ArticleAmerican journal of hypertension2009
Lifestyle modification counseling for hypertensive patients: results from the National Health and Nutrition Examination Survey 1999-2004.
Article in American journal of hypertension, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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19 citing papers in PubMed, 45 citations in OpenAlex.
- Article
- Association of Healthy Lifestyle and Incident Polypharmacy.The American journal of medicine · 2024Article
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- Lifestyle advice for hypertension or diabetes: trend analysis from 2002 to 2017 in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Identifying patterns and predictors of lifestyle modification in electronic health record documentation using statistical and machine learning methods.Preventive medicine · 2020Article
- Exploring racial/ethnic disparities in hypertension care among patients served by health centers in the United States.Journal of clinical hypertension (Greenwich, Conn.) · 2019Article
- Article
- Factors affecting hypertensive patients' compliance with healthy lifestyle.Patient preference and adherence · 2019Article
- Prevention and Control of Hypertension: JACC Health Promotion Series.Journal of the American College of Cardiology · 2018Review
- Health-promoting behaviors and quality of life in older adults with hypertension as compared to a community control group.Journal of human hypertension · 2018Article
- Article
- Article
- Are long-term cancer survivors and physicians discussing health promotion and healthy behaviors?Journal of cancer survivorship : research and practice · 2016Article
- Receiving and adhering to lifestyle modification counseling for hypertension: disparities between smokers and nonsmokers.Journal of clinical hypertension (Greenwich, Conn.) · 2014Article
- CC chemokine receptor 5 deletion impairs macrophage activation and induces adverse remodeling following myocardial infarction.American journal of physiology. Heart and circulatory physiology · 2011Article
- Health behaviors and racial disparity in blood pressure control in the national health and nutrition examination survey.Hypertension (Dallas, Tex. : 1979) · 2011Article
- Utilization of preventive care services and their effect on cardiovascular outcomes in the United States.Risk management and healthcare policy · 2011Article
- Adherence to healthy lifestyle in hypertensive patients: ample room for improvement?Journal of human hypertension · 2010Article
- Missed opportunities? Improving the care of patients with high blood pressure.American journal of hypertension · 2009Article
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4 authors at 3 institutions in 1 country.
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Abstract
backgroundLifestyle modification is recommended for all patients with the diagnosis of hypertension.
methodsWe examined 3,497 adult hypertensive participants (representing 42 million Americans), from the National Health and Nutrition Examination Survey (NHANES) 1999-2004. We analyzed the rate, demographic, and clinical factors of participants who reported receiving lifestyle counseling and their adherence.
resultsOf the 3,497 participants with hypertension, 84% reported receiving lifestyle modification counseling. After adjustment for demographic and clinical characteristics, non-Hispanic blacks were more likely to report receiving counseling (odds ratio (OR), 2.5; P < 0.001) when compared to whites. Men (OR, 1.5; P = 0.02) reported receiving counseling more often than women as well as those with Medicare insurance (OR, 1.5; P = 0.02) compared to the privately insured. Participants who were hypercholesterolemic (OR, 1.7; P < 0.001), diabetic (OR, 3.5; P < 0.001), overweight (OR, 1.5; P < 0.001), or obese (OR 3.0; P < 0.001) reported receiving lifestyle counseling more often than those without these conditions. Of those receiving counseling, 88% reported adhering to those recommendations. After adjustment for demographic and clinical characteristics, only non-Hispanic blacks (OR, 2.8; P < 0.001) and those aged >60 (OR, 1.9; P = 0.04) were more likely to report adhering when advised.
conclusionsHigh cardiovascular risk hypertensive patients had high rates of lifestyle counseling. However, gaps exist in lifestyle counseling for young and low cardiovascular risk hypertensive patients. In addition, differences in rates of adherence exist especially in those with high cardiovascular risk comorbid conditions. Future work is needed to increase adherence to lifestyle counseling for all hypertensive patients.
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