patients

Background: Hypertension is a global health problem with almost quarter of adults estimated to have high blood pressure. There are evidences showing effectiveness of lifestyle modification on the prevention and management of hypertension. The adherence to lifestyle modifications and medication depends upon knowledge and belief on management of hypertension and the counseling they received from medical staffs. Methods: In this prospective crossover study, 140 hypertensive patients were enrolled after getting written informed consent. This study was performed after obtaining the ethical clearance from Institutional Research Committee (IRC), BPKIHS, and Dharan. Data was collected using validated structured self-constructed questionnaire from the hypertensive patients visiting community program (KHDC) held on first Saturday of every month for follow-up. KHDC is a community based program for early detection and management of Kidney disease, Hypertension, Diabetes and Cardiovascular diseases. For descriptive statistics, percentage, mean, Standard deviation was calculated along with graphical and tabular presentation. Results: Out of 140 patients enrolled 52.1% were male. Majority of the patient were aged between 40-59 years of age (50.7%). Most of them were Aryans 55.7 % followed by Mongolians 44.3%. Mean of Systolic Blood pressure was 131.48(SD ± 16.57) and Mean of Diastolic Blood pressure was 81.7(SD ±9.57). Majority of patient believed that they have received appropriate counseling from the medical staffs in regards to appropriate diet, Body weight, Smoking cessation, Physical activity and risk and complication of hypertension. Overall knowledge rate was high on all items but 27.9% patients believed that treating with drugs is sufficient for the management of hypertension. Only 7.1 % of them were smokers whereas 24.3% consumed alcohol, 72.1 % patients were non vegetarians and most of them preferred average amount of salt in their meal 52.1%. However 44.3 % patients preferred low amount of salt. Sixty percentages of patients reported that they were doing physical exercise regularly. Conclusion: The knowledge and belief on the management of hypertension is high in the hypertensive patients visiting community based program for early detection and management of Kidney disease, Hypertension, Diabetes and Cardiovascular diseases. Further, most patients received the counseling on lifestyle modification which was reflected in their general behaviour.

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