ArticleBMJ open2019
Association of lifestyle modification and pharmacological adherence on blood pressure control among patients with hypertension at Kenyatta National Hospital, Kenya: a cross-sectional study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Suboptimal blood pressure control and its associated factors among people living with diabetes mellitus in sub-Saharan Africa: a systematic review and meta-analysis.Systematic reviews · 2022Pooled it
- Assessment of the association between plant-based dietary exposures and cardiovascular disease risk profile in sub-Saharan Africa: a systematic review.BMC public health · 2022Pooled it
- Pooled it
- Article
- Personalized Informational Support for Patients With Hypertension: Single-Arm Pretest-Posttest Study.JMIR formative research · 2026Article
- Self management strategies for hypertensive patients on treatment in selected clinics at Ga-Dikgale, Capricorn District, Limpopo, South Africa.Frontiers in public health · 2026Article
- Review
- Association of healthy lifestyle index and antihypertensive medication use with blood pressure control among employees with hypertension in China based on a workplace-based multicomponent intervention program.Journal of geriatric cardiology : JGC · 2025Article
- The global burden of hypertension and its epidemiological impacts on adolescents and young adults: projections to 2050.Frontiers in cardiovascular medicine · 2025Article
- Effect of Tomato and Cucumber Juice on Blood Pressure in Hypertensive Patients: a Quasi-Experimental Study.Acta medica Philippina · 2025Article
- Effect of Self-Care Activities on Blood Pressure Control Among Patients With Hypertension.BioMed research international · 2025Observational
- Article
- A cross-sectional study on adherence to treatment and life-style modifications in hypertensive patients attending the urban health centre of a teaching hospital in Hyderabad.Journal of family medicine and primary care · 2023Article
- Self-care practice and associated factors among hypertensive follow-up patients at East Gojam zone public hospitals, North West Ethiopia, 2021.Journal of human hypertension · 2023Article
- Shaping the Physicochemical, Functional, Microbiological and Sensory Properties of Yoghurts Using Plant Additives.Foods (Basel, Switzerland) · 2023Review
- Article
- Timely referral to health centers for the prevention of cardiovascular diseases: IraPEN national program.Frontiers in public health · 2023Article
- Implementation of non-pharmacological interventions for the treatment of hypertension in primary care: a narrative review of effectiveness, cost-effectiveness, barriers, and facilitators.BMC primary care · 2022Review
- Hypertensive patients' knowledge and practices on lifestyle modification in Extension 6, Middelburg.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022Article
- Community-based lifestyle intervention improves metabolic syndrome and related markers among Kenyan adults.Journal of diabetes and metabolic disorders · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAssociation of lifestyle modification and pharmacological adherence among patients with hypertension attending a national referral hospital in Kenya.
designDescriptive, cross-sectional.
settingMedical wards and outpatient clinic of a national referral hospital.
participantsPatients (n=229) diagnosed with primary hypertension for at least 6 months. PRIMARY OUTCOMES: Clinical makers, cholesterol levels, anthropometrics, lifestyle/dietary habits adjusted for age, gender and education; antihypertensive adherence; views on prevention of hypertension and adequacy of hypertension information.
resultsAgeing was associated with elevated diastolic blood pressure (BP) (p<0.05), heart rate (HR) and cholesterol. Females had higher body mass index (BMI). More males reported drinking alcohol and smoking (p<0.001), especially the highly educated. Higher BPs were observed in smokers and drinkers (p<0.05). Daily vegetables and fruits intake were linked to lower BP, HR and BMI (p<0.05). Intake of foods high in saturated fat and cholesterol were associated with raised HR (p<0.05). Respondents on antihypertensive medication, those engaged in healthy lifestyle and took their prescribed medications had lower mean BPs than those on medication only (138/85 vs 140/90). Few respondents (30.8%) considered hypertension as preventable, mainly the single and highly educated (p<0.05). Respondents (53.6%) believed they should stop taking their antihypertensive medication once hypertension is controlled.
conclusionMissed targets for BP control and hypertension-related risks are associated with ageing, female gender, fast food and animal fat intake. Alcohol and smoking is common in males associated with poor BP control. Daily vegetables and fruits intake are associated with better BP control and overall hypertension risk reduction. Observed suboptimal BP control despite pharmacological adherence suggests lifestyle modification is needed besides antihypertensive medication. Interventions should address modifiable risk factors aggravated by age and adverse lifestyles through adopting combined lifestyle modification, pharmacological adherence and tailored expert delivered hypertension-related information.
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