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Diagnostic status and age at diagnosis of hypertension on adherence to lifestyle recommendations

Regular physical activity, smoking cessation, and moderate alcohol consumption are important lifestyle behaviors that can be modified when managing hypertension. This study examined the associations of diagnostic status and age at hypertension diagnosis with lifestyle behaviors among individuals wit...

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Detalles Bibliográficos
Autores principales: Kim, Hyun, Andrade, Flavia C.D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260446/
https://www.ncbi.nlm.nih.gov/pubmed/30510893
http://dx.doi.org/10.1016/j.pmedr.2018.11.005
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author Kim, Hyun
Andrade, Flavia C.D.
author_facet Kim, Hyun
Andrade, Flavia C.D.
author_sort Kim, Hyun
collection PubMed
description Regular physical activity, smoking cessation, and moderate alcohol consumption are important lifestyle behaviors that can be modified when managing hypertension. This study examined the associations of diagnostic status and age at hypertension diagnosis with lifestyle behaviors among individuals with hypertension. Data came from the National Health and Nutrition Examination Survey (NHANES) from 2007 to 2012 (N = 5231). Multinomial logistic regression models were used to estimate the relative risk (RR) of adopting lifestyle behaviors. A diagnosis of hypertension was associated with an individual being a past smoker (RR = 1.26, 95% CI: 1.05, 1.52). There was an association between duration since diagnosis and being a past smoker (RR = 1.01; 95% CI 1.01, 1.02; P = 0.004). Excessive drinking was inversely associated with duration since diagnosis (RR = 0.95; 95% CI 0.94, 0.96; P < 0.001). Older age at diagnosis was associated with the risk of being a past smoker (RR = 1.03; 95% CI 1.02, 1.04; P-value<0.001) and negatively associated with excessive drinking (RR = 0.96; 95% CI 0.95, 0.97; P < 0.001). Individuals who exercised, even though less than the recommended time, were more likely to have younger age at diagnosis (RR = 0.98; 95% CI 0.97, 0.99; P < 0.001) and shorter duration since diagnosis (RR = 0.98; 95% CI 0.96, 0.99; P < 0.001) compared to individuals with who did not engage in physical activity. Individuals with diagnosed hypertension were more likely to quit smoking, and those with younger age at diagnosis or shorter duration tended to exercise regularly. Regular visits to doctors should focus on hypertension control and health behavior modifications.
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spelling pubmed-62604462018-12-03 Diagnostic status and age at diagnosis of hypertension on adherence to lifestyle recommendations Kim, Hyun Andrade, Flavia C.D. Prev Med Rep Regular Article Regular physical activity, smoking cessation, and moderate alcohol consumption are important lifestyle behaviors that can be modified when managing hypertension. This study examined the associations of diagnostic status and age at hypertension diagnosis with lifestyle behaviors among individuals with hypertension. Data came from the National Health and Nutrition Examination Survey (NHANES) from 2007 to 2012 (N = 5231). Multinomial logistic regression models were used to estimate the relative risk (RR) of adopting lifestyle behaviors. A diagnosis of hypertension was associated with an individual being a past smoker (RR = 1.26, 95% CI: 1.05, 1.52). There was an association between duration since diagnosis and being a past smoker (RR = 1.01; 95% CI 1.01, 1.02; P = 0.004). Excessive drinking was inversely associated with duration since diagnosis (RR = 0.95; 95% CI 0.94, 0.96; P < 0.001). Older age at diagnosis was associated with the risk of being a past smoker (RR = 1.03; 95% CI 1.02, 1.04; P-value<0.001) and negatively associated with excessive drinking (RR = 0.96; 95% CI 0.95, 0.97; P < 0.001). Individuals who exercised, even though less than the recommended time, were more likely to have younger age at diagnosis (RR = 0.98; 95% CI 0.97, 0.99; P < 0.001) and shorter duration since diagnosis (RR = 0.98; 95% CI 0.96, 0.99; P < 0.001) compared to individuals with who did not engage in physical activity. Individuals with diagnosed hypertension were more likely to quit smoking, and those with younger age at diagnosis or shorter duration tended to exercise regularly. Regular visits to doctors should focus on hypertension control and health behavior modifications. Elsevier 2018-11-13 /pmc/articles/PMC6260446/ /pubmed/30510893 http://dx.doi.org/10.1016/j.pmedr.2018.11.005 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Regular Article
Kim, Hyun
Andrade, Flavia C.D.
Diagnostic status and age at diagnosis of hypertension on adherence to lifestyle recommendations
title Diagnostic status and age at diagnosis of hypertension on adherence to lifestyle recommendations
title_full Diagnostic status and age at diagnosis of hypertension on adherence to lifestyle recommendations
title_fullStr Diagnostic status and age at diagnosis of hypertension on adherence to lifestyle recommendations
title_full_unstemmed Diagnostic status and age at diagnosis of hypertension on adherence to lifestyle recommendations
title_short Diagnostic status and age at diagnosis of hypertension on adherence to lifestyle recommendations
title_sort diagnostic status and age at diagnosis of hypertension on adherence to lifestyle recommendations
topic Regular Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260446/
https://www.ncbi.nlm.nih.gov/pubmed/30510893
http://dx.doi.org/10.1016/j.pmedr.2018.11.005
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