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- Title
Lifestyle interventions for hypertension treatment among Iranian women in primary health-care settings: Results of a randomized controlled trial.
- Authors
Hasandokht, Tolou; Farajzadegan, Ziba; Siadat, Zahra Dana; Paknahad, Zamzam; Rajati, Fatemeh
- Abstract
Background: Lifestyle factors such as weight, salt intake, and physical activity have shown to be important in treating hypertension. The object of this study was to describe feasibility and to assess the effectiveness of a multicomponent lifestyle intervention on high blood pressure (BP) of Iranian women. Materials and Methods: This randomized controlled trial was conducted in four health centers by recruiting 161 women aged 35-65 years with high BP and randomizing them to a 4-week lifestyle modification (n = 80) or control group (n = 81). BP level and other health behavioral factors were assessed before and after the 4-week intervention and also after 6 months. Results: The mean systolic BP changed from 158.8 (±8.1) mmHg to 153.2 (±6.4) mmHg during 4-week and to 145.5 (±4.6)) mmHg after 6 months in the intervention group (P < 0.001). There was a significant difference between two groups of study after 4-week mean = 5.6 (confidence interval [CI] = 5.1-6.6) and 6 months follow mean (CI = 12.3-14.6). (P < 0.001) A significant correlation was detected between systolic BP (SBP) and diastolic BP (DBP) with weight, body mass index, waist circumference, salt intake, and physical activity level (P < 0.001). Stepwise regression analyses indicated that the weight, dietary salt intake, and physical activity level were significant predictors of SBP and DBP. Conclusion: The results of this study suggest that lifestyle modification program is associated with improvements in BP level in Iranian women.
- Subjects
IRAN; CARDIOVASCULAR disease prevention; HYPERTENSION; ACADEMIC medical centers; ANALYSIS of variance; BEHAVIOR modification; CARDIOVASCULAR diseases; CONFIDENCE intervals; STATISTICAL correlation; HEALTH behavior; MEDICAL cooperation; QUESTIONNAIRES; REGRESSION analysis; RESEARCH; RESEARCH funding; RISK assessment; SCALE analysis (Psychology); T-test (Statistics); RANDOMIZED controlled trials; PHYSICAL activity; DATA analysis software; DESCRIPTIVE statistics
- Publication
Journal of Research in Medical Sciences, 2015, Vol 20, Issue 1, p54
- ISSN
1735-1995
- Publication type
Article