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Underuse of lifestyle recommendations in hypertension management in France: The Esteban study

Lifestyle recommendations are first‐line elements in the management of arterial hypertension. This cross‐sectional study aimed to analyze the level to which lifestyle recommendations are used in hypertension management in France, using data from the Esteban study, which was implemented by Santé Publ...

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Autores principales: Vay‐Demouy, Juliette, Lelong, Hélène, Neudorff, Pauline, Gabet, Amélie, Grave, Clémence, Blacher, Jacques, Olié, Valérie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9581092/
https://www.ncbi.nlm.nih.gov/pubmed/36177966
http://dx.doi.org/10.1111/jch.14576
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author Vay‐Demouy, Juliette
Lelong, Hélène
Neudorff, Pauline
Gabet, Amélie
Grave, Clémence
Blacher, Jacques
Olié, Valérie
author_facet Vay‐Demouy, Juliette
Lelong, Hélène
Neudorff, Pauline
Gabet, Amélie
Grave, Clémence
Blacher, Jacques
Olié, Valérie
author_sort Vay‐Demouy, Juliette
collection PubMed
description Lifestyle recommendations are first‐line elements in the management of arterial hypertension. This cross‐sectional study aimed to analyze the level to which lifestyle recommendations are used in hypertension management in France, using data from the Esteban study, which was implemented by Santé Publique France, France's public health agency, from 2014 to 2016 on a representative sample of the French population. The study sample comprised 440 adult Esteban participants who were aware they had hypertension and were aged 18–74 years old. The main outcomes were the proportion of participants who received lifestyle recommendations in their hypertension management plan, and the proportion of recommendations according to the three following dimensions: physical activity, weight loss, and changes in diet. Over half (57.0%) of the 440 participants declared they did not receive lifestyle recommendations as part of their hypertension management plan in the year preceding the study. Of these, 39.0% did not receive pharmacological treatment either. Physical activity was recommended to 31.8% of sedentary participants and weight loss to 26.8% of participants with overweight or obesity. One‐fifth of the study sample (20.1%) received dietary recommendations. Of these, 69% and 10.7% were advised to limit their salt and alcohol intake, respectively. Lifestyle interventions are too rarely recommended in hypertension management plans in France. Adherence to lifestyle recommendations needs in‐depth discussion not only at the time of diagnosis but also throughout follow‐up.
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spelling pubmed-95810922022-10-20 Underuse of lifestyle recommendations in hypertension management in France: The Esteban study Vay‐Demouy, Juliette Lelong, Hélène Neudorff, Pauline Gabet, Amélie Grave, Clémence Blacher, Jacques Olié, Valérie J Clin Hypertens (Greenwich) Lifestyle Lifestyle recommendations are first‐line elements in the management of arterial hypertension. This cross‐sectional study aimed to analyze the level to which lifestyle recommendations are used in hypertension management in France, using data from the Esteban study, which was implemented by Santé Publique France, France's public health agency, from 2014 to 2016 on a representative sample of the French population. The study sample comprised 440 adult Esteban participants who were aware they had hypertension and were aged 18–74 years old. The main outcomes were the proportion of participants who received lifestyle recommendations in their hypertension management plan, and the proportion of recommendations according to the three following dimensions: physical activity, weight loss, and changes in diet. Over half (57.0%) of the 440 participants declared they did not receive lifestyle recommendations as part of their hypertension management plan in the year preceding the study. Of these, 39.0% did not receive pharmacological treatment either. Physical activity was recommended to 31.8% of sedentary participants and weight loss to 26.8% of participants with overweight or obesity. One‐fifth of the study sample (20.1%) received dietary recommendations. Of these, 69% and 10.7% were advised to limit their salt and alcohol intake, respectively. Lifestyle interventions are too rarely recommended in hypertension management plans in France. Adherence to lifestyle recommendations needs in‐depth discussion not only at the time of diagnosis but also throughout follow‐up. John Wiley and Sons Inc. 2022-09-30 /pmc/articles/PMC9581092/ /pubmed/36177966 http://dx.doi.org/10.1111/jch.14576 Text en © 2022 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Lifestyle
Vay‐Demouy, Juliette
Lelong, Hélène
Neudorff, Pauline
Gabet, Amélie
Grave, Clémence
Blacher, Jacques
Olié, Valérie
Underuse of lifestyle recommendations in hypertension management in France: The Esteban study
title Underuse of lifestyle recommendations in hypertension management in France: The Esteban study
title_full Underuse of lifestyle recommendations in hypertension management in France: The Esteban study
title_fullStr Underuse of lifestyle recommendations in hypertension management in France: The Esteban study
title_full_unstemmed Underuse of lifestyle recommendations in hypertension management in France: The Esteban study
title_short Underuse of lifestyle recommendations in hypertension management in France: The Esteban study
title_sort underuse of lifestyle recommendations in hypertension management in france: the esteban study
topic Lifestyle
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9581092/
https://www.ncbi.nlm.nih.gov/pubmed/36177966
http://dx.doi.org/10.1111/jch.14576
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