ArticleScientific reports2020
Unhealthy behaviors and risk of uncontrolled hypertension among treated individuals-The CONSTANCES population-based study.
Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06131528 (Effects of Relaxation Breathing Exercises on Cardiovascular Parameters Among Hypertensive Patients), which is not on this map. Cited by 40 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of Relaxation Breathing Exercises on Cardiovascular Parameters Among Hypertensive Patients
Who cites it
40 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The global prevalence of uncontrolled hypertension: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Effectiveness and safety of intermittent fasting on blood pressure in adults with overweight or obesity: a systematic review.International journal of obesity (2005) · 2025Pooled it
- Trends and causes of maternal mortality in Indonesia: a systematic review.BMC pregnancy and childbirth · 2024Pooled it
- Prevalence of uncontrolled hypertension and contributing factors in Ethiopia: a systematic review and meta-analysis.Frontiers in cardiovascular medicine · 2024Pooled it
- Uncontrolled Hypertension Prevalence, Characteristic Profiles, and Risk of Cardiorenal and Metabolic Outcomes: Insights from the EnligHTN Study.Advances in therapy · 2026Article
- Beyond medication: factors contributing to uncontrolled hypertension from the 2023 Indonesian health survey.Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- Prevalence and Determinants of Uncontrolled Hypertension Among Treated Adults in a Rural Primary Health Care Facility in South Africa: A Cross-Sectional Study.Epidemiologia (Basel, Switzerland) · 2026Article
- Sedentary Behavior, Physical Activity, and Hypertension: Genetic Liability and the Role of Metabolic Factors.Clinical cardiology · 2026Article
- Blood Pressure Control Is Associated with Moderate, but Not Necessarily High, Adherence to the DASH Diet in Older Adults.Nutrients · 2026Article
- Hypertension and Racial/Ethnic Disparities in Sleep Outcomes among Adults in the 2011-2023 National Health and Nutrition Examination Survey.American journal of hypertension · 2026Article
- The Japanese Society of Hypertension Guidelines for the management of elevated blood pressure and hypertension 2025 (JSH2025).Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- Predictors of Acceptance of Smartphone Application among People with Hypertension in India: A Cross-Sectional Study.Wellcome open research · 2026Article
- Stress, Anxiety, and Self-Efficacy in Hypertension: Evidence from a Romanian Case-Control Study.Diseases (Basel, Switzerland) · 2025Article
- Dietary and Physical Activity Approaches to the Management of High Blood Pressure.Current atherosclerosis reports · 2025Review
- Article
- The role of healthy lifestyle categories and score trend in managing hypertension among hypertensive adults.Scientific reports · 2025Article
- Prevalence of dyslipidemia and its association with blood pressure control in Iranian hypertensive patients: insights from STEPS 2021.Lipids in health and disease · 2025Article
- Dietary Fats Substitution and Blood Pressure Levels: A Longitudinal Study in Mexican Adults.Nutrients · 2025Article
- Factor associated with and risk of cardiovascular disease in people with uncontrolled hypertension.Scientific reports · 2025Article
- Unhealthy behaviours associated with uncontrolled hypertension among adults in India- Insights from a national survey.PloS one · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
From an epidemiological standpoint, quantifying the individual and the combined effect of lifestyle factors on uncontrolled blood pressure (BP) deserves further evaluation. We aimed to examine the individual and combined associations between unhealthy behaviors and uncontrolled hypertension among treated hypertensive adults. Cross-sectional analysis was conducted using data from CONSTANCES, an ongoing French population-based cohort study. Uncontrolled BP was defined as mean systolic BP ≥140 mmHg and/or mean diastolic BP ≥90 mmHg. Unhealthy behaviors were considered as heavy alcohol consumption, low or medium adherence to dietary recommendations, sedentary physical activity level, and overweight. A total of 10,710 hypertensive treated volunteer participants were included and 56.1% had uncontrolled hypertension; of them, 2.0%, 24.5%, 54.0% and 19.5% exhibited 0, 1, 2 or ≥3 unhealthy behaviors respectively. In men, there was an increased odds of uncontrolled hypertension with heavy alcohol drinking compared to light-or-never (adjusted odds ratio 1.34, 95% CI 1.10-1.63), with low as well as with medium adherence to dietary recommendations compared to high (p < 0.05 for both), and with overweight or obesity compared to a normal body mass index (p ≤ 0.001 for both). In addition, men reporting a combination of ≥3 unhealthy behaviors compared to none, had an increased odds of hypertension of 1.67 (95% CI 1.09-2.53). Unhealthy behaviors described as, heavy alcohol consumption, non-adherence to dietary recommendations and overweight are associated with uncontrolled hypertension, at the individual and combined level, and particularly in men. Improvement of modifiable lifestyle factors could offer considerable benefits in the management of hypertension.
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