Changes in Adherence to Non-Pharmacological Guidelines for Hypertension.

This study aimed to compare levels of adherence to non-pharmacological guidelines between patients with and without hypertension diagnoses, and examined temporal changes in adherence during recent decades. We used data from the Korean National Health and Nutrition Examination Survey (1998-2012), inc...

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Main Authors: Kyong Park, Sukyung Cho, Julie K Bower
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4999088?pdf=render
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author Kyong Park
Sukyung Cho
Julie K Bower
author_facet Kyong Park
Sukyung Cho
Julie K Bower
author_sort Kyong Park
collection DOAJ
description This study aimed to compare levels of adherence to non-pharmacological guidelines between patients with and without hypertension diagnoses, and examined temporal changes in adherence during recent decades. We used data from the Korean National Health and Nutrition Examination Survey (1998-2012), including 13,768 Korean hypertensive patients aged ≥ 30 years who were categorized according to the presence or absence of a hypertension diagnosis, based on blood pressure and self-reported information. Adherence to the guidelines was calculated for 6 components, including dietary and lifestyle habits. A multivariable generalized linear regression model was used. The proportion of hypertensive patients aware of their condition increased from 33.4% in 1998 to 74.8% in 2012 (p < 0.001), although these increments plateaued during recent survey years. Patients with hypertension diagnoses were older, and more likely to be female,and have lower education levels than those without hypertension diagnoses, for most survey years. Overall adherence levels were poor (mean score 2 of 6), and levels of adherence to non-pharmacological habits did not significantly differ between patients with and without hypertension diagnoses. However, overall adherence levels improved significantly among patients with hypertension diagnoses: from 2.09 in 1998 to 2.27 in 2012 (p = 0.007), particularly regarding sufficient vegetable/seaweed consumption (p = 0.03), maintaining a normal weight (p = 0.03), and avoidance of smoking (p < 0.001). Awareness of hypertension is increasing, but hypertensive Korean patients demonstrate poor overall adherence to non-pharmacological hypertension management guidelines. These findings suggest that well-planned education programs should be continued after hypertension is diagnosed.
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spelling doaj.art-fcb9116739244e00b4a4e5d96cddddf92022-12-21T23:54:38ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01118e016171210.1371/journal.pone.0161712Changes in Adherence to Non-Pharmacological Guidelines for Hypertension.Kyong ParkSukyung ChoJulie K BowerThis study aimed to compare levels of adherence to non-pharmacological guidelines between patients with and without hypertension diagnoses, and examined temporal changes in adherence during recent decades. We used data from the Korean National Health and Nutrition Examination Survey (1998-2012), including 13,768 Korean hypertensive patients aged ≥ 30 years who were categorized according to the presence or absence of a hypertension diagnosis, based on blood pressure and self-reported information. Adherence to the guidelines was calculated for 6 components, including dietary and lifestyle habits. A multivariable generalized linear regression model was used. The proportion of hypertensive patients aware of their condition increased from 33.4% in 1998 to 74.8% in 2012 (p < 0.001), although these increments plateaued during recent survey years. Patients with hypertension diagnoses were older, and more likely to be female,and have lower education levels than those without hypertension diagnoses, for most survey years. Overall adherence levels were poor (mean score 2 of 6), and levels of adherence to non-pharmacological habits did not significantly differ between patients with and without hypertension diagnoses. However, overall adherence levels improved significantly among patients with hypertension diagnoses: from 2.09 in 1998 to 2.27 in 2012 (p = 0.007), particularly regarding sufficient vegetable/seaweed consumption (p = 0.03), maintaining a normal weight (p = 0.03), and avoidance of smoking (p < 0.001). Awareness of hypertension is increasing, but hypertensive Korean patients demonstrate poor overall adherence to non-pharmacological hypertension management guidelines. These findings suggest that well-planned education programs should be continued after hypertension is diagnosed.http://europepmc.org/articles/PMC4999088?pdf=render
spellingShingle Kyong Park
Sukyung Cho
Julie K Bower
Changes in Adherence to Non-Pharmacological Guidelines for Hypertension.
PLoS ONE
title Changes in Adherence to Non-Pharmacological Guidelines for Hypertension.
title_full Changes in Adherence to Non-Pharmacological Guidelines for Hypertension.
title_fullStr Changes in Adherence to Non-Pharmacological Guidelines for Hypertension.
title_full_unstemmed Changes in Adherence to Non-Pharmacological Guidelines for Hypertension.
title_short Changes in Adherence to Non-Pharmacological Guidelines for Hypertension.
title_sort changes in adherence to non pharmacological guidelines for hypertension
url http://europepmc.org/articles/PMC4999088?pdf=render
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