The Nexus Between Adherence to Recommended Lifestyle Behaviors and Blood Pressure Control in Hypertensive Patients at Mutare Provincial Hospital, Zimbabwe: A Cross-Sectional Study
Samantha N Tozivepi,1 Simon Takawira,2 Elliot Chikaka,2 Paddington Mundagowa,1 Elizabeth M Chadambuka,2 Fadzai Mukora-Mutseyekwa1 1Clinical Research Centre, Africa University, Mutare, Manicaland Province, Zimbabwe; 2Department of Health Sciences, Africa University, Mutare, Manicaland Province, Zimba...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2021-05-01
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| Series: | Patient Preference and Adherence |
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| Online Access: | https://www.dovepress.com/the-nexus-between-adherence-to-recommended-lifestyle-behaviors-and-blo-peer-reviewed-fulltext-article-PPA |
| _version_ | 1819046175774343168 |
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| author | Tozivepi SN Takawira S Chikaka E Mundagowa P Chadambuka EM Mukora-Mutseyekwa F |
| author_facet | Tozivepi SN Takawira S Chikaka E Mundagowa P Chadambuka EM Mukora-Mutseyekwa F |
| author_sort | Tozivepi SN |
| collection | DOAJ |
| description | Samantha N Tozivepi,1 Simon Takawira,2 Elliot Chikaka,2 Paddington Mundagowa,1 Elizabeth M Chadambuka,2 Fadzai Mukora-Mutseyekwa1 1Clinical Research Centre, Africa University, Mutare, Manicaland Province, Zimbabwe; 2Department of Health Sciences, Africa University, Mutare, Manicaland Province, ZimbabweCorrespondence: Paddington MundagowaAfrica University Clinical Research Center, 132 Herbert Chitepo Street, Mutare, ZimbabweTel +263 773 878 116Email mundagowap@africau.eduPurpose: To determine the association between the achievement of blood pressure (BP) control and adherence to recommended lifestyle behaviors among hypertensive patients seen at Mutare Provincial Hospital, Zimbabwe.Patients and Methods: A cross-sectional study was conducted using BP readings from three consecutive months. A structured interviewer-administered and pretested questionnaire with components derived from the World Health Organization Stepwise Survey was employed to extract information from 350 purposively selected participants. Measurement of BP was based on the Eighth Joint National Committee Guidelines. Bivariate and multivariate logistic regression analyses were computed using the SPSS package.Results: The mean age of the 350 participants was 67± 11.38 years. Males made up 35% of the participants and BP control was achieved in 41.4% of the patients. Only 5.1% of the participants reported adherence to all the recommended lifestyle behaviors. Low adherence rates were reported for diet, medication, and physical activity. Bivariate analysis showed that participants who adhered to antihypertensive treatment and alcohol recommendations had reduced odds of having uncontrolled hypertension, while consuming deep-fat fried foods ≥ 3 times a week was associated with higher odds of uncontrolled BP (p< 0.1). Logistic regression analysis revealed that participants who ate traditional whole-grain “sadza” or porridge were more likely to have controlled BP [adjusted odds ratio (AOR): 1.6; 95% confidence interval (CI): 1.0– 2.5] while those who did not add salt at the table had reduced odds of having uncontrolled BP by 40% (AOR: 0.6; 95% CI: 0.4– 0.9).Conclusion: Overall, adherence to the recommended lifestyle behaviors which are known to be effective in controlling BP in Mutare was poor. Health workers should include comprehensive health education messages on the importance of compliance with dietary, medication, and physical exercise recommendations when counseling patients. The intervention crafting process should focus on identifying enablers of the recommended lifestyle behaviors in the community and the health delivery system.Keywords: blood pressure, adherence, diet, physical activity, hypertension, Mutare |
| first_indexed | 2024-12-21T10:40:18Z |
| format | Article |
| id | doaj.art-1c6d5317d3bd4a6d887dd9252a5e8b03 |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-21T10:40:18Z |
| publishDate | 2021-05-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-1c6d5317d3bd4a6d887dd9252a5e8b032022-12-21T19:06:57ZengDove Medical PressPatient Preference and Adherence1177-889X2021-05-01Volume 151027103764855The Nexus Between Adherence to Recommended Lifestyle Behaviors and Blood Pressure Control in Hypertensive Patients at Mutare Provincial Hospital, Zimbabwe: A Cross-Sectional StudyTozivepi SNTakawira SChikaka EMundagowa PChadambuka EMMukora-Mutseyekwa FSamantha N Tozivepi,1 Simon Takawira,2 Elliot Chikaka,2 Paddington Mundagowa,1 Elizabeth M Chadambuka,2 Fadzai Mukora-Mutseyekwa1 1Clinical Research Centre, Africa University, Mutare, Manicaland Province, Zimbabwe; 2Department of Health Sciences, Africa University, Mutare, Manicaland Province, ZimbabweCorrespondence: Paddington MundagowaAfrica University Clinical Research Center, 132 Herbert Chitepo Street, Mutare, ZimbabweTel +263 773 878 116Email mundagowap@africau.eduPurpose: To determine the association between the achievement of blood pressure (BP) control and adherence to recommended lifestyle behaviors among hypertensive patients seen at Mutare Provincial Hospital, Zimbabwe.Patients and Methods: A cross-sectional study was conducted using BP readings from three consecutive months. A structured interviewer-administered and pretested questionnaire with components derived from the World Health Organization Stepwise Survey was employed to extract information from 350 purposively selected participants. Measurement of BP was based on the Eighth Joint National Committee Guidelines. Bivariate and multivariate logistic regression analyses were computed using the SPSS package.Results: The mean age of the 350 participants was 67± 11.38 years. Males made up 35% of the participants and BP control was achieved in 41.4% of the patients. Only 5.1% of the participants reported adherence to all the recommended lifestyle behaviors. Low adherence rates were reported for diet, medication, and physical activity. Bivariate analysis showed that participants who adhered to antihypertensive treatment and alcohol recommendations had reduced odds of having uncontrolled hypertension, while consuming deep-fat fried foods ≥ 3 times a week was associated with higher odds of uncontrolled BP (p< 0.1). Logistic regression analysis revealed that participants who ate traditional whole-grain “sadza” or porridge were more likely to have controlled BP [adjusted odds ratio (AOR): 1.6; 95% confidence interval (CI): 1.0– 2.5] while those who did not add salt at the table had reduced odds of having uncontrolled BP by 40% (AOR: 0.6; 95% CI: 0.4– 0.9).Conclusion: Overall, adherence to the recommended lifestyle behaviors which are known to be effective in controlling BP in Mutare was poor. Health workers should include comprehensive health education messages on the importance of compliance with dietary, medication, and physical exercise recommendations when counseling patients. The intervention crafting process should focus on identifying enablers of the recommended lifestyle behaviors in the community and the health delivery system.Keywords: blood pressure, adherence, diet, physical activity, hypertension, Mutarehttps://www.dovepress.com/the-nexus-between-adherence-to-recommended-lifestyle-behaviors-and-blo-peer-reviewed-fulltext-article-PPAblood pressureadherencedietphysical activityhypertensionmutare |
| spellingShingle | Tozivepi SN Takawira S Chikaka E Mundagowa P Chadambuka EM Mukora-Mutseyekwa F The Nexus Between Adherence to Recommended Lifestyle Behaviors and Blood Pressure Control in Hypertensive Patients at Mutare Provincial Hospital, Zimbabwe: A Cross-Sectional Study Patient Preference and Adherence blood pressure adherence diet physical activity hypertension mutare |
| title | The Nexus Between Adherence to Recommended Lifestyle Behaviors and Blood Pressure Control in Hypertensive Patients at Mutare Provincial Hospital, Zimbabwe: A Cross-Sectional Study |
| title_full | The Nexus Between Adherence to Recommended Lifestyle Behaviors and Blood Pressure Control in Hypertensive Patients at Mutare Provincial Hospital, Zimbabwe: A Cross-Sectional Study |
| title_fullStr | The Nexus Between Adherence to Recommended Lifestyle Behaviors and Blood Pressure Control in Hypertensive Patients at Mutare Provincial Hospital, Zimbabwe: A Cross-Sectional Study |
| title_full_unstemmed | The Nexus Between Adherence to Recommended Lifestyle Behaviors and Blood Pressure Control in Hypertensive Patients at Mutare Provincial Hospital, Zimbabwe: A Cross-Sectional Study |
| title_short | The Nexus Between Adherence to Recommended Lifestyle Behaviors and Blood Pressure Control in Hypertensive Patients at Mutare Provincial Hospital, Zimbabwe: A Cross-Sectional Study |
| title_sort | nexus between adherence to recommended lifestyle behaviors and blood pressure control in hypertensive patients at mutare provincial hospital zimbabwe a cross sectional study |
| topic | blood pressure adherence diet physical activity hypertension mutare |
| url | https://www.dovepress.com/the-nexus-between-adherence-to-recommended-lifestyle-behaviors-and-blo-peer-reviewed-fulltext-article-PPA |
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