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Comprehensive effects of lifestyle reform, adherence, and related factors on hypertension control: A review

Despite the effectiveness of currently available antihypertensive medications, there is still a need for new treatment strategies that are more effective in certain groups of hypertensive and for additional resources to combat hypertension. However, medication non‐adherence was previously recognized...

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Autores principales: Ojangba, Theodora, Boamah, Solomon, Miao, Yudong, Guo, Xinghong, Fen, Yifei, Agboyibor, Clement, Yuan, Jingjing, Dong, Wenyong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10246465/
https://www.ncbi.nlm.nih.gov/pubmed/37161520
http://dx.doi.org/10.1111/jch.14653
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author Ojangba, Theodora
Boamah, Solomon
Miao, Yudong
Guo, Xinghong
Fen, Yifei
Agboyibor, Clement
Yuan, Jingjing
Dong, Wenyong
author_facet Ojangba, Theodora
Boamah, Solomon
Miao, Yudong
Guo, Xinghong
Fen, Yifei
Agboyibor, Clement
Yuan, Jingjing
Dong, Wenyong
author_sort Ojangba, Theodora
collection PubMed
description Despite the effectiveness of currently available antihypertensive medications, there is still a need for new treatment strategies that are more effective in certain groups of hypertensive and for additional resources to combat hypertension. However, medication non‐adherence was previously recognized as a major problem in the treatment of hypertension. The mechanisms behind the positive impacts of lifestyle changes might occur in different ways. In comparison with other studies, the efficacy and effectiveness of lifestyle modifications and antihypertensive pharmaceutical treatment for the prevention and control of hypertension and concomitant cardiovascular disease have been demonstrated in randomized controlled trials. However, in this review, the attitudinal lifestyle modifications and barriers to blood pressure control were elaborated on. An effective method for reducing blood pressure (BP) and preventing cardiovascular events with antihypertensive medications has been outlined. Maintaining healthy lifestyle factors (body mass index, diet, smoking, alcohol consumption, sodium excretion, and sedentary behavior) could lower systolic blood pressure BP by 3.5 mm Hg and reduce the risk of cardiovascular disease (CVD) by about 30%, regardless of genetic susceptibility to hypertension. Conducting a lifestyle intervention using health education could improve lifestyle factors, such as reducing salt, sodium, and fat intake, changing eating habits to include more fruits and vegetables, not smoking, consuming less alcohol, exercising regularly, maintaining healthy body weight, and minimizing stressful conditions. Each behavior could affect BP by modulating visceral fat accumulation, insulin resistance, the renin‐angiotensin‐aldosterone system, vascular endothelial function, oxidative stress, inflammation, and autonomic function. Evidence of the joint effect of antihypertensive medications and lifestyle reforms suggests a pathway to reduce hypertension.
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spelling pubmed-102464652023-06-08 Comprehensive effects of lifestyle reform, adherence, and related factors on hypertension control: A review Ojangba, Theodora Boamah, Solomon Miao, Yudong Guo, Xinghong Fen, Yifei Agboyibor, Clement Yuan, Jingjing Dong, Wenyong J Clin Hypertens (Greenwich) Review Despite the effectiveness of currently available antihypertensive medications, there is still a need for new treatment strategies that are more effective in certain groups of hypertensive and for additional resources to combat hypertension. However, medication non‐adherence was previously recognized as a major problem in the treatment of hypertension. The mechanisms behind the positive impacts of lifestyle changes might occur in different ways. In comparison with other studies, the efficacy and effectiveness of lifestyle modifications and antihypertensive pharmaceutical treatment for the prevention and control of hypertension and concomitant cardiovascular disease have been demonstrated in randomized controlled trials. However, in this review, the attitudinal lifestyle modifications and barriers to blood pressure control were elaborated on. An effective method for reducing blood pressure (BP) and preventing cardiovascular events with antihypertensive medications has been outlined. Maintaining healthy lifestyle factors (body mass index, diet, smoking, alcohol consumption, sodium excretion, and sedentary behavior) could lower systolic blood pressure BP by 3.5 mm Hg and reduce the risk of cardiovascular disease (CVD) by about 30%, regardless of genetic susceptibility to hypertension. Conducting a lifestyle intervention using health education could improve lifestyle factors, such as reducing salt, sodium, and fat intake, changing eating habits to include more fruits and vegetables, not smoking, consuming less alcohol, exercising regularly, maintaining healthy body weight, and minimizing stressful conditions. Each behavior could affect BP by modulating visceral fat accumulation, insulin resistance, the renin‐angiotensin‐aldosterone system, vascular endothelial function, oxidative stress, inflammation, and autonomic function. Evidence of the joint effect of antihypertensive medications and lifestyle reforms suggests a pathway to reduce hypertension. John Wiley and Sons Inc. 2023-05-09 /pmc/articles/PMC10246465/ /pubmed/37161520 http://dx.doi.org/10.1111/jch.14653 Text en © 2023 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Review
Ojangba, Theodora
Boamah, Solomon
Miao, Yudong
Guo, Xinghong
Fen, Yifei
Agboyibor, Clement
Yuan, Jingjing
Dong, Wenyong
Comprehensive effects of lifestyle reform, adherence, and related factors on hypertension control: A review
title Comprehensive effects of lifestyle reform, adherence, and related factors on hypertension control: A review
title_full Comprehensive effects of lifestyle reform, adherence, and related factors on hypertension control: A review
title_fullStr Comprehensive effects of lifestyle reform, adherence, and related factors on hypertension control: A review
title_full_unstemmed Comprehensive effects of lifestyle reform, adherence, and related factors on hypertension control: A review
title_short Comprehensive effects of lifestyle reform, adherence, and related factors on hypertension control: A review
title_sort comprehensive effects of lifestyle reform, adherence, and related factors on hypertension control: a review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10246465/
https://www.ncbi.nlm.nih.gov/pubmed/37161520
http://dx.doi.org/10.1111/jch.14653
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