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August 25, 2016PLoS ONEOpen Access

Changes in Adherence to Non-Pharmacological Guidelines for Hypertension

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Key result

Although overall adherence to non-pharmacological guidelines was poor and did not differ by awareness status, adherence levels improved significantly among patients with a hypertension diagnosis from 2.09 in 1998 to 2.27 in 2012 (p=0.007).

Why the study?

Does a formal hypertension diagnosis improve adherence to non-pharmacological guidelines in hypertensive patients?

Population

13,768 Korean hypertensive patients aged ≥ 30 years from the Korean National Health and Nutrition…

Design

Cross-sectional

Authors

KPKyong ParkKorea UniversitySCSu Kyung ChoGyeongsang National UniversityJBJulie K. BowerPreventive Cardiology

Discussion

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Implication

Poor adherence persists with no diagnosis-based difference; leaves open whether sustained education improves long-term control in observational cohorts.

Study Design

Type

Cross-Sectional (n=13,768)

Structured PICO

Does a formal hypertension diagnosis improve adherence to non-pharmacological guidelines in hypertensive patients?

P
Population
13,768 Korean adults aged 30 years or older with hypertension, evaluated for adherence to non-pharmacological guidelines using national survey data from 1998 to 2012.
C
Comparator
Hypertensive patients without a formal hypertension diagnosis
O
Outcome
Adherence to non-pharmacological guidelines (6 components including dietary and lifestyle habits)patient reported

Main Result

p-value: p=0.007

Despite increasing awareness of hypertension, adherence to non-pharmacological management guidelines remains poor among Korean patients, highlighting the need for continued education.

Limitations

  • Misclassification of hypertension diagnosis due to self-reported information and potential white coat phenomenon.
  • Cross-sectional design precludes examining changes over time within individuals.
  • Dietary intake evaluated using a single 24-hour recall method, which may cause misclassification.
  • Guidelines used for assessment were based on 2010 and 2013 versions, omitting the 2004 edition.

Cite This Study

Park et al. (2016) conducted a cross-sectional in Hypertension (n=13,768). Hypertension diagnosis (awareness) vs. Undiagnosed hypertension (unaware) was evaluated on Overall adherence to 6 non-pharmacological guidelines (score 0-6) (p=0.007). Although overall adherence to non-pharmacological guidelines was poor and did not differ by awareness status, adherence levels improved significantly among patients with a hypertension diagnosis from 2.09 in 1998 to 2.27 in 2012 (p=0.007).

synapsesocial.com/papers/6a7bd25d48312d37e475e8c0https://doi.org/10.1371/journal.pone.0161712

Topics

Hypertension management
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