What does this research mean for the field?

Fewer than half of hypertensive patients adhere to recommended lifestyle modifications, with good practice independently predicted by higher income, younger age, co-morbid conditions, and better knowledge. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To assess the practice of recommended lifestyle modifications and identify independent predictor variables among individuals with hypertension attending hospital follow-up.

October 5, 2026Asian Journal of Health SciencesOpen Access

Lifestyle Modification Practice and Associated Factors among People with Hypertension Attending Chronic Follow-Up Units in Public Hospital in Addis Ababa, Ethiopia

Q: What are the key findings of this study?

Only 42.9% of hypertensive patients adhered to recommended lifestyle modifications, with a monthly income > 1500 ETB significantly increasing the odds of good practice (AOR 2.5).

Q: What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Hypertension (n=385). Intervention: Monthly income > 1500 ETB vs. Monthly income <= 1500 ETB. Primary outcome: Good lifestyle-modification practice (AOR 2.5, 95% CI 1.3-4.7, p=<0.01).

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Key result

Higher income is linked to ~150% higher odds of lifestyle modification adherence in hypertension.

AOR 2.5
95% CI 1.3-4.7
P<0.01
n=385

Why the study?

Adherence to recommended lifestyle modifications among hypertensive patients in low- and middle-income countries remains suboptimal despite available effective pharmacotherapy.

Key Points

To assess the practice of recommended lifestyle modifications and identify independent predictor variables among individuals with hypertension attending hospital follow-up.
Conducted a facility-based cross-sectional study from 1 to 30 September 2023 among hypertensive patients at Eka Kotebe General Hospital in Addis Ababa, Ethiopia (N=385; 96.7% response rate).
Gathered data via structured face-to-face interviews on sociodemographic factors, clinical profiles, knowledge status, and lifestyle behaviors.
Identified independent predictors using binary logistic regression followed by multivariable logistic regression analysis.
Overall, 42.9% of participants (165/385) showed good lifestyle-modification practice, with 25.7% adhering to a low-salt diet and 23% engaging in daily physical activity.
Good practice was significantly associated with a monthly income > 1500 ETB (AOR = 2.5, 95% CI: 1.3–4.7) and age < 65 years (AOR = 1.9, 95% CI: 1.2–3.1).
The presence of comorbid conditions (AOR = 2.2, 95% CI: 1.1–4.3) and good knowledge of lifestyle modifications (AOR = 2.2, 95% CI: 1.4–3.4) independently doubled the odds of adherence.

Study Design

Type

Cross-Sectional (n=385)

Multicenter

Structured PICO

Population

385 hypertensive patients receiving care for at least six months at a public hospital in Ethiopia, assessed for adherence to recommended lifestyle modifications.

Outcome

Good lifestyle-modification practice (scoring above the mean on all recommended lifestyle-modification practice items)patient reported

Main Result

Odds Ratio: 2.5 (95% CI 1.3–4.7)

p-value: p=<0.01

Less than half of hypertensive patients in this Ethiopian cohort adhered to recommended lifestyle modifications, highlighting the need for targeted patient education and counseling.

Limitations

Cross-sectional design precludes the inference of causal relationships between lifestyle-modification behaviors and their associated determinants.
Self-reported responses are susceptible to social desirability bias and may have led participants to under-report poor practices or over-state adherence.
Systematic sampling restricted to patients attending follow-up during the study period may have introduced selection bias.

Discussion

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Implication

Suboptimal adherence in Ethiopian hypertensives supports targeted education; leaves open whether income-focused interventions improve outcomes in similar settings.

Cite This Study

Hussein et al. (2025) conducted a cross-sectional in Hypertension (n=385). Monthly income > 1500 ETB vs. Monthly income <= 1500 ETB was evaluated on Good lifestyle-modification practice (AOR 2.5, 95% CI 1.3-4.7, p=<0.01). Only 42.9% of hypertensive patients adhered to recommended lifestyle modifications, with a monthly income > 1500 ETB significantly increasing the odds of good practice (AOR 2.5).

synapsesocial.com/papers/6ac2fd087180a622ddd4df6a https://doi.org/10.15419/w704mj40

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Implication

Suboptimal adherence in Ethiopian hypertensives supports targeted education; leaves open whether income-focused interventions improve outcomes in similar settings.

Lifestyle Modification Practice and Associated Factors among People with Hypertension Attending Chronic Follow-Up Units in Public Hospital in Addis Ababa, Ethiopia

Key Points

Study Design

Structured PICO

Main Result

Limitations

Discussion

Implication

Cite This Study

Lifestyle Modification Practice and Associated Factors among People with Hypertension Attending Chronic Follow-Up Units in Public Hospital in Addis Ababa, Ethiopia

Key Points

Study Design

Structured PICO

Main Result

Limitations

Discussion

Implication

Cite This Study

Also Consider

Also Consider