Use of physician-recommended non-pharmacological strategies for hypertension control among hypertensive patients

Xuefeng Liu, James Brian Byrd, Carlos J. Rodriguez

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

This study aims to evaluate the 4 non-pharmacological strategies adopted by patients for hypertension control and patient characteristics that affect the choice of strategies. Four thousand hypertensive patients aged ≥18 years were selected from the National Health and Nutrition Examination Survey. Odds ratios of the choice of strategies were analyzed using weighted logistic models. Clinical recommendations of non-pharmacological strategies for hypertension control were relatively low. More exercise was the least frequent strategy used for hypertension control. More patients reported using ≥3 strategies than using ≤2 strategies (79.1% vs 20.9%, P <.0001). Non-Hispanic blacks were more likely to use each individual strategy and to use ≥3 strategies simultaneously. Patients with obesity and diabetes were less likely to attempt weight control or more exercise, but more likely to use ≥3 strategies than peers. Educational programs should be developed to enhance physician's advice for lifestyle modifications and to increase patient's acceptance of physical activity.

Original languageEnglish (US)
Pages (from-to)518-527
Number of pages10
JournalJournal of Clinical Hypertension
Volume20
Issue number3
DOIs
StatePublished - Mar 2018
Externally publishedYes

Keywords

  • adoption rate
  • blood pressure
  • clinical recommendation
  • hypertension control
  • non-pharmacological strategies

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Cardiology and Cardiovascular Medicine

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