Prevalence of, and Barriers to, Preventive Lifestyle Behaviors in Hypertension (from a National Survey of Canadians With Hypertension)
Prevalence of, and Barriers to, Preventive Lifestyle Behaviors in Hypertension (from a National Survey of Canadians With Hypertension)
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DOI：
10.1016/j.amjcard.2011.09.051
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发表时间：
2012-02-15
影响因子：
2.8
通讯作者：
Nolan, Robert P.
中科院分区：
文献类型：
--
作者：
Gee, Marianne E.;Bienek, Asako;Nolan, Robert P.
建议高血压患者通过持续的生活方式改变和/或药物治疗将血压降至<140/90 mm Hg。为了描述通过改变生活方式来控制血压并确定这些行为的障碍，对 2009 年加拿大慢性病生活调查做出回应的 6,142 名加拿大高血压患者的数据进行了分析。大多数被诊断患有高血压的加拿大人报告称，限制盐摄入量（89%）、改变食物类型（89%）、参加体力活动（80%）、尝试控制或减肥（如果超重）（77%）、戒烟（如果目前吸烟）（78%）、以及减少酒精摄入量（如果目前饮酒量超过推荐水平）（57%），至少在某些时候控制血压。总体而言，20 至 44 岁的男性以及受教育程度较低和收入较低的男性不太可能通过生活方式来控制血压。据报道，欲望、兴趣或意识低下是限制盐分、改变饮食、减肥、戒烟和减少饮酒的障碍。相比之下，参与体力活动调节血压的最常见障碍是自我报告的管理共存身体状况或时间限制的挑战。总之，提高对生活方式改变的依从性以治疗高血压的计划和干预措施可能需要在其设计中考虑已发现的生活方式行为障碍。 Crown 版权所有 (C) 2012 由 Elsevier Inc. 出版。保留所有权利。 (Am J Cardiol 2012；109:570-575)
Patients with hypertension are advised to lower their blood pressure to < 140/90 mm Hg through sustained lifestyle modification and/or pharmacotherapy. To describe the use of lifestyle changes for blood pressure control and to identify the barriers to these behaviors, the data from 6,142 Canadians with hypertension who responded to the 2009 Survey on Living With Chronic Diseases in Canada were analyzed. Most Canadians with diagnosed hypertension reported limiting salt consumption (89%), having changed the types of food they eat (89%), engaging in physical activity (80%), trying to control or lose weight if overweight (77%), quitting smoking if currently smoking (78%), and reducing alcohol intake if currently drinking more than the recommended levels (57%) at least some of the time to control their blood pressure. Men, those aged 20 to 44 years, and those with lower educational attainment and lower income were, in general, less likely to report engaging in lifestyle behaviors for blood pressure control. A low desire, interest, or awareness were commonly reported barriers to salt restriction, changes in diet, weight loss, smoking cessation, and alcohol reduction. In contrast, the most common barrier to engaging in physical activity to regulate blood pressure was the self-reported challenge of managing a coexisting physical condition or time constraints. In conclusion, programs and interventions to improve the adherence to lifestyle changes to treat hypertension may need to consider the identified barriers to lifestyle behaviors in their design. Crown Copyright (C) 2012 Published by Elsevier Inc. All rights reserved. (Am J Cardiol 2012;109:570-575)