Title of article :
Lifestyle modification strategies for controlling hypertension: How are these strategies recommended by physicians in Iran ?
Author/Authors :
Rafiey , Hassan Department of Social Welfare Management & Social Welfare Management Research Center - University of Social Welfare and Rehabilitation Sciences - Tehran, Iran , Ahmadi , Sina Department of Social Welfare Management & Social Welfare Management Research Center - University of Social Welfare and Rehabilitation Sciences - Tehran, Iran , Sajjadi , Homeira Department of Social Welfare Management & Social Welfare Management Research Center - University of Social Welfare and Rehabilitation Sciences - Tehran, Iran , Nosrati Nejad , Farhad Department of Social Welfare Management & Social Welfare Management Research Center - University of Social Welfare and Rehabilitation Sciences - Tehran, Iran , Ahmadi , Naser Non–communicable Diseases Research Center - Endocrinology and Metabolism Population Sciences Institute - Tehran University of Medical Sciences - Tehran, Iran , Karimi , Salah Eddin Social Determinants of Health Research Center - Health Management and Safety Promotion Research Institute - Tabriz University of Medical Sciences - Tabriz, Iran , Yoosefi ,Moein Non–communicable Diseases Research Center - Endocrinology and Metabolism Population Sciences Institute - Tehran University of Medical Sciences - Tehran, Iran
Pages :
7
From page :
1
To page :
7
Abstract :
This study aimed to evaluate lifestyle changes and their impact on hypertension control and why and how lifestyle modifications are recommended for patients with hypertension. Four non pharmacological strategies have been recommended by physicians for hypertension control for hypertensive patients in Iran: healthier diet, smoking cessation, physical activity, and weight loss. Methods: Among participants of Iran STEPS Non-communicable Disease Risk Factors Survey (STEPs), 7879 hypertensive patients aged ≥25 years were selected. All statistical analyses were calculated using STATA software version 14. Means, proportions, and multiple binary logistic regression models were used. Two-tailed p values of <0.05 were considered statistically significant. Results: The results of this study showed that about three quarters of people with high blood pressure had been recommended lifestyle strategies by their physician for blood pressure control. Of the participants, 41% reported that they had been recommended only lifestyle modification for their blood pressure (BP), while 35% reported that they were recommended both lifestyle changes and medications as part of their treatment. Healthier diet, 71.9% (70.8-72.9), and smoking cessation, 23.8% (21.4-25.6), were the most and least frequently recommended strategies, respectively. Also, the rates of recommendations on smoking cessation, weight loss, increased physical activity, and healthier diet were more among women, married, and illiterate individuals, respectively. Conclusion: Because of the changes and transitions in the lifestyle and dietary habits in the modern world, policies and training programs should be developed to improve the recommendations on lifestyle modification. Also, educational programs should be developed to increase patient’s acceptance of lifestyle modifications and physical activity.
Keywords :
Non pharmacology , Recommendation , Physical activity , Hypertension Lifestyle
Journal title :
Medical Journal of the Islamic Republic of Iran
Serial Year :
2019
Record number :
2501330
Link To Document :
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