Evaluating the Effectiveness of Lifestyle Modifications in Managing Hypertension Among Adults

Hypertension Management Through Diet and Exercise

Authors

  • Ali Khalid Al-Aleem Medical College, Lahore, Pakistan Author
  • Ayesha Khalid Amna Inayat Medical College, Sheikhupura,Pakistan Author
  • Ayesha Tariq Amna Inayat Medical College, Sheikhupura,Pakistan Author
  • Ume Aiman Amna Inayat Medical College, Sheikhupura,Pakistan Author
  • Mahnoor imtiaz Amna Inayat Medical College, Sheikhupura,Pakistan Author
  • Roshan Ahmad Amna Inayat Medical College, Sheikhupura,Pakistan Author
  • Fatima Naeem Amna Inayat Medical College, Sheikhupura,Pakistan Author
  • Umer Saeed Ansari Biochemistry Department, Rashid Latif khan university medical & dental college (RLKU), Pakistan Author

DOI:

https://doi.org/10.69750/dmls.01.07.061

Keywords:

Hypertension, lifestyle modifications, blood pressure, diet, physical activity, smoking cessation, Cardiovascular Risk.

Abstract

Background: The significant risk factor for cardiovascular illnesses is hypertension. Changes in nutrition, exercise, and stress have the ability to lower blood pressure.

Objectives: The purpose of this research was to assess the results of life style changes such as diet, exercise and quitting smoking etc. for control of hypertension in adults.

 Methodology: A prospective, randomized controlled was conducted from September 2023 till august 2024.Total 500 adults with hypertension were selected. Participants were divided into two groups, one who was taking the standard antihypertensive therapy and the other who was taking the standard therapy plus guided behaviour change counselling. The biomarkers like systolic and distolic blood pressure, weight, physical activity, salt intake and smoking were recorded initially and after 12 months of intervention. Statistical analysis was performed using SPSS version 25.0, involved t-tests for continuous variables and chi-square tests for categorical variables, with p≤0.05 considered significant.

Results: The results showed that intervention group experienced substantial decrease in SBP (-14.2 mmHg, p<0.001) and DBP (-9.6 mmHg, p<0.001), whereas the control group experienced lower reductions (-6.4 mmHg, p<0.01) and DBP (-4.2 mmHg, p<0.01). Furthermore, 75% of patients in the intervention group met their goal blood pressure, compared to 50% in the control group (p<0.001). The intervention group had considerably greater levels of lifestyle adherence, such as physical exercise and a low-salt diet (p<0.001).

 Conclusion: Combining lifestyle management with traditional antihypertensive treatment considerably improves blood pressure control and lifestyle adherence, providing a comprehensive approach to hypertension management.

 

Downloads

Download data is not yet available.

References

Yang MH, Kang SY, Lee JA, Kim YS, Sung EJ, Lee KY, et al. The Effect of Lifestyle Changes on Blood Pressure Control among Hypertensive Patients. Korean J Fam Med. 2017;38(4):173-80.doi: 10.4082/kjfm.2017.38.4.173

Ojangba T, Boamah S, Miao Y, Guo X, Fen Y, Agboyibor C, et al. Comprehensive effects of lifestyle reform, adherence, and related factors on hypertension control: A review. The Journal of Clinical Hypertension. 2023;25(6):509-20.doi: https://doi.org/10.1111/jch.14653

Yu R, Yan LL, Wang H, Ke L, Yang Z, Gong E, et al. Effectiveness of a community-based individualized lifestyle intervention among older adults with diabetes and hypertension, Tianjin, China, 2008-2009. Prev Chronic Dis. 2014;11:E84.doi: 10.5888/pcd11.120333

Nishigaki N, Shimasaki Y, Yoshida T, Hasebe N. Physician and patient perspectives on hypertension management and factors associated with lifestyle modifications in Japan: results from an online survey. Hypertension Research. 2020;43(5):450-62.doi: 10.1038/s41440-020-0398-0

Gazit T, Gutman M, Beatty AL. Assessment of Hypertension Control Among Adults Participating in a Mobile Technology Blood Pressure Self-management Program. JAMA Network Open. 2021;4(10):e2127008-e.doi: 10.1001/jamanetworkopen.2021.27008

Valenzuela PL, Carrera-Bastos P, Gálvez BG, Ruiz-Hurtado G, Ordovas JM, Ruilope LM, et al. Lifestyle interventions for the prevention and treatment of hypertension. Nature Reviews Cardiology. 2021;18(4):251-75.doi: 10.1038/s41569-020-00437-9

Oliveros E, Patel H, Kyung S, Fugar S, Goldberg A, Madan N, et al. Hypertension in older adults: Assessment, management, and challenges. Clinical Cardiology. 2020;43(2):99-107.doi: https://doi.org/10.1002/clc.23303

McManus RJ, Little P, Stuart B, Morton K, Raftery J, Kelly J, et al. Home and Online Management and Evaluation of Blood Pressure (HOME BP) using a digital intervention in poorly controlled hypertension: randomised controlled trial. BMJ. 2021;372:m4858.doi: 10.1136/bmj.m4858

Al-Makki A, DiPette D, Whelton PK, Murad MH, Mustafa RA, Acharya S, et al. Hypertension Pharmacological Treatment in Adults: A World Health Organization Guideline Executive Summary. Hypertension. 2022;79(1):293-301.doi: doi:10.1161/HYPERTENSIONAHA.121.18192

Reynolds AN, Akerman A, Kumar S, Diep Pham HT, Coffey S, Mann J. Dietary fibre in hypertension and cardiovascular disease management: systematic review and meta-analyses. BMC Medicine. 2022;20(1):139.doi: 10.1186/s12916-022-02328-x

Timpel P, Oswald S, Schwarz PEH, Harst L. Mapping the Evidence on the Effectiveness of Telemedicine Interventions in Diabetes, Dyslipidemia, and Hypertension: An Umbrella Review of Systematic Reviews and Meta-Analyses. J Med Internet Res. 2020;22(3):e16791.doi: 10.2196/16791

Vamvakis A, Gkaliagkousi E, Lazaridis A, Grammatikopoulou MG, Triantafyllou A, Nikolaidou B, et al. Impact of Intensive Lifestyle Treatment (Diet Plus Exercise) on Endothelial and Vascular Function, Arterial Stiffness and Blood Pressure in Stage 1 Hypertension: Results of the HINTreat Randomized Controlled Trial. Nutrients. 2020;12(5):1326.doi: 10.3390/nu12051326

Takase M, Hirata T, Nakaya N, Nakamura T, Kogure M, Hatanaka R, et al. Associations of combined genetic and lifestyle risks with hypertension and home hypertension. Hypertension Research. 2024;47(8):2064-74.doi: 10.1038/s41440-024-01705-8

An S, Song R. Effects of health coaching on behavioral modification among adults with cardiovascular risk factors: Systematic review and meta-analysis. Patient Education and Counseling. 2020;103(10):2029-38.doi: https://doi.org/10.1016/j.pec.2020.04.029

Loaiza-Betancur AF, Chulvi-Medrano I. Is Low-Intensity Isometric Handgrip Exercise an Efficient Alternative in Lifestyle Blood Pressure Management? A Systematic Review. Sports Health. 2020;12(5):470-7.doi: 10.1177/1941738120943882

Chopra S, Malhotra A, Ranjan P, Vikram NK, Sarkar S, Siddhu A, et al. Predictors of successful weight loss outcomes amongst individuals with obesity undergoing lifestyle interventions: A systematic review. Obesity Reviews. 2021;22(3):e13148.doi: https://doi.org/10.1111/obr.13148

Force UPST. Screening for Hypertension in Adults: US Preventive Services Task Force Reaffirmation Recommendation Statement. JAMA. 2021;325(16):1650-6.doi: 10.1001/jama.2021.4987

Barbato E, Azizi M, Schmieder RE, Lauder L, Böhm M, Brouwers S, et al. Renal denervation in the management of hypertension in adults. A clinical consensus statement of the ESC Council on Hypertension and the European Association of Percutaneous Cardiovascular Interventions (EAPCI). European Heart Journal. 2023;44(15):1313-30.doi: 10.1093/eurheartj/ehad054

Citoni B, Figliuzzi I, Presta V, Volpe M, Tocci G. Home Blood Pressure and Telemedicine: A Modern Approach for Managing Hypertension During and After COVID-19 Pandemic. High Blood Pressure & Cardiovascular Prevention. 2022;29(1):1-14.doi: 10.1007/s40292-021-00492-4

Zhou B, Perel P, Mensah GA, Ezzati M. Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension. Nature Reviews Cardiology. 2021;18(11):785-802.doi: 10.1038/s41569-021-00559-8

Kostova D, Spencer G, Moran AE, Cobb LK, Husain MJ, Datta BK, et al. The cost-effectiveness of hypertension management in low-income and middle-income countries: a review. BMJ Global Health. 2020;5(9):e002213.doi: 10.1136/bmjgh-2019-002213

Belardo D, Michos ED, Blankstein R, Blumenthal RS, Ferdinand KC, Hall K, et al. Practical, Evidence-Based Approaches to Nutritional Modifications to Reduce Atherosclerotic Cardiovascular Disease: An American Society For Preventive Cardiology Clinical Practice Statement. American Journal of Preventive Cardiology. 2022;10:100323.doi: https://doi.org/10.1016/j.ajpc.2022.100323

Tan FCJH, Oka P, Dambha-Miller H, Tan NC. The association between self-efficacy and self-care in essential hypertension: a systematic review. BMC Family Practice. 2021;22(1):44.doi: 10.1186/s12875-021-01391-2

He L, Zhang M, Zhao Y, Li W, Zhang Y. Association between new Life’s Essential 8 and the risk of all-cause and cardiovascular mortality in patients with hypertension: a cohort study. BMC Public Health. 2024;24(1):1730.doi: 10.1186/s12889-024-19189-z

Santos L. The impact of nutrition and lifestyle modification on health. European Journal of Internal Medicine. 2022;97:18-25.doi: https://doi.org/10.1016/j.ejim.2021.09.020

Siegel KR, Ali MK, Zhou X, Ng BP, Jawanda S, Proia K, et al. Cost-effectiveness of Interventions to Manage Diabetes: Has the Evidence Changed Since 2008? Diabetes Care. 2020;43(7):1557-92.doi: 10.2337/dci20-0017

Downloads

Crossmark - Check for Updates PlumX Metrics

Published

01-10-2024

How to Cite

Khalid, A. ., Khalid, A. ., Tariq, A., Aiman, U. ., Imtiaz, M. ., Ahmad, R. ., Naeem, F. ., & Ansari , U. S. . (2024). Evaluating the Effectiveness of Lifestyle Modifications in Managing Hypertension Among Adults: Hypertension Management Through Diet and Exercise. DEVELOPMENTAL MEDICO-LIFE-SCIENCES, 1(7), 4-11. https://doi.org/10.69750/dmls.01.07.061

Share