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Changes in Adherence to Non-Pharmacological Guidelines for Hypertension
Kyong Park1, Sukyung Cho1, Julie K Bower2
1Department of Food and Nutrition, Yeungnam University, Gyeongsan, Gyeongbuk, Republic of Korea.
Plos One
|August 26, 2016
Summary
Hypertensive patients in Korea show poor adherence to non-pharmacological guidelines, despite increased condition awareness. Improvements were noted in diet, weight management, and smoking avoidance, suggesting continued education is crucial for hypertension management.
Area of Science:
- Public Health
- Cardiovascular Health
- Health Behavior Research
Background:
- Non-pharmacological strategies are crucial for hypertension management.
- Understanding adherence patterns in diagnosed hypertensive populations is essential for public health.
- Temporal trends in adherence provide insights into the effectiveness of interventions.
Purpose of the Study:
- To compare adherence to non-pharmacological hypertension guidelines between diagnosed hypertensive patients and those without a diagnosis.
- To examine changes in adherence levels over time (1998-2012) in the Korean population.
- To identify specific areas of adherence that have improved or remain challenging.
Main Methods:
- Utilized data from the Korean National Health and Nutrition Examination Survey (1998-2012).
- Included 13,768 Korean adults aged ≥30 years, categorized by hypertension diagnosis.
- Assessed adherence to 6 non-pharmacological guideline components using multivariable generalized linear regression.
Main Results:
- Awareness of hypertension significantly increased from 33.4% (1998) to 74.8% (2012).
- Overall adherence to non-pharmacological guidelines was poor (mean score 2/6) and did not differ significantly between groups.
- Adherence improved among diagnosed hypertensive patients (1998: 2.09 to 2012: 2.27), notably in vegetable/seaweed intake, weight management, and smoking avoidance.
Conclusions:
- Despite rising hypertension awareness, diagnosed patients exhibit low adherence to recommended non-pharmacological management.
- Improvements in specific lifestyle factors (diet, weight, smoking) are evident but insufficient.
- Sustained and enhanced educational programs are necessary post-diagnosis to improve hypertension self-management.
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