ArticleJournal of general internal medicine2015
Documented lifestyle education among young adults with incident hypertension.
Article in Journal of general internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- The effects of aquatic and land exercise on resting blood pressure and post-exercise hypotension response in elderly hypertensives.Cardiovascular journal of AfricaTrial
- Challenges and Opportunities for the Prevention and Treatment of Cardiovascular Disease Among Young Adults: Report From a National Heart, Lung, and Blood Institute Working Group.Journal of the American Heart Association · 2020Review
- Identifying patterns and predictors of lifestyle modification in electronic health record documentation using statistical and machine learning methods.Preventive medicine · 2020Article
- Rationale and study design of the MyHEART study: A young adult hypertension self-management randomized controlled trial.Contemporary clinical trials · 2019Article
- Low use of routine medical care among African Americans with high CKD risk: the Jackson Heart Study.BMC nephrology · 2019Article
- Evaluating the feasibility of a pharmacist-guided patient-driven intervention to improve blood pressure control in patients with CKD.Pilot and feasibility studies · 2019Article
- Compliance with Nutritional and Lifestyle Recommendations in 13,000 Patients with a Cardiometabolic Disease from the Nutrinet-Santé Study.Nutrients · 2017Article
- "They're younger… it's harder." Primary providers' perspectives on hypertension management in young adults: a multicenter qualitative study.BMC research notes · 2017Article
- The Unchartered Frontier: Preventive Cardiology Between the Ages of 15 and 35 Years.Current cardiovascular risk reports · 2016Article
- Vascular Disease in Young Indians (20-40 years): Role of Hypertension.Journal of clinical and diagnostic research : JCDR · 2016Review
- Achieving Weight Loss and Hypertension Control Among Obese Adults: A US Multidisciplinary Group Practice Observational Study.American journal of hypertension · 2016Observational
- "I have to live like I'm old." Young adults' perspectives on managing hypertension: a multi-center qualitative study.BMC family practice · 2016Article
- Association Between Lifestyle and Systemic Arterial Hypertension in Young Adults: A National, Survey-Based, Cross-Sectional Study.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2016Article
- Differential Diagnosis and Treatment Rates Between Systolic and Diastolic Hypertension in Young Adults: A Multidisciplinary Observational Study.Journal of clinical hypertension (Greenwich, Conn.) · 2015Observational
- Missed opportunities: young adults with hypertension and lifestyle counseling in clinical practice.Journal of general internal medicine · 2015Article
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8 authors.
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Abstract
backgroundOnly 38% of young adults with hypertension have controlled blood pressure. Lifestyle education is a critical initial step for hypertension control. Previous studies have not assessed the type and frequency of lifestyle education in young adults with incident hypertension.
objectiveThe purpose of this study was to determine patient, provider, and visit predictors of documented lifestyle education among young adults with incident hypertension.
designWe conducted a retrospective analysis of manually abstracted electronic health record data.
participantsA random selection of adults 18-39 years old (n = 500), managed by a large academic practice from 2008 to 2011 and who met JNC 7 clinical criteria for incident hypertension, participated in the study. MAIN MEASURES: The primary outcome was the presence of any documented lifestyle education during one year after meeting criteria for incident hypertension. Abstracted topics included documented patient education for exercise, tobacco cessation, alcohol use, stress management/stress reduction, Dietary Approaches to Stop Hypertension (DASH) diet, and weight loss. Clinic visits were categorized based upon a modified established taxonomy to characterize patients' patterns of outpatient service. We excluded patients with previous hypertension diagnoses, previous antihypertensive medications, or pregnancy. Logistic regression was used to identify predictors of documented education. KEY
resultsOverall, 55% (n = 275) of patients had documented lifestyle education within one year of incident hypertension. Exercise was the most frequent topic (64%). Young adult males had significantly decreased odds of receiving documented education. Patients with a previous diagnosis of hyperlipidemia or a family history of hypertension or coronary artery disease had increased odds of documented education. Among visit types, chronic disease visits predicted documented lifestyle education, but not acute or other/preventive visits.
conclusionsAmong young adults with incident hypertension, only 55% had documented lifestyle education within one year. Knowledge of patient, provider, and visit predictors of education can help better target the development of interventions to improve young adult health education and hypertension control.
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