Volume 9, Issue 3 (2021)
Health Educ Health Promot 2021, 9(3): 237-242 |
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Kashfi S, Poor Abed J, Rakhshani T, Karimi M. Effects of Lifestyle Modification on Body Mass Index and Blood Pressure Control in Hypertensive Middle-Aged Women. Health Educ Health Promot 2021; 9 (3) :237-242
URL: http://hehp.modares.ac.ir/article-5-50118-en.html
URL: http://hehp.modares.ac.ir/article-5-50118-en.html
1- Department of Public Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
2- "Nutrition research Center" and "Department of Public Health", Shiraz University of Medical Sciences, Shiraz, Iran
3- Department of Health Promotion, School of public health, Shiraz University of Medical Sciences, Shiraz, Iran ,karimeim@sums.ac.ir
2- "Nutrition research Center" and "Department of Public Health", Shiraz University of Medical Sciences, Shiraz, Iran
3- Department of Health Promotion, School of public health, Shiraz University of Medical Sciences, Shiraz, Iran ,
Abstract: (1582 Views)
Aims: Given the importance of lifestyle modification on hypertension control, the present study aimed to investigate the effect of lifestyle training intervention on blood pressure and body mass index in patients with hypertension in Darab, Iran.
Materials & Methods: The present randomized controlled intervention study was conducted on 80 middle-aged women with hypertension referred to health houses of Darab in 2018. The cluster sampling was performed, and participants were assigned to experimental and control groups by a simple random method (40 participants in each of the experimental and control groups). The participants' lifestyle, BMI, and blood pressure were measured before and two months after the intervention and were analyzed by SPSS 20 using the paired t-test, independent t-test, and chi-square test.
Findings: No significant differences were seen between experimental and control groups before the intervention in terms of health-promoting components (p>0.05), Systolic (p=0.73), and Diastolic blood pressure (p=0.22), and BMI (p=0.43). In contrast, there were statistically significant differences between the two groups after intervention in terms of health-promoting components, systolic and diastolic blood pressure (p<0.05). No significant difference was seen in terms of body mass index (p=0.52).
Conclusion: Lifestyle modification effectively reduces systolic and diastolic blood pressure in the short term, independent of its impact on BMI.
Materials & Methods: The present randomized controlled intervention study was conducted on 80 middle-aged women with hypertension referred to health houses of Darab in 2018. The cluster sampling was performed, and participants were assigned to experimental and control groups by a simple random method (40 participants in each of the experimental and control groups). The participants' lifestyle, BMI, and blood pressure were measured before and two months after the intervention and were analyzed by SPSS 20 using the paired t-test, independent t-test, and chi-square test.
Findings: No significant differences were seen between experimental and control groups before the intervention in terms of health-promoting components (p>0.05), Systolic (p=0.73), and Diastolic blood pressure (p=0.22), and BMI (p=0.43). In contrast, there were statistically significant differences between the two groups after intervention in terms of health-promoting components, systolic and diastolic blood pressure (p<0.05). No significant difference was seen in terms of body mass index (p=0.52).
Conclusion: Lifestyle modification effectively reduces systolic and diastolic blood pressure in the short term, independent of its impact on BMI.
Article Type: Original Research |
Subject:
Healthy Life Style
Received: 2021/02/21 | Accepted: 2021/05/23 | Published: 2021/09/11
Received: 2021/02/21 | Accepted: 2021/05/23 | Published: 2021/09/11
References
1. Yilmaz V, Umay E, Gundogdu I, Aytul Cakci F. Effect of primary hypertension on treatment outcomes of patients with postmenopausal osteoporosis: A 5 year follow up retrospective study. High Blood Press Cardiovasc Prev. 2019;26(1):61-7. [Link] [DOI:10.1007/s40292-018-0291-y] [PMID]
2. Esteghamati A, Etemad K, Koohpayehzadeh J, Abbasi M, Meysamie A, Khajeh E, et al. Awareness, treatment and control of pre-hypertension and hypertension among adults in Iran. Arch Iran Med. 2016;19(7):456-64. [Link]
3. Rajpura J, Nayak R. Medication adherence in a sample of elderly suffering from hypertension: Evaluating the influence of illness perceptions, treatment beliefs, and illness burden. J Manag Care Pharm. 2014;20(1):58-65. [Link] [DOI:10.18553/jmcp.2014.20.1.58] [PMID]
4. Negi PC, Chauhan R, Rana V, Vidyasagar, Lale K, Epidemiological study of non-communicable diseases (NCD) risk factors in tribal district of Kinnaur, HP: A cross-sectional study. Indian Heart J. 2016;68(5):655-62. [Link] [DOI:10.1016/j.ihj.2016.03.002] [PMID] [PMCID]
5. Yusufali AM, Khatib R, Islam S, Alhabib KF, Bahonar A, Swidan HM, et al. Prevalence, awareness, treatment and control of hypertension in four middle east countries. J Hypertens. 2017;35(7):1457-64. [Link] [DOI:10.1097/HJH.0000000000001326] [PMID]
6. Sarki AM, Nduka CU, Stranges S, Kandala NB, Uthman OA. Prevalence of hypertension in low-and middle-income countries: A systematic review and meta-analysis. Medicine. 2015;94(50):1959. [Link] [DOI:10.1097/MD.0000000000001959] [PMID] [PMCID]
7. Mirzaei M, Moayedallaie S, Jabbari L, Mohammadi M. Prevalence of hypertension in Iran 1980-2012: A systematic review. J Tehran Univ Heart Cent. 2016;11(4):159. [Persian] [Link]
8. Eghbali M, Khosravi A, Feizi A, Mansouri A, Mahaki B, Sarrafzadegan N. Prevalence, awareness, treatment, control, and risk factors of hypertension among adults: A cross-sectional study in Iran. Epidemiol Health. 2018;40:2018020. [Link] [DOI:10.4178/epih.e2018020] [PMID] [PMCID]
9. Vedanthan R, Bernabe-Ortiz A, Herasme OI, Joshi R, Lopez-Jaramillo P, Thrift AG, et al. Innovative approaches to hypertension control in low-and middle-income countries. Cardiol Clin. 2017;35(1):99-115. [Link] [DOI:10.1016/j.ccl.2016.08.010] [PMID] [PMCID]
10. Ebrahimi M, Heidari-Bakavoli AR, Mazidi M, Moohebati M, Azarpazhooh MR, Nematy M, et al. Prevalence of hypertension, pre-hypertension and undetected hypertension in Mashhad, Iran. Mediterr J Nutr Metab. 2016;9(3):213-23. [Link] [DOI:10.3233/MNM-150046]
11. Bruno CM, Amaradio MD, Pricoco G, Marino E, Bruno F. Lifestyle and hypertension: An evidence-based review. J Hypertens Manag. 2018;4(1):1-10. [Link] [DOI:10.23937/2474-3690/1510030]
12. Pengpid S, Vonglokham M, Kounnavong S, Sychareun V, Peltzer K. The prevalence, awareness, treatment, and control of hypertension among adults: The first cross-sectional national population-based survey in Laos. Vasc Health Risk Manag. 2019;15:27-33. [Link] [DOI:10.2147/VHRM.S199178] [PMID] [PMCID]
13. Afsargharehbagh R, Rezaie-Keikhaie KH, Rafiemanesh H, Balouchi A, Bouya S, Dehghan B. Hypertension and pre-hypertension among Iranian adults population: A meta-analysis of prevalence, awareness, treatment, and control. Curr Hypertens Rep. 2019;21(4):27. [Link] [DOI:10.1007/s11906-019-0933-z] [PMID]
14. Rezaei B, Khademvatan K, Alinejad V. The impact of family-oriented lifestyle-based group discussion on the controlling hypertension. Nurs Midwifery J. 2016;14(6):535-542. [Persian] [Link]
15. Nganou-Gnindjio CN, Domning HGK, Mfeukeu-Kuate L, Hamadou B, Kamdem F, Bediang G, et al. Effect of therapeutic group education on adherence and blood pressure control among uncontrolled hypertensive patients in Sub Saharan Africa. World J Cardiovasc Dis. 2018;8(3):183-95. [Link] [DOI:10.4236/wjcd.2018.83018]
16. Djalalinia S, Saeedi Moghaddam S, Sheidaei A, Rezaei N, Naghibi Iravani SS, Modirian M, et al. Patterns of obesity and overweight in the iranian population. Front Endocrinol. 2020;11:42. [Link] [DOI:10.3389/fendo.2020.00042] [PMID] [PMCID]
17. Aghamolaei T, Ghanbarnejad A. Validity and reliablity of the Persian health-promoting lifestyle profile II questionnaire. J Res Health. 2015;5(3):358-65. [Link]
18. Nejati S, Zahiroddin A, Afrookhteh G, Rahmani S, Hoveida S. Effect of group mindfulness-based stress-reduction program and conscious yoga on lifestyle, coping strategies, and systolic and diastolic blood pressures in patients with hypertension. J Tehran Heart Cent. 2015;10(3):140-8. [Link]
19. Kalantari N, Motlagh ME, Allameh M, Tohidi M, Tabatabaei M, Nickhah M, et al. The healthy lifestyle in middle age people. Tehran: Iran ministry of health; 2016. [Persian] [Link]
20. Seangpraw K, Auttama N, Tonchoy P, Panta P. The effect of the behavior modification program dietary approaches to stop hypertension (DASH) on reducing the risk of hypertension among elderly patients in the rural community of Phayao, Thailand. J Multidiscip Healthc. 2019;12:109-18. [Link] [DOI:10.2147/JMDH.S185569] [PMID] [PMCID]
21. Prasanna DG, Gopinath C, Yadavender Reddy KB, Rajasekhar G, Chandrakanth P, Sravanakumari S. Effect of lifestyle modifications on blood pressure in hypertensive patients. Int J Pharm Sci Res. 2015;6(12):5159-63. [Link]
22. Blumentha JA, Sherwood A, Smith PJ, Mabe S, Watkins L, Lin P, et al. Lifestyle modification for resistant hypertension: The TRIUMPH randomized clinical trial. Am Heart J. 2015;170(5):986-94. [Link] [DOI:10.1016/j.ahj.2015.08.006] [PMID] [PMCID]
23. Rakhshan M, Najafi H, Valizadeh GA. Lifestyle of patients with atrial fibrillation following self-management interventions: A randomized clinical trial. J Caring Sci. 2019;8(2):83-8. [Link] [DOI:10.15171/jcs.2019.012] [PMID] [PMCID]
24. Babaee Beigi MA, Zibaeenezhad MJ, Aghasadeghi K, Jokar A, Shekarforoush S, Khazraei H. The effect of educational programs on hypertension management. Int Cardiovasc Res J. 2014;8(3):94-8. [Link]
25. Cicolini G, Simonettib V, Comparcini D, Celibertic I, Nicola MD, Capasso LM, et al. Efficacy of a nurse-led email reminder program for cardiovascular prevention risk reduction in hypertensive patients: A randomized controlled trial. Int J Nurs Stud. 2014;51(6):833-43. [Link] [DOI:10.1016/j.ijnurstu.2013.10.010] [PMID]
26. Beune EJAJ, Van Charante EPM, Beem L, Mohrs J, Agyemang CO, Ogedegbe G, et al. Culturally adapted hypertension education (CAHE) to improve blood pressure control and treatment adherence in patients of African origin with uncontrolled hypertension: Cluster-randomized trial. PLos One. 2014;9(3):90103. [Link] [DOI:10.1371/journal.pone.0090103] [PMID] [PMCID]
27. Shayesteh H, Mansoriyan M, Mirzaie A, Sayehmiri K. Survey of the effect of educational intervention on the nutrition physical activity and stress management of patients with hypertension among the rural population of Aligoudarz County of Lorestan Province in 2015. J Ilam Univ Med Sci. 2016;24(2):54-62. [Persian] [Link] [DOI:10.18869/acadpub.sjimu.24.2.54]
28. Jorvand R, Valizadeh A, Karami B, Shahvali F, Valizadeh F. Effect of healthy nutrition education on the body mass index (BMI) of health volunteers in Ilam Province. Health Educ Health Promot. 2016;4(2):25-34. [Persian] [Link]
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