Impact of Lifestyle Medicine Interventions on the Management of Systemic Hypertension in Primary Care: A Canadian Randomized Controlled Trial.

Autor:	Marin-Couture, Elisa, Moulin, Julie-Alexandra, Thibault, Anne-Sophie, Poirier, Paul, Després, Jean-Pierre, Gallant, Anette, Lamarre, Vincent, Alméras, Natalie, Lemieux, Isabelle, Chabot, Christian, Gallani, Maria-Cecilia, Piché, Marie-Eve, Arsenault, Benoit J., Tremblay, Angelo, Paquette, Jean-Sébastien, Rhéaume, Caroline
Předmět:	LIFESTYLES CONTINUING education units MEDICAL protocols RESEARCH funding ADIPOSE tissues HEALTH status indicators ACADEMIC medical centers BLOOD testing PRIMARY health care HYPERTENSION EDUCATIONAL outcomes BODY composition STATISTICAL sampling COMPUTED tomography ANTIHYPERTENSIVE agents TREATMENT effectiveness RANDOMIZED controlled trials CARDIOVASCULAR diseases risk factors DESCRIPTIVE statistics DASH diet CARDIOPULMONARY system COUNSELING ANTHROPOMETRY EXERCISE tests OXYGEN consumption DATA analysis software BLOOD pressure measurement PHYSICAL activity EVALUATION
Zdroj:	American Journal of Lifestyle Medicine; Sep/Oct2024, Vol. 18 Issue 5, p703-720, 18p
Abstrakt:	The study aimed to evaluate the feasibility of implementing lifestyle interventions in primary care settings with hypertensive patients and their effect on blood pressure, body composition, cardiometabolic markers, and antihypertensive drug use. Sixty participants diagnosed with stage 1 hypertension were randomly assigned to 4 groups: (1) Standard medical care (control), (2) Physical activity protocol, (3) Dietary Approach to Stop Hypertension (DASH) diet, and (4) Combination of physical activity protocol and DASH diet. Participants received counseling from family physicians, nurses, kinesiologists, and registered dietitians. Various assessments were conducted before (T0) and after (T6) the interventions, including 24-h ambulatory blood pressure monitoring, blood and urine tests, anthropometric measurements, computed tomography to measure adipose tissue, submaximal exercise test to estimate maximal oxygen consumption and health questionnaires. Fifty-one (51) participants (51/57, 89%) completed the program. All interventions reduced blood pressure indices between T0 and T6, except the combined interventions group. Body composition and cardiometabolic parameters were improved in all groups, except for the control group. In total, 28% of participants (7/23) reduced or stopped their antihypertensive medications at T6. The results suggest that structured lifestyle interventions are feasible in primary care and improve blood pressure and cardiometabolic parameters in patients with stage 1 hypertension. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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