Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1397
11
1
gregorian
2019
2
1
33
1
online
1
fulltext
en
Lifestyle modification strategies for controlling hypertension: How are these strategies
recommended by physicians in Iran?
Health
Health
Original Research
Original Research
<strong>Background: </strong>This study aimed to evaluate lifestyle changes and their impact on hypertension control and why and how lifestyle modifications are recommended for patients with hypertension. Four non pharmacological strategies have been recommended by physicians for hypertension control for hypertensive patients in Iran: healthier diet, smoking cessation, physical activity, and weight loss.<br>
<strong>Methods:</strong> Among participants of Iran STEPS Non-communicable Disease Risk Factors Survey (STEPs), 7879 hypertensive patients aged ≥25 years were selected. All statistical analyses were calculated using STATA software version 14. Means, proportions, and multiple binary logistic regression models were used. Two-tailed p values of <0.05 were considered statistically significant.<br>
<strong>Results:</strong> The results of this study showed that about three quarters of people with high blood pressure had been recommended lifestyle strategies by their physician for blood pressure control. Of the participants, 41% reported that they had been recommended only lifestyle modification for their blood pressure (BP), while 35% reported that they were recommended both lifestyle changes and medications as part of their treatment. Healthier diet, 71.9% (70.8-72.9), and smoking cessation, 23.8% (21.4-25.6), were the most and least frequently recommended strategies, respectively. Also, the rates of recommendations on smoking cessation, weight loss, increased physical activity, and healthier diet were more among women, married, and illiterate individuals, respectively.<br>
<strong>Conclusion:</strong> Because of the changes and transitions in the lifestyle and dietary habits in the modern world, policies and training programs should be developed to improve the recommendations on lifestyle modification. Also, educational programs should be developed to increase patient’s acceptance of lifestyle modifications and physical activity.<br>
Hypertension, Lifestyle, Physical activity, Recommendation, Non pharmacology
259
265
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-4524-1&slc_lang=en&sid=1
Sina
Ahmadi
sinaahmadi25@gmail.com
200319475328460062696
200319475328460062696
No
Department of Social Welfare Management & Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Homeira
Sajjadi
homeirasajjadi@gmail.com
200319475328460062697
200319475328460062697
No
Department of Social Welfare Management & Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Farhad
Nosrati Nejad
Farhad.nosrati@gmail.com
200319475328460062698
200319475328460062698
No
Department of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Naser
Ahmadi
Naserahmadi3002@gmail.com
200319475328460062699
200319475328460062699
No
Non–communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
Salah Eddin
Karimi
salahkarimi2009@gmail.com
200319475328460062700
200319475328460062700
No
Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
Moein
Yoosefi
Moein.yoosefi@yahoo.com
200319475328460062701
200319475328460062701
No
Non–communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
Hassan
Rafiey
hassan441015@gmail.com
200319475328460062702
200319475328460062702
Yes
1. Department of Social Welfare Management & Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran