Older Hypertensive Patients’ Adherence to Healthy Lifestyle Behaviors

Serbian Journal of Experimental and Clinical Research. 2018;19(1):51-56 DOI 10.1515/sjecr-2016-0083

 

Journal Homepage

Journal Title: Serbian Journal of Experimental and Clinical Research

ISSN: 1820-8665 (Print); 2335-075X (Online)

Publisher: Sciendo

Society/Institution: Faculty of Medical Sciences, University of Kragujevac, Serbia

LCC Subject Category: Medicine

Country of publisher: Poland

Language of fulltext: English

Full-text formats available: PDF

 

AUTHORS


Andjelkovic Marija (Department of Laboratory Diagnostics, Clinical Center Kragujevac, Kragujevac, Serbia)

Mitrovic Marina (Department of Biochemistry, Faculty of medical sciences, University of Kragujevac, Kragujevac, Serbia)

Nikolic Ivana (Department of Biochemistry, Faculty of medical sciences, University of Kragujevac, Kragujevac, Serbia)

Jovanovic Danica Bacanin (Health Care Center Kragujevac, Kragujevac)

Zelen Ivanka (Department of Biochemistry, Faculty of medical sciences, University of Kragujevac, Kragujevac, Serbia)

Zaric Milan (Department of Biochemistry, Faculty of medical sciences, University of Kragujevac, Kragujevac, Serbia)

Canovic Petar (Department of Biochemistry, Faculty of medical sciences, University of Kragujevac, Kragujevac, Serbia)

Kovacevic Aleksandra

Jankovic Slobodan (Department of Pharmacology, Clinical Center Kragujevac, Faculty of medical sciences, University of Kragujevac, Kragujevac, Serbia)

EDITORIAL INFORMATION

Double blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 6 weeks

 

Abstract | Full Text

Non-pharmacological treatment including diet, body weight reduction, smoking cessation and physical activity, is very important part of hypertension treatment. The objective of this study was to investigate the adherence to healthy lifestyle behavior in the representative sample of the older hypertensive patients, and to investigate factors associated with adherence in the studied older population. The study was conducted on random sample of 362 long term hypertensive (> five years) patients older than 65 years of age, at Health Care Center of Kragujevac. Adherence was assessed using the structured questionnaire for the analysis of the implementation of both hypertension and diabetes guidelines in the primary care. Both bivariate and multivariate analyses were conducted. Nearly 35% of examined patients were highly adherent; they exercised regularly, avoided smoking for at least five years and consumed special healthy diet prescribed for hypertension. Another 35.6% of the cases reported exercising regularly, 39.5% followed the recommended diet for the hypertension, while 23.4% of the patients have still consumed cigarettes. Multivariate logistic regression demonstrated that received counseling on healthy lifestyle behaviors by physicians and lack of education predicted high adherence to healthy lifestyle behavior. In order to improve adherence of elderly hypertensive patients to healthy lifestyle, strengthening patient-physician relationships through efforts to enhance communication may be a promising strategy to enhance patients’ engagement in healthy lifestyle behaviors for hypertension. Such an improvement could be achieved through the education of both the physicians and patients.