Lifestyle Modification Practice and Associated Factors Among Diagnosed Hypertensive Patients in Selected Hospitals in Central Gondar Zone

IF 2.3 Q3 NUTRITION & DIETETICS

Nutrition and Metabolic Insights Pub Date : 2022-01-01 DOI:10.1177/11786388221088245

Moges Smachew, Melkitu Fentie Melak, Azeb Atenafu, Aysheshim Kassahun Belew

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引用次数: 18

Abstract

Background: Hypertension is one of the leading causes of disability and death in both developed and developing countries including Ethiopia. Non-communicable diseases account for 42% of deaths in Ethiopia. However, it is still widely undetected and poorly controlled. Hence, this study aims to assess the lifestyle modification practices and related factors of adult hypertensive patients in the central Gondar region of northwestern Ethiopia. Methods: Institutional based, cross-sectional study was conducted from April 10 up to May 10, 2021. A simple random sampling was used to select 629 study participants. Data were collected by using self-administered and structured questionnaire. Data were entered to EpiData 4.6 and exported to SPSS 20 for further analysis. A multivariable logistic regression analysis was employed to identify the factors associated with lifestyle modification. Adjusted Odds Ratio (AOR) with 95% confidence interval was used to show the strength of association, while a P-value <.05 of was used to declare the significance of association. Results: The overall prevalence of recommended lifestyle modification in hypertensive patients was 24.2% (95% CI (20.8, 27.5)). Age ⩾65 years (AOR = 0.59, 95% CI: 0.39, 0.88), no formal education (AOR = 0.65, 95% CI: 0.4, 0.97), diagnosis time is 5 to 10 years (AOR = 1.93, 95% CI: 1.11, 3.34), co morbidities (AOR = 0.47, 95% CI: 0.3, 0.73), and rich wealth index (AOR = 1.99, 95% CI: 1.22, 3.27) are is significantly associated with good lifestyle modification practices. Conclusions: The practice of good lifestyle modifications in the study area was found to be low among the hypertensive patients. Respondents’ age, education status, wealth index, duration of diagnosis, and co morbidities were found to be significant factors related to good lifestyle modification practices. Therefore, more attention should be paid to providing nutrition counseling and health promotion to improve the practice of lifestyle modification in patients with hypertension.

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Gondar中部地区选定医院诊断为高血压患者的生活方式改变实践及相关因素

背景：在包括埃塞俄比亚在内的发达国家和发展中国家，高血压是导致残疾和死亡的主要原因之一。非传染性疾病占埃塞俄比亚死亡人数的42%。然而，它仍然普遍未被发现，而且控制不力。因此，本研究旨在评估埃塞俄比亚西北部贡达尔中部地区成年高血压患者的生活方式改变做法和相关因素。方法：从2021年4月10日至5月10日进行基于机构的横断面研究。采用简单的随机抽样方法选择629名研究参与者。数据收集采用自行管理和结构化问卷。数据输入到EpiData 4.6中，并导出到SPSS 20中进行进一步分析。采用多变量逻辑回归分析来确定与生活方式改变相关的因素。95%置信区间的调整后比值比（AOR）用于显示关联的强度，而的P值<.05用于声明关联的显著性。结果：高血压患者推荐的生活方式改变的总患病率为24.2%（95%CI（20.8，27.5））年（AOR = 0.59，95%可信区间：0.39，0.88），未接受正规教育（AOR = 0.65，95%CI:0.4,0.97），诊断时间为5-10 年（AOR = 1.93,95%可信区间：1.11,3.34），合并症（AOR = 0.47，95%置信区间：0.3，0.73）和富人财富指数（AOR = 1.99，95%CI:1.22，3.27）与良好的生活方式改变实践显著相关。结论：研究地区高血压患者良好生活方式改变的实践率较低。受访者的年龄、教育状况、财富指数、诊断持续时间和合并症被发现是与良好的生活方式改变实践相关的重要因素。因此，应更加重视提供营养咨询和健康促进，以改善高血压患者的生活方式改变实践。

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来源期刊

Nutrition and Metabolic Insights NUTRITION & DIETETICS-

CiteScore

3.30

自引率

0.00%

发文量

审稿时长

8 weeks

期刊介绍： Nutrition and Metabolic Insights is a peer-reviewed, open-access online journal focusing on all aspects of nutrition and metabolism. This encompasses nutrition, including the biochemistry of metabolism, exercise and associated physical processes and also includes clinical articles that relate to metabolism, such as obesity, lipidemias and diabetes. It includes research at the molecular, cellular and organismal levels. This journal welcomes new manuscripts for peer review on the following topics: Nutrition, including the biochemistry of metabolism, Exercise and associated physical processes, Clinical articles that relate to metabolism, such as obesity, lipidemias and diabetes, Research at the molecular, cellular and organismal levels, Other areas of interest include gene-nutrient interactions, the effects of hormones, models of metabolic function, macronutrient interactions, outcomes of changes in diet, and pathophysiology.