Effectiveness of multidisciplinary lifestyle intervention for hypertension: a randomised controlled trial

Mattila, Riikka; Malmivaara, Antti; Kastarinen, Mika; Sl, Kivelä; Nissinen, Aulikki

doi:10.1038/sj.jhh.1001531

Cited by 50 publications

(29 citation statements)

References 29 publications

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“…Furthermore, our intervention focused on the effect of lifestyle intervention on hypertension, and a clear effect emerged (15). Its effects on musculoskeletal symptoms were also assessed, because there is evidence that lifestyle factors are among the causes of musculoskeletal symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…The recruitment and screening process, as well as the measures for the effect evaluation, have been described earlier in detail (15). Workers were eligible for enrollment in the study if their mean systolic blood pressure (SBP) was 140-179 mm Hg or their mean diastolic blood pressure (DBP) was 90-109 mm Hg or if they were taking antihypertensive medication.…”

Section: Screening and Randomization Of The Participantsmentioning

confidence: 99%

“…The purpose was to assess the effect of lifestyle modification on the control of their hypertension (15). A questionnaire on neck, shoulder, elbow, and wrist symptoms was included in the evaluation measures to examine the effects of this intervention also on the occurrence of musculoskeletal symptoms.…”

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confidence: 99%

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Effects of lifestyle intervention on neck, shoulder, elbow and wrist symptoms

Mattila¹,

Malmivaara²,

Kastarinen³

et al. 2004

Scand J Work Environ Health

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Mattila R, Malmivaara A, Kastarinen M, Kivelä S-L, Nissinen A. Effects of lifestyle intervention on neck, shoulder, elbow and wrist symptoms. Scand J Work Environ Health 2004;30(3):191-198.Objectives The objective of this study was to determine whether lifestyle intervention to control hypertension can affect neck, shoulder, elbow, and wrist symptoms.Methods In a randomized controlled trial, 731 employees from 45 worksites were assigned for 12 months to lifestyle intervention in a rehabilitation center or to usual care provided by occupational or primary health care services. The participants had a systolic blood pressure of 140-179 mm Hg or a diastolic blood pressure of 90-109 mm Hg, or antihypertensive drug treatment. In addition to the cardiovascular risk factors, the occurrences of neck, shoulder, elbow, and wrist symptoms and disability during the previous 12 months were recorded before the intervention and 1 year later. ResultsThe reported disability due to neck pain during the previous 12 months fell significantly more (-7%) in the intervention group than in the group in usual care (-2%). The perceived shoulder pain during the previous 7 days also decreased significantly more in the intervention group than in the control group among the women (net change 16%) and among the participants who were more highly physically active (net change 10%). Weight, body mass index, and waist and hip circumferences decreased, and physical activity increased, substantially more in the intervention group. The changes in elbow or wrist pain and related disability did not differ significantly between the intervention and control groups.Conclusions Lifestyle intervention to control hypertension has a favorable impact on perceived disability due to neck pain.

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Section: Discussionmentioning

confidence: 99%

Section: Screening and Randomization Of The Participantsmentioning

confidence: 99%

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Effects of lifestyle intervention on neck, shoulder, elbow and wrist symptoms

Mattila¹,

Malmivaara²,

Kastarinen³

et al. 2004

Scand J Work Environ Health

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“…2 Recent data from intervention trials based on Dietary Approaches to Stop Hypertension show that adopting multiple lifestyle changes may lead to even greater reductions in blood pressure and other cardiovascular risk factors. [3][4][5] Despite the wealth of evidence regarding the benefits of a healthy lifestyle, the available data suggest that adherence to these recommendations among hypertensive patients is poor. For example, participants that reported hypertension from the English Longitudinal Study of Ageing had lower smoking rates but were more likely to report heavy alcohol intake and low physical activity levels compared with normotensives.…”

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confidence: 99%

Adherence to healthy lifestyle in hypertensive patients: ample room for improvement?

Hamer

2010

J Hum Hypertens

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“…Work place intervention for the promotion and practice of healthy lifestyle may also be useful. 18 Barriers to uptake of healthy lifestyle also need to be explored for different ethnic groups. The study by Zhao et al 9 also briefly assessed the physician involvement in adoption of healthy lifestyle behaviour by way of receipt of weight loss advice and showed that for obese individuals there does seem to be some differences among ethnic groups.…”

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confidence: 99%

An ethnic-sensitive approach for the promotion of a healthy lifestyle: is it warranted?

Lee

2008

J Hum Hypertens

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Lifestyle modification has been recommended in major guidelines as one of the key factors in the management of individuals with elevated blood pressure. These include a healthy diet, reduced salt intake, alcohol consumption, exercise and stress management. [1][2][3][4] It is also recommended that even if treatment is initiated, these non-pharmacological lifestyle approaches should be maintained. These recommendations exist because adoption of a healthy lifestyle has been shown to be an effective approach for the prevention and management of high blood pressure in individuals not taking antihypertensive medications, 5,6 as well as, enhancing the efficacy of anti-hypertensive medications. 7 Indeed, Svetkey et al. 8 also showed that this was consistent among different gender, ethnic and age groups. Finally, a healthy lifestyle not only results in a reduction in blood pressure but also improves all the other cardiovascular risk factors, 5,6 thus providing an avenue for holistic patient-centered medical care. Given the adoption of lifestyle behaviours is subject to patient education as well as other social and cultural influences that exist, there is clearly a need to look at different ethnic groups separately.In this issue of the Journal of Human Hypertension, the study by Zhao et al. 9 documents the healthy lifestyle behaviours of 36 770 women with self-reported hypertension of five different ethnic groups living in the USA. The study was population-based with a good response rate (74.8%). Given the limitations described by the authors it does reveal some useful information on healthy lifestyle behaviours of hypertensive women. In terms of general cardiovascular risk profile, it is interesting to note that apart from Asian women, the other minority ethnic groups have a high prevalence of hypertension ranging from 36.9-24.7%. Also, a large proportion of nonHispanic blacks (54.9%), American Indian/Alaskan (43.7%) and Hispanics (44.3%) were obese. Although the proportion of Asians who are obese is relatively low (11.6%) this may increase somewhat if the Asian classification for obesity is adopted. 10 For smoking the rates of American Indians are of concern at 38.0% followed by nonHispanic blacks (19.6%) and non-Hispanic whites (16.8%). Thus, the high prevalence of these concomitant cardiovascular risk factors further highlight the need to assess lifestyle behaviours of hypertensive women to implement cardiovascular disease prevention programs.The main findings about lifestyle behaviour show that overall only 38.9% (with the highest found in non-Hispanic whites of 42.8%) met physical activity recommendations, and 25.2 and 5.1% consumed fruits and vegetables at X5 servings/day or X8 servings a day respectively. Also, overall the majority of hypertensive women were found to have 2-3 healthy lifestyle behaviours with a smaller proportion (13.1% or less) having 4-5 healthy lifestyle behaviours. The adjusted odd ratios are useful in that they accounted for socio-economic factors that could influence lifestyle behaviours suc...

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Effectiveness of multidisciplinary lifestyle intervention for hypertension: a randomised controlled trial

Cited by 50 publications

References 29 publications

Effects of lifestyle intervention on neck, shoulder, elbow and wrist symptoms

Effects of lifestyle intervention on neck, shoulder, elbow and wrist symptoms

Adherence to healthy lifestyle in hypertensive patients: ample room for improvement?

An ethnic-sensitive approach for the promotion of a healthy lifestyle: is it warranted?

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