title: Lifestyle modification advice for lowering or controlling high blood pressure: who's getting it?
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.
authors.affiliation: Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7595, USA. anthony_viera@med.unc.edu
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Viera
authors.forename: Abhijit V
authors.initials: AV
authors.lastname: Kshirsagar
authors.forename: Alan L
authors.initials: AL
authors.lastname: Hinderliter
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000503:physiopathology; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure / Q000502:physiology*; D004039:Diet, Sodium-Restricted; D037001:Directive Counseling / Q000639:trends*; D005260:Female; D015438:Health Behavior; D006306:Health Surveys; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D040242:Risk Reduction Behavior; D015431:Weight Loss / Q000502:physiology
chemical_list: D000959:Antihypertensive Agents