ArticleJournal of general internal medicine2004
Prevalence of nutrition and exercise counseling for patients with hypertension. United States, 1999 to 2000.
Article in Journal of general internal medicine, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.
- Qigong for hypertension: a systematic review.Medicine · 2015Pooled it
- A feasibility study of a randomized controlled trial protocol to assess the impact of an eHealth intervention on the provision of dietary advice in primary care.Pilot and feasibility studies · 2022Article
- Our Whole Lives for Hypertension and Cardiac Risk Factors-Combining a Teaching Kitchen Group Visit With a Web-Based Platform: Feasibility Trial.JMIR formative research · 2022Article
- Dietary Habits and Medications to Control Hypertension Among Women of Child-Bearing Age in the United States from 2001 to 2016.American journal of hypertension · 2021Article
- [Nutrition and hypertension : What one should pay attention to in addition to the pharmaceutical treatment].Der Internist · 2021Review
- Expectations about check-up examinations among Swiss residents: A nationwide population-based cross-sectional survey.PloS one · 2021Article
- Knowledge, Attitudes and Behaviours Related to Physician-Delivered Dietary Advice for Patients with Hypertension.Journal of community health · 2020Article
- Evaluating the feasibility of a pharmacist-guided patient-driven intervention to improve blood pressure control in patients with CKD.Pilot and feasibility studies · 2019Article
- Use of physician-recommended non-pharmacological strategies for hypertension control among hypertensive patients.Journal of clinical hypertension (Greenwich, Conn.) · 2018Article
- The Impact of Personalized Preventive Care on Health Care Quality, Utilization, and Expenditures.Population health management · 2016Article
- Documented lifestyle education among young adults with incident hypertension.Journal of general internal medicine · 2015Article
- Management of hypertension in the elderly.Nature reviews. Cardiology · 2012Review
- Actions to control hypertension among adults in Oklahoma.Preventing chronic disease · 2011Article
- Are we satisfied with the follow-up of hypertensive and chronic kidney disease patients in outpatient clinics?Hippokratia · 2011Article
- Prevalence of self-reported hypertension, advice received from health care professionals, and actions taken to reduce blood pressure among US adults--HealthStyles, 2008.Journal of clinical hypertension (Greenwich, Conn.) · 2010Article
- Incorporating performance improvement methods into a needs assessment: experience with a nutrition and exercise curriculum.Journal of general internal medicine · 2010Article
- Internal medicine residents' comfort with and frequency of providing dietary counseling to diabetic patients.Journal of general internal medicine · 2009Article
- Description of clinical risk factor changes during naturopathic care for type 2 diabetes.Journal of alternative and complementary medicine (New York, N.Y.) · 2009Article
- Missed opportunities? Improving the care of patients with high blood pressure.American journal of hypertension · 2009Article
- National prevalence of lifestyle counseling or referral among African-Americans and whites with diabetes.Journal of general internal medicine · 2008Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the prevalence of nutrition and exercise counseling for patients with hypertension.
designCross-sectional survey data from the National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS) for 1999 and 2000.
settingOffice-based physician practices and hospital outpatient departments. PATIENTS/
participantsPatients age 18 or older with a diagnosis of hypertension. MEASUREMENTS AND MAIN
resultsIn 1999 and 2000, over 137 million patient encounters had a diagnosis of hypertension. Nutrition and exercise counseling were provided at 35% and 26% of visits, respectively. Patients older than 74 received the least nutrition (28%) and exercise (18%) counseling. Asians and Hispanics were more likely to undergo any lifestyle counseling, while non-Hispanic whites received the least exercise and nutrition counseling. Patients with 2 cardiovascular comorbidities were counseled for diet (53%) and exercise (32%) more than those with 1 (44% and 31%) or none (30% and 23%; P</=.001 and P</=.001). The encounters in the NAMCS had higher rates of counseling than those in the NHAMCS. There were no significant differences in counseling rates with respect to gender, geographic region, severity of hypertension, or physician specialty.
conclusionsWhile there were significant differences in counseling rates with respect to age, race, comorbidity, and survey cohort, counseling for therapeutic lifestyle changes for patients with hypertension was uniformly suboptimal. Physicians need to recognize the importance of nonpharmacologic treatment in hypertension.
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