Awareness and Practices of Non-Pharmacological Approaches for Management of Hypertension in a Geriatric Population
Background: There is an increase in the prevalence of hypertension all over the world, including India. Hypertension can be initially managed with non-pharmacological measures. This study aims to assess the knowledge of non-pharmacological measures to control hypertension and its application in a geriatric hypertensive population. Methods: The study was conducted at the Department of Physiology, SVU, Vadodara, India. A total 110 hypertensive patients were included in the study and a non-validated survey was conducted to examine knowledge of non-pharmacological measures to control hypertension in this group of patients. Frequencies, percentages, means and standard deviations were calculated and reported. Results: Only 10% of the respondents knew the normal values for blood pressure. Approximately 38% of the subjects did not measure their blood pressure regularly. A total of 24% subjects knew that body weight has a correlation with hypertension. About 27% said that there was no correlation between salt intake and hypertension, and 88% of the study population did not carry out any form of physical activity. Conclusion: Hypertension can be controlled by life style modifications such as exercise, weight management and a healthy diet. Public health and education measures targeting hypertensive population need to be taken to decrease the risk factors for cardiovascular diseases and, therefore, improve people's health and quality of life.
2. Ellekjaer H, Holmen J, Vatten L. Blood pressure, smoking and body mass in relation to mortality from stroke and coronary heart disease in the elderly. A 10-year follow-up in Norway. Blood Press. 2001;10(3):156-63.
3. Menotti A, Lanti M, Kafatos A, Nissinen A, Dontas A, Nedeljkovic S, et al. The role of a baseline casual blood pressure measurement and of blood pressure changes in middle age in prediction of cardiovascular and all-cause mortality occurring late in life: a cross-cultural comparison among the Euro¬pean cohorts of Seven Countries Study. J Hypertens. 2004 Sep;22(9):1683-90.
4. Akl OA, Khairy AE, Abdel-Aal NM, Deghedi BS, Amer ZF. Knowledge, attitude, practice and performance of family physicians concerning holistic mana¬gement of hypertension. J Egypt Public Health Assoc. 2006;81(5-6):337-53.
5. Kalavathy MC, Thankappan KR, Sasma PS, Vasan RS. Prevalence, aware¬ness, treatment and control of HTN in an elderly community–based sample in Kerala, India. Natl Med J India. 2000 Jan-Feb;13(1):9-15.
6. World Health Organization. Hypertension control. Technical Report Series No 862, Genera: WHO 1996:3-20.
7. Patel CH, Mishra VR, Naik S, Jadeja JM. To study knowledge attitude and practice of non-pharmacological measures to control hypertension in geria¬tric population. Indian J Appl Basic Medi Scie. 2012;14:34-42.
8. He FJ, MacGregor GA. A comprehensive review on salt and health and cu¬rrent experience of worldwide salt reduction programmes. J Hum Hypertens. 2009 Jun;23(6):363-84.
9. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS Med. 2007 Oct 16;4(10):e296.
10. World Health Organization. Reducing salt intake in populations: report of a WHO forum and technical meeting. WHO, 2007:1-60.
11. He FJ, MacGregor GA. Effect of modest salt reduction on blood pressure: a meta-analysis of randomized trials. Implications for public health. J Hum Hypertens. 2002 Nov;16(11):761-70.
12. Huang Z, Willett WC, Manson JE, Rosner B, et al. Body weight, wei¬ght change, and risk for hypertension in women. Ann Intern Med. 1998 Jan;128(2):81-8.
13. Gelber RP, Gaziano JM, Manson JE, Buring JE, Sesso HD. A prospective study of body mass index and the risk of developing hypertension in men. Am J Hypertens. 2007 Apr;20(4):370-7.
14. Trails of Hypertension Prevention Collaraboration Research Group. The effects of nonpharmacologic interventions on blood pressure of persons with high normal levels. Results of the Trials of Hypertension Prevention, Phase I. JAMA. 1992 Mar 4;267(9):1213-20.
15. Torarisi G, Distefano A. Nutritional and behavioral measures in the non-pharmacological treatment of elderly hypertensive subjects. Arch Ge¬rontol Geriatr. 1996;22 Suppl 1:139-42.
16. Jain AK. Text book of Physiology. 5th Edition. New Delhi: Avichal Publi¬shing Company. 2012;1:115-16.
17. Lin PH, Batch BC, Svetkey LP. Nutrition in the prevention and treatment of disease. 3rd ed. Academic Press. 2013;569-95.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Enforcement of copyright
The IJMS takes the protection of copyright very seriously.
If the IJMS discovers that you have used its copyright materials in contravention of the license above, the IJMS may bring legal proceedings against you seeking reparation and an injunction to stop you using those materials. You could also be ordered to pay legal costs.
If you become aware of any use of the IJMS' copyright materials that contravenes or may contravene the license above, please report this by email to email@example.com
If you become aware of any material on the website that you believe infringes your or any other person's copyright, please report this by email to firstname.lastname@example.org