Lifestyle Modification Advice for Lowering or Controlling High Blood Pressure: Who's Getting It?

Authors

  • Anthony J. Viera MD, MPH,

    1. From the Department of Family Medicine,1the Department of Medicine, Division of Nephrology and Hypertension,2 and the Department of Medicine, Division of Cardiology,3 University of North Carolina at Chapel Hill, Chapel Hill, NC
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  • 1 Abhijit V. Kshirsagar MD, MPH,

    1. From the Department of Family Medicine,1the Department of Medicine, Division of Nephrology and Hypertension,2 and the Department of Medicine, Division of Cardiology,3 University of North Carolina at Chapel Hill, Chapel Hill, NC
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  • and 2 Alan L. Hinderliter MD 3

    1. From the Department of Family Medicine,1the Department of Medicine, Division of Nephrology and Hypertension,2 and the Department of Medicine, Division of Cardiology,3 University of North Carolina at Chapel Hill, Chapel Hill, NC
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Anthony J. Viera, MD, MPH, Department of Family Medicine, University of North Carolina at Chapel Hill, CB 7595, Manning Drive, Chapel Hill, NC 27599-7595
E-mail: anthony_viera@med.unc.edu

Abstract

Lifestyle modifications (LSMs) are important in hypertension management. Using data from a population-based sample of hypertensive adults (N=28,457), the authors examined variations in reports of receipt of LSM advice by patient characteristics. Most adults (90.3%) with known hypertension reported receiving some type of advice. Exercise advice was reported most frequently (74.6%), followed by advice to reduce salt intake (69.3%), change eating habits (61.9%), and reduce alcohol intake (43.5%). Compared with adults aged 60 years or older, persons aged 18 to 39 years were more likely to report receipt of advice (odds ratio [OR], 1.42; 95% confidence interval [CI], 1.11–1.81). Overweight persons (OR, 1.64; 95% CI, 1.40–1.93) and obese persons (OR, 2.75; 95% CI, 2.28–3.31) were more likely to report receipt of advice. Persons receiving antihypertensive medication were also more likely to report receiving advice (OR, 2.35; 95% CI, 1.98–2.81). This study demonstrates that older persons, persons not taking antihypertensive medication, and individuals who are not overweight or obese are less likely to report receiving LSM advice.

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