Poor blood pressure self-monitoring and a sedentary lifestyle were associated with higher odds of poor hypertension control (OR 5.33, 95% CI 1.78-15.93 and OR 4.69, 95% CI 1.00-22.25, respectively).
Cross-Sectional (n=233)
Do lifestyle and self-management skills determine hypertension control in hypertensive adults?
Poor blood pressure self-monitoring and a sedentary lifestyle are significantly associated with poor hypertension control in Australian adults.
Odds Ratio: 5.33 (95% CI 1.78–15.93)
p-value: p=< 0.01
BACKGROUND: Poor hypertension control can increase the risk of cardiovascular, renal and kidney diseases, and increase the social and economic burden of the disease. METHODS: This study aimed to explore the lifestyle and self-management skills (medication adherence, self-monitoring, self-efficacy) determinants of hypertension control in a sample of hypertensive Australians. In a cross-sectional design, a total of 233 hypertensive adults completed a survey. Hypertension control was categorised as good control if hypertensive individuals managed to reduce their blood pressure (BP) < 140/90 mmHg, otherwise it was categorised as poor control. Data were analysed using bivariate analysis and hierarchical logistic regression. RESULTS: 55% of the participants had poor BP control. A significantly higher frequency of poor BP self-monitoring was observed in individuals with poor control compared to their counterparts. Poor self-monitoring and a sedentary lifestyle were associated with higher odds of poor control (OR: 5.33, 95% CI: 1.78 - 15.93; p < 0.01, and OR: 4.69, 95% CI: 1.00 - 22.25; p < 0.05, respectively). No significant association was observed between other variables and hypertension control. CONCLUSION: Successful BP control for hypertensive individuals may require interventions and strategies that assist with improving BP self-monitoring skills and increasing physical activity.
Khalesi et al. (Thu,) conducted a cross-sectional in Hypertension (n=233). Poor self-monitoring and sedentary lifestyle vs. Good self-monitoring and active lifestyle was evaluated on Poor hypertension control (BP ≥ 140/90 mmHg) (OR 5.33, 95% CI 1.78 - 15.93, p=< 0.01). Poor blood pressure self-monitoring and a sedentary lifestyle were associated with higher odds of poor hypertension control (OR 5.33, 95% CI 1.78-15.93 and OR 4.69, 95% CI 1.00-22.25, respectively).
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