The Effect of Lifestyle Changes on Blood Pressure Control among Hypertensive Patients.
10.4082/kjfm.2017.38.4.173
- Author:
Myung Hwa YANG
1
;
Seo Young KANG
;
Jung Ah LEE
;
Young Sik KIM
;
Eun Ju SUNG
;
Ka Young LEE
;
Jun Su KIM
;
Han Jin OH
;
Hee Chul KANG
;
Sang Yeoup LEE
Author Information
1. Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. youngkim@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Hypertension;
Lifestyle Change;
Physical Activity;
Salt Intake
- MeSH:
Alcohol Drinking;
Antihypertensive Agents;
Blood Pressure*;
Body Mass Index;
Comorbidity;
Education;
Family Practice;
Follow-Up Studies;
Humans;
Hypertension;
Korea;
Life Style*;
Motor Activity;
Multivariate Analysis;
Primary Health Care;
Prospective Studies;
Retrospective Studies;
Smoke;
Smoking;
Weight Gain
- From:Korean Journal of Family Medicine
2017;38(4):173-180
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Hypertension is highly prevalent among patients who visit primary care clinics. Various factors and lifestyle behaviors are associated with effective blood pressure control. We aimed to identify factors and lifestyle modifications associated with blood pressure control among patients prescribed antihypertensive agents. METHODS: This survey was conducted at 15 hospital-based family practices in Korea from July 2008 to June 2010. We prospectively recruited and retrospectively assessed 1,453 patients prescribed candesartan. An initial evaluation of patients' lifestyles was performed using individual questions. Follow-up questionnaires were administered at 4, 8, and 12 weeks. We defined successful blood pressure control as blood pressure <140 mm Hg systolic and <90 mm Hg diastolic. RESULTS: Of the 1,453 patients, 1,139 patients with available data for initial and final blood pressures were included. In the univariate analysis of the change in performance index, weight gain (odds ratio [OR], 2.18; 95% confidence interval [CI], 1.52 to 3.11; P<0.001), physical inactivity (OR, 1.195; 95% CI, 1.175 to 3.387; P=0.011), and increased salt intake (OR, 1.461; 95% CI, 1.029 to 2.075; P=0.034) were related to inadequate blood pressure control. Salt intake also showed a significant association. Multivariate ORs were calculated for age, sex, body mass index, education, income, alcohol consumption, smoking status, salt intake, comorbidity, and family history of hypertension. In the multivariate analysis, sex (OR, 3.55; 95% CI, 2.02 to 6.26; P<0.001), salt intake (OR, 0.64; 95% CI 0.43 to 0.97; P=0.034), and comorbidity (OR, 1.82; 95% CI, 1.23 to 2.69; P=0.003) were associated with successful blood pressure control. CONCLUSION: Weight gain, physical inactivity, and high salt intake were associated with inadequate blood pressure control.
