Dietary Patterns, Nutrition Knowledge, Lifestyle, and Health-Related Quality of Life: Associations with Anti-Hypertension Medication Adherence in a Sample of Australian Adults

Khalesi, Saman; Irwin, Christopher; Sun, Jing

doi:10.1007/s40292-017-0229-9

Cited by 18 publications

(17 citation statements)

References 44 publications

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“…In this study, sleep disorders were associated with medication nonadherence; insomnia, in particular, significantly increased the likelihood of reducing the medication dose. This is consistent with the results of previous studies [ 19 , 20 ]. Additionally, we found that using dietary supplements was associated with a 4.82-fold increase in the risk of discontinuing medication, compared with not using dietary supplements, which is in line with the results from previous studies showing that hypertensive patients who use complementary and alternative therapies have low adherence to antihypertensive medication [ 11 , 15 ].…”

Section: Discussionsupporting

confidence: 94%

Behavioral Factors Associated with Medication Nonadherence in Patients with Hypertension

Chen

et al. 2021

IJERPH

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Medication nonadherence is associated with an increased risk of complications in hypertensive patients. We investigated behavioral factors associated with medication nonadherence in hypertensive patients in southern Taiwan. Using questionnaires, we collected data regarding clinicodemographic characteristics and nonadherence behaviors from 238 hypertensive patients. We assessed the self-reported prevalence of specific behaviors of medication nonadherence and investigated factors associated with each behavior using multivariable logistic regression analysis. The most common behavior of medication nonadherence was forgetting to take medication (28.6%), followed by discontinuing medication (9.2%) and reducing the medication dose (8.8%). Age ≥ 65 years (adjusted odds ratio [aOR] = 0.32, 95% confidence interval [CI] = 0.15–0.69) and male sex (aOR = 2.61, CI = 1.31–5.19) were associated with forgetting to take medication. The presence of comorbidities (diabetes, kidney disease, or both) and insomnia (aOR = 3.97, 95% CI = 1.30–12.1) was associated with reducing the medication dose. The use of diet supplements was associated with discontinuing the medication (aOR = 4.82, 95% CI = 1.50–15.5). Compliance with a low oil/sugar/sodium diet was a protective factor against discontinuing medication (aOR = 0.14; 95% CI = 0.03–0.75). The most pervasive behavior associated with medication nonadherence among hypertensive patients was forgetting to take medication. Age <65 years, male sex, comorbidities, insomnia, noncompliance with diet, and the use of dietary supplements were specifically associated with medication nonadherence.

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Section: Discussionsupporting

confidence: 94%

Behavioral Factors Associated with Medication Nonadherence in Patients with Hypertension

Chen

et al. 2021

IJERPH

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“…Additionally, wellbeing assessment needs to be adapted to the population heterogeneity, with comorbidity as a keystone in the medical field [17]. Lifestyle adequation to some standards is known to be related to a higher health-related quality of life [4,[20][21][22]…”

Section: Discussionmentioning

confidence: 99%

Interactions of Comorbidity and Five Simple Environmental Unhealthy Habits Concerning Physical and Mental Quality of Life in the Clinical Setting

Martínez-Urbistondo

Villar

Ramos-López

et al. 2021

IJERPH

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The objective of this study was to examine the interactions between comorbidity and five lifestyle single habits concerning different subscales of quality of life (QoL). For the study, 302 patients were consecutively recruited at the internal medicine department of a tertiary teaching hospital. Lifestyle habits, comorbidities and QoL were recorded according to validated questionnaires. Five single unhealthy habits, such as tobacco consumption, dietary intake of ultra-processed pastries, raw nuts or carbonated drinks, sleep time and physical activity patterns were selected according to previously published data. The main outcomes of the study were the scores of the eight subscales of the SF-36 QoL survey. The aggregate of unhealthy habits showed statistically significant association to every category in the SF-36 questionnaire, both in the univariate and the multivariate analysis when adjusting by age, sex and comorbidity. An interaction was found between comorbidity and unhealthy habits in both physical and mental summaries of SF-36. In conclusion, the lifestyle assessment according to five unhealthy habits is associated with a worse QoL. The interaction between comorbidity and unhealthy habits is especially clear in diseased patients due to the interplay between illness and lifestyle in the prediction of QoL.

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“…The internal consistency of self-efficacy questionnaires was good with alpha levels of 0.76 and 0.89, for self-efficacy of diet (with 8 questions) and self-efficacy of exercise (with 4 question), respectively. A fouritem questionnaire developed for this study and described before [26] was used for assessing AHT adherence. Answers were scored on a 3-point scale.…”

Section: Design and Data Collectionmentioning

confidence: 99%

Lifestyle and self-management determinants of hypertension control in a sample of Australian adults

Khalesi

Irwin

Sun

2018

Expert Review of Cardiovascular Therapy

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Dietary Patterns, Nutrition Knowledge, Lifestyle, and Health-Related Quality of Life: Associations with Anti-Hypertension Medication Adherence in a Sample of Australian Adults

Abstract: A healthier dietary pattern, better exercise self-efficacy and adequate sleep (more than six hours a night) may increase the likelihood of AHT adherence in individuals with high BP. Interventions focusing on improving these variables are required to confirm the findings of this study.

Cited by 18 publications

References 44 publications

Behavioral Factors Associated with Medication Nonadherence in Patients with Hypertension

Behavioral Factors Associated with Medication Nonadherence in Patients with Hypertension

Interactions of Comorbidity and Five Simple Environmental Unhealthy Habits Concerning Physical and Mental Quality of Life in the Clinical Setting

Lifestyle and self-management determinants of hypertension control in a sample of Australian adults

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