Lifestyle modification and hypertension: prescription patterns of Nigerian general practitioners
| Autor: | Olagoke Korede Ale, Rotimi William Braimoh, J N A Ajuluchukwu, Adewole A Adebiyi |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty hypertension 030231 tropical medicine Nigeria Blood Pressure Physical exercise Logistic regression 03 medical and health sciences 0302 clinical medicine Pharmacotherapy Patient Load General Practitioners Lifestyle modification prescription Surveys and Questionnaires Internal medicine Dash Weight management Humans Medicine 030212 general & internal medicine Practice Patterns Physicians' Medical prescription Exercise Life Style Aged business.industry Research General Medicine blood pressure control Middle Aged Diet general medical practitioners Blood pressure Female business |
| Zdroj: | The Pan African Medical Journal |
| ISSN: | 1937-8688 |
| Popis: | INTRODUCTION: Implementation of lifestyle modification (LM), a cornerstone of hypertension control has been reported to be more challenging than pharmacotherapy. We studied the LM prescription pattern of general medical practitioners (GPs) in Lagos, Nigeria for blood pressure control. METHODS: GPs were assessed using anonymous self-administered questionnaire on the prescription of salt restriction, weight management, cessation of tobacco use, physical exercise, and consumption of DASH ' like diet for blood pressure control. Chi-square, Fisher's exact and Student t-test were used to test for differences as appropriate. Logistic regression model was constructed to identify the determinants of adequate LM prescription. RESULTS: a total of 213 GPs (38% females) participated in the survey. LM prescription was over 90% for the following: salt restriction (96.7%), tobacco cessation (94.8%), weight management (94.4%). The remaining were 81.2% and 75.1% for healthy diet and physical activity respectively. The median LM prescription score (of the GPs) was 18.0 [15.0-50.0]. The single significant predictor of adequate LM prescription was total patient load of the GPs (AOR:0.98, 95% CI: 0.97-0.99, p=0.006). Eleven (5.2%), 190 (89.2%), and 12 (5.6%) GPs initiated LM prescription at blood pressure values >140/90mm Hg, =140/90mmHg and |
| Databáze: | OpenAIRE |
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