Lifestyle Modifications to Lower or Control High Blood Pressure: Is Advice Associated With Action? The Behavioral Risk Factor Surveillance Survey

Lifestyle Modifications to Lower or Control High Blood Pressure: Is Advice Associated With Action? The Behavioral Risk Factor Surveillance Survey
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DOI:
10.1111/j.1751-7176.2008.07577.x
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发表时间:
2008-02-01
影响因子:
2.8
通讯作者:
Hinderliter, Alan L.
Hinderliter, Alan L.
中科院分区:
医学3区
文献类型:
--
作者:
Viera, Anthony J.;Kshirsagar, Abhijit V.;Hinderliter, Alan L.

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对于控制高血压(BP)的常规生活方式改变建议,其有效性存在疑问。利用2005年行为风险因素监测系统的数据,我们研究了接受建议是否与所报告的生活方式改变的实施相关。我们确定了采取行动改变饮食习惯、减少盐摄入、锻炼或减少酒精消费以控制高血压的高血压成年人的比例。然后我们确定了所给予的建议的报告与所采取的相应行动之间的关联:70.1%的受访者报告改变了饮食习惯,78.7%报告减少了盐摄入,67.1%报告进行了锻炼,57.9%的饮酒者报告减少了饮酒量。与那些不记得被给予建议的人相比,记得被给予建议的高血压成年人更有可能改变他们的饮食习惯(患病率比[PR],1.62;95%置信区间[CI],1.56 - 1.67),减少盐摄入(PR,1.53;95%CI,1.48 - 1.58),进行锻炼(PR,1.41;95%CI,1.36 - 1.47)以及减少酒精消费(PR,1.78;95%CI,1.70 - 1.87)。(《临床高血压杂志(格林威治)》2008年;10;105 - 111)(C)2008 Le Jacq
Routine lifestyle modification advice for managing high blood pressure (BP) is of questionable effectiveness. Using data from the 2005 Behavior Risk Factor Surveillance System, we examined whether receipt of advice is associated with reported adoption of lifestyle modifications. We determined proportions of hypertensive adults taking action to change eating habits, reduce salt intake, exercise, or decrease alcohol consumption to control high BE We then determined associations between reports of advice given and corresponding actions being taken: 70.1% of respondents reported changing eating habits, 78.7% reported reducing salt intake, 67.1% reported exercising, and 57.9% of those who drank alcohol reported decreasing their consumption. Compared with those who did not recall being given advice, hypertensive adults who recalled being given advice were more likely to change their eating habits (prevalence ratio [PR], 1.62; 95% confidence interval [CI], 1.56-1.67), reduce salt (PR, 1.53; 95% CI, 1.48-1.58), exercise (PR, 1.4.1; 95% CI, 1.36-1.47), and reduce alcohol consumption PR, 1.78; 95% CI, 1.70-1.87). (J Clin Hypertens (Greenwich). 2008;10;105-111) (C) 2008 Le Jacq