Practice Of Lifestyle Modification Research Articles

Knowledge, Attitude and Practice of Lifestyle Modifications Among Hypertensive Patients Visiting A Tertiary Care Hospital in Central India

Background: Globally, hypertension is a major problem. The cornerstone of the strategy for preventing hypertension is making appropriate lifestyle modifications. The present study was carried out to assess knowledge, attitude and practice of lifestyle modifications among hypertensive patients.Methods: This cross-sectional questionnaire-based study carried out among 343 hypertensive patients visiting a tertiary care hospital.Results: We observed that although majority of hypertensive had good knowledge and attitude about lifestyle changes in hypertension, least were adherent to those. Conclusion: The treatment of hypertension is greatly aided by preventive medication. In order to lower the prevalence of hypertension in a nation, assessments of knowledge, attitudes, and practices regarding lifestyle change are fundamentally necessary.International Journal of Human and Health Sciences Vol. 08 No. 02 Apr’24 Page: 140-146

Perceived Well-Being among Adults with Diabetes and Hypertension: A National Study.

Perceived health and distresses are associated with the practice of lifestyle modifications, which increases the risk of diabetes and hypertension-related complications. This study aimed to define the characteristics and distribution of perceived health and distresses across the states between people with diabetes and hypertension. Data were derived from a national survey of US adults aged ≥18 years who were interviewed via phone call. Perceived health and distresses were assessed through corresponding questions. An amount of 333,316 respondents (43,911 with diabetes and 130,960 with hypertension) were included in the analysis; 61.8% of people with diabetes and 74.5% of people with hypertension reported having good or better health, while residents in the Southwest region perceived poor health statuses and more distresses. Education level (diabetes: odds ratio [OR] = 0.47-0.79, hypertension: OR = 0.42-0.76), employment status level (diabetes: OR = 1.40-2.22, hypertension: OR = 1.56-2.49), and household income (diabetes: OR = 0.22-0.65, hypertension: OR = 0.15-0.78) were significant factors associated with poorly perceived health among people with diabetes and hypertension, and the use of technology and strategies for policymakers are suggested to improve the perceived health status in this regard.

Knowledge and lifestyle modifications for dyslipidaemia among patients on statins in Pretoria

Background: Nearly half of all non-communicable diseases are caused by cardiovascular diseases, for which one of the most important risk factors is dyslipidaemia. This study assessed the knowledge and lifestyle modification practices regarding dyslipidaemia among patients taking statins at Phedisong 4 Community Health Centre in Pretoria, South Africa.Methods: This was a descriptive cross-sectional study using a structured administered and piloted questionnaire.Results: The mean age of the 268 participants was 60.1 years, with a minimum and maximum of 27 years and 89 years, respectively. High participation rates were seen among females (70.2%), those who were overweight (44.8%), adults with high school level education (48.1%), pensioners (54.1%), those with low incomes (83.2%), non-smokers (86.9%), and people with co-morbid conditions, including hypertension (92.2%) and diabetes mellitus (31.0%). Findings revealed that 66.3% of participants with dyslipidaemia adjusted their lifestyles, despite poor knowledge. There was a significant relationship between poor knowledge and poor practices in 55.6% of the participants (p 0.001).Conclusion: This study found that participants’ lack of information about dyslipidaemia did not affect their behaviour because more than half of them practiced lifestyle modifications, which can be related to the study sample’s over 90% concomitant hypertension diagnosis. Ongoing education on dyslipidemia should be addressed through a variety of venues, including health education at different health institutions.Contribution: It is necessary to maintain ongoing education of patients about dyslipidaemia, its treatment, and related lifestyle modifications through a variety of channels, including health education in different health facilities around Pretoria.

Utilization of telepharmacy in the management of hypertension

Background: Deaths due to cardiovascular diseases is on the rise, with hypertension as its most important risk factor. Effective management of hypertension, however, remains a challenge. Globally, only one in five adults with hypertension have it under control. The situation is worse in sub-Saharan Africa where hypertension prevalence is highest. Telepharmacy presents a great opportunity to enhance the way we address hypertension management. Objectives: This study sought to determine the effectiveness of pharmaceutical care interventions implemented through telepharmacy on medication adherence, practice of therapeutic lifestyles and overall blood pressure control among patients with hypertension. Methods: This was a randomized control trial conducted among individuals with hypertension recruited from two Ghanaian hospitals from May 2022 to December 2022. Patients with confirmed diagnosis of hypertension were recruited and assigned into a control or intervention group. Both groups were followed for six months with the intervention group receiving telepharmacy services in addition to standard clinical care. Outcome measures included changes in blood pressure, medication adherence, lifestyle modifications, identification and resolution of pharmaceutical care issues. Results: One hundred and eighteen (118) patients with hypertension were involved in the study. There was a statistically significant reduction in mean blood pressures for the intervention group after six months (Systolic-148.1 + 23.6, to 134.8 + 13.7, Diastolic- 85.8 + 9.8, to 79.5 + 8.7) (p < 0.05). The proportion of patients with adequately controlled blood pressure increased from 39.0% to 66.1%. There was also an increase in the mean adherence score (p < 0.05). The number of participants who adopted lifestyle modifications such as reducing salt consumption (89.5%) and exercising (77.2%) increased. The majority (87%) of all pharmaceutical care issues were identified and resolved over the six-month period. Conclusion: Telepharmacy service provided via phone calls was effective in improving the control of blood pressure. It also promoted the practice of therapeutic lifestyle modifications, medication adherence and identification of pharmaceutical care issues among patients with hypertension.

Knowledge, Attitude, and Practice of Lifestyle Modifications Among Saudi Women Diagnosed With Polycystic Ovary Syndrome (PCOS).

Background Polycystic ovary syndrome (PCOS) is a common endocrine disorder in women, often associated with metabolic issues like obesity and insulin resistance. Lifestyle changes, including weight loss, healthy eating, and regular exercise, are recommended for PCOS management. Studies have explored women's perspectives on these changes, revealing misconceptions and adherence challenges. Recognizing the importance of individualized interventions, particularly addressing knowledge gaps, is vital for improving the quality of life for women with PCOS, especially in cultural contexts like Saudi Arabia. Methodology This was a cross-sectional study conducted in Saudi Arabia from May to August 2023 including PCOS patients. Data was collected through questionnaires and analyzed using IBM SPSS 29 (IBM Corp. Released 2020. IBM SPSS Statistics for Windows, Version 27.0. Armonk, NY: IBM Corp).This study was conducted in accordance with the ethical guidelines and principles outlined by the Scientific Research Ethics Committee of Taif University (no.44-359). All participants provided informed consent, and the study protocols, including data collection, analysis, and publication, adhered to the relevant ethical standards. Results Our study included a majorityaged 18-29 (27.4%), married individuals (55.6%)and those with a Bachelor's degree (72%). About 46.9% were medically diagnosed with PCOS. A notable proportion (70.2%) reported no family history of PCOS. Doctors were the primary information source (40.7%). Knowledge about PCOS was generally high, with correct recognition of various PCOS characteristics and treatment options. Attitudes were positive, especially among medically diagnosed individuals, and 91% believed weight reduction could improve PCOS symptoms. Lifestyle modification knowledge, attitude, and practices showed significant associations with demographic factors like age, place of residence, education, marital status, working in healthcare sectors, and PCOS diagnosis status. Conclusions Knowledge about PCOS is generally high among women with positive attitudes towardits management through lifestyle modifications. Women generally show positive practices of lifestyle modifications in PCOS, and they are associated with sociodemographic features.

Adherence to Lifestyle Modification Practices and Its Associated Factors Among Hypertensive Patients in Bahir Dar City Hospitals, North West Ethiopia.

Globally, hypertension affects 1.4 billion adults, accounting for 31% of the world population. The prevention and control of hypertension is not addressed only by pharmacological management. Even though the prevalence of uncontrolled hypertension and its complications is increasing every day, Adherence to lifestyle modification practice among diagnosed hypertensive individuals is low for a number of reasons. The study aims to assess adherence to lifestyle modification practices and associated factors among hypertensive patients at Bahir Dar city hospitals, in North West Ethiopia. An institutional-based cross-sectional study design was conducted at Bahir Dar city from October 30 to November 30, 2022. A stratified sampling technique was used. For the data quality pre-test was done, the questionnaire was checked for completion, the assumption of binary logistic regression (VIF 1.8 and no outlier), and model fit using the Hosmer and Lemeshow's test was checked. Binary logistic and multivariate logistic regression were used to find significant variables after the data were entered into EpiInfo and analyzed using SPSS version 23. The overall adherence to lifestyle modification practices was about 32.4%. From the independent factors, above secondary educational status (AOR = 0.201 95% CI (0.081-0.499)), good knowledge (AOR = 3.323 95% CI (1.79-6.168)), good self-efficacy (AOR = 3.553 95% CI (1.91-6.613)), good social support (AOR = 8.339 95% CI (4.251-16.357)), and good patient-physician relationship (AOR = 2.424 95% CI (1.309-4.490)) were statistically significant predictors of adherence to lifestyle modification practices. Only one-third of the participants had adhered to the recommended lifestyle modifications. Educational status, knowledge, self-efficacy, social support, and patient-physician relationships were significant factors. Healthcare organizations should develop programs to raise hypertension patients' awareness and degree of self-efficacy that aid in adherence to advised lifestyle changes.

A study to assess the knowledge and practice of lifestyle modification in the high school children during COVID 19 pandemic in selected high schools of Bhubaneswar, Odisha

A study to assess the knowledge and practice of lifestyle modification in the high school children during COVID 19 pandemic in selected high schools of Bhubaneswar, Odisha

Impact of Training Programs on Awareness and Practice of Lifestyle Modifications among Hypertensive Patients Attending Outpatient Clinic of the University College Hospital, Ibadan, Nigeria

Aim: This study sought to investigate the impact of training programs on hypertensive patients' awareness and practice of lifestyle modifications in out-patient clinics of the University College Hospital (UCH) Ibadan, Nigeria.&#x0D; Methodology: The study design was a cross-sectional survey conducted at the out-patient clinics of the University College Hospital (UCH), Ibadan, Nigeria. This setting was chosen due to the accessibility of hypertensive patients receiving regular care and follow-up. The sample size comprised 274 hypertensive patients attending the out-patient clinics for regular hypertension management. A simple random sampling method was employed to select study participants, ensuring a fair representation of the target population. A structured questionnaire was used to collect data from the participants and results were analysed using SPSS.&#x0D; Results: Findings indicate that the training programs greatly increased awareness of hypertension and lifestyle factors affecting hypertension for most participants (74.42%), with all participants recommending the programs. A significant majority of participants (95.74%) reported being on hypertension medication, while nearly all (99.22%) had received some form of training or counselling on lifestyle modification for hypertension management. Notably, all participants reported having made lifestyle changes following the training programs, with the majority rating the effectiveness of the programs as highly effective (57.36%). Further analysis indicated a statistically significant relationship between the effectiveness of the training programs and the participants' age, sex, educational level, and occupation. The most frequent lifestyle modification post-training was dietary changes, with 54.65% of participants reporting that they always engage in a healthy diet for hypertension management. However, the frequency of engagement in other lifestyle modifications, such as regular physical activity and weight management, was not as high. The majority of participants reported significant improvements in hypertension symptoms following the lifestyle modifications.&#x0D; Conclusion: These findings demonstrate that targeted training programs can significantly enhance hypertensive patients' awareness and practice of beneficial lifestyle modifications, thus improving health outcomes. Further, the study underscores the need for such training programs to be tailored according to the age, sex, educational level, and occupation of the patients to maximize their impact.

Lifestyle Modification Determinants of Blood Pressure Status Awareness amongst Traders in A Market Community North Central Nigeria

Background: Hypertension has increasingly become a public health concern in developing countries. Awareness of blood pressure status in the light of lifestyle modification knowledge and practices is cardinal in the prevention and control of hypertension. Lack of blood pressure status awareness is associated with delayed recognition of hypertension related complications.&#x0D; Aim: This study assessed the determinants of blood pressure status awareness and educated the participants on lifestyle modification practices to prevent hypertension.&#x0D; Method: This was a descriptive cross-sectional study of 103 consecutive consenting adult participants in a market outreach carried out to mark World Family Physicians Day. The questionnaires were interviewer administered. Analysis of data was done with SPSS version 20 and the level of significance was at a p-value of 0.05.&#x0D; Result: Their mean age was 42.4 ± 12.4 years. There were more females 58(56.3%) than males and most of the participants were married, 72(69.9%). Those that had secondary education were 47(45.6%) and most, 95(92.2%) earned a monthly income of ≤₦49.999. Only 37.9% of the participants were aware of their blood pressure status. There was a statistically significant association between those that were not aware of their blood pressure status and those that lack knowledge of lifestyle modification practices, those that do not correctly practice lifestyle modification and those that have negative perception towards hypertension prevention. Furthermore, the participants with above mentioned attributes were less likely to know their blood pressure status.&#x0D; Conclusion: The level of blood pressure status awareness was low, those that lacked knowledge of lifestyle modification, do not practice lifestyle modification and have negative perception toward hypertension prevention were less likely to be aware of their blood pressure status.

A cross- sectional, questionnaire-based study to assess the Knowledge and practice on life style modification among hospitalized cardiac patients

Background: Cardiovascular diseases are mostly preventable cardiac diseases which manifest due to practice of unhealthy lifestyle. These days many people are deliberately engaged in find ways to preserve and improve their health by acquiring favourable lifestyle practices. Cardiovascular disease (CVD) is caused by non-modifiable and modifiable risk factors such as smoking, alcohol, obesity, hypertension, and diabetes mellitus. In India there are 60 million cases of cardiovascular diseases are estimated and it is expected to rise to 200 million in next decade. It is imperative to understand that the expected cases can be prevented only through modifying unhealthy lifestyle and practices. Objective: We aimed to assess the knowledge and practice on lifestyle modifications of cardiovascular diseases and also to determine the correlation between knowledge and practices related to lifestyle modifications among hospitalized cardiac patients in a tertiary care hospital of northern India. Methods: This is a, questionnaire based and descriptive study. Respondents who fulfilled the inclusion criteria 60 samples were selected using purposive sampling technique. A structured validated questionnaire was used to assess the knowledge and practice for data collection. After obtaining due approval from institutional ethical committee. Results: Mean knowledge and practice score of the study participants was 12.5±1.4 and 6.6±0.7, respectively. Among the total participants (n=60), 25 (41.7%) had good knowledge, 31(51.7%) had average knowledge and 4(6.6%) had poor knowledge regarding lifestyle and behavioural modifications. In practice score, 13(21.7%) had good practice, 46 (76.7%) had average practice and 1(1.6%) had poor practice. Socio-demographic variables like dietary patterns, education, occupation and body mass index significantly impacted the knowledge of patients regarding CVD prevention. Karl-Pearson coefficient proved that there was a perfect correlation between knowledge score and practices regarding lifestyle modifications among cardiac patients with ‘r’ score of 1. Conclusion: Practice of lifestyle modification regarding cardiovascular diseases are largely determined by Knowledge. Patient with adequate knowledge practices good lifestyle practices. So A definite positive linear relationship exists between knowledge and good CVD prevention practices. Further interventional studies assessing various approaches to promote awareness regarding lifestyle modifications are required in cardiac patients. (Abstract published in Global Journal of Medicine and Medical Sciences 2020, ISSN: 2449-1888, Volume 8/Issue 9/03).

Type 2 diabetes mellitus patients' knowledge, attitude and practice of lifestyle modifications.

Type 2 diabetes mellitus (T2DM) is a significant health burden globally, with uncontrolled DM often resulting in short- and long-term complications. Unfortunately, healthcare providers have little control over patients' necessary lifestyle modification practices outside the consultation room. To determine the level of knowledge, attitude and practice (KAP) of lifestyle modifications among patients with T2DM attending the National District Hospital Outpatient Department, Bloemfontein, and identify possible barriers to lifestyle modifications experienced by patients. Outpatient Department at a Free State hospital. Using a cross-sectional study, patients with previously diagnosed T2DM were invited to participate. Respondents completed a structured questionnaire to assess their KAP regarding lifestyle modifications. Of the 149 respondents, 64.4% (n = 94) were obese and 24.0% (n = 35) overweight despite good knowledge of lifestyle modifications. Respondents displayed a positive attitude toward physical exercise but less so to adjusting their diets. In practice, 63.4% (n = 83) claimed to exercise regularly, but two-thirds irregularly monitored their weight. The practice of a controlled and planned diet was poor. Perceived barriers to lifestyle modifications included being too busy to engage in physical exercise, bad weather and financial constraints. Despite displaying good knowledge regarding lifestyle modifications, the attitude and practice thereof remain poor. It is essential to re-emphasise to patients why it is crucial to engage in lifestyle modification practices and assess whether they are doing so correctly. It highlights the importance of lifestyle considerations of T2DM patients in the clinical context.

Lifestyle modification practices and associated factors among hypertensive patients at Gambella Hospital Southwest Ethiopia; 2019

Abstract Background Hypertension is one of the leading causes of death in developed and developing countries that need urgent strategies to implement interventions. Appropriate lifestyle modification practices are the corner stone of the prevention and control. Objective To assess lifestyle modification practices and associated factors among hypertensive patients. Methods A facility-based cross-sectional study was conducted among hypertensive patients from 1 April to 30 April 2019. Simple random sampling was used to select the study subjects. Data were entered to EpiData 3.1 and exported to Statistical Package for Social Sciences, version 25.0, for analysis. A binary logistic regression analysis was performed to determine predictors of lifestyle modifications among hypertensive patients. Results The findings of this study revealed that the level of lifestyle modification practice was 79 (39.5%). This finding is very low, and it has a significant effect on the management of hypertensive disorders and hypertension-related acute and chronic complications. Ethnicity, family history of hypertension, and knowledge about hypertension were identified as predictors of lifestyle modification practice. Conclusions In this study, lifestyle modification practice is low (about 40%), but scientifically, almost all hypertensive patients on follow-up should practice lifestyle modification modalities.

Hypertensive patients' knowledge and practices on lifestyle modification in Extension 6, Middelburg.

BackgroundHypertension (HTN) is one of the most common chronic diseases affecting the majority of patients worldwide, including in South Africa. The control of HTN and prevention of complications are major challenges for patients and healthcare workers. The proper control of the disease requires a multifactorial approach consisting of medical treatment, as well as lifestyle modification, with the assistance of healthcare workers. Addressing patients’ beliefs, the practice of lifestyle and acceptance of change are some of the ways of aiding control.MethodsThe researchers used a cross-sectional and descriptive survey to establish the knowledge and practices of lifestyle modifications in patients with hypertension. A validated questionnaire was adopted. A total of 250 participants from the Extension 6 Clinic in Middelburg, Mpumalanga, constituted the study population.ResultsMost of the participants had borderline high blood pressure (37.2%) or uncontrolled high blood pressure (46%). The participants’ knowledge of HTN and its complications was not adequate. The study established that increased age and long duration of HTN were associated with high numbers of uncontrolled HTN. Most of the participants (88.8%) had difficulty exercising. Also, most of the participants (90.8%) did not have a place or facility for exercises. Fifty per cent of the participants were unable to maintain a balanced healthy diet which included fruits and vegetables.ConclusionThe study explored the participants’ knowledge and practice of lifestyle modification. The participants lacked knowledge regarding the definition of HTN and the meaning of controlled HTN. To assist the patients and improve on the identified pitfalls, each consultation session should include some methods of education, and motivation for healthy behaviours and lifestyle modification. This should be extended to all the people visiting the health facilities for them to adopt a healthier diet, greater intake of vegetables and availability of fitness facilities for the community.

Factors associated with positive attitude towards hypertension control in Hawassa city administration: Community based cross-sectional study.

Background and AimsIn low‐income countries where there is shortage of appropriate medical care to manage hypertension (HTN), understanding dynamics of communities' knowledge and attitude to prevent through lifestyle is crucial. Despite this fact, there was limited information on levels of awareness and attitude towards HTN and its prevention in the study setting. So, this study was conducted to assess level and factors associated with positive attitude in Hawassa city, Southern Ethiopia.MethodsA community level study using cross‐sectional design was done in Hawassa city administration in 2017. Six hundred and twelve respondents were selected using a multi‐stage sampling technique. Knowledge and attitude were assessed using multiple questions and responses were categorized considering mean as cutoff points. Descriptive statistics and binary logistic regression analysis at 95% confidence interval (CI) were performed.ResultsThe level of mean score of knowledge was 62.7% (SD = 22.2) [95% CI: 60.9–64.4] while that of attitude was 68.1% (SD = 8.8) [95% CI: 67.4–68.8]. Divorced/widowed respondents were 73% less likely to have positive attitude as compared to married respondents (adjusted odds ratio [AOR] 95% CI: 0.27 [0.14–0.51], p‐<0.001). Respondents who attended primary, secondary and higher education were 2.84 times (AOR 95% CI: [1.48–5.42], p 0.002), 5.59 times (AOR 95% CI: [2.87–10.89], p‐<0.001) and 9.28 times (AOR 95% CI: [4.39–19.65], p‐<0.001) more likely to have positive attitude as compared to those who cannot read and write. Moreover, respondents who have good knowledge were 2.24 times (AOR 95% CI: [1.49–3.37], p‐<0.001) more likely to have positive attitude as compared with those who have poor knowledge.ConclusionThe overall levels of knowledge and attitude related to HTN and its prevention were moderate but not adequate to bring lifestyle modifications required to prevent and control HTN. Health promotion activities should be strengthened to improve awareness and attitude that are pillars to bring lifestyle modification practices.

Lifestyle modification practice and associated factors among diagnosed hypertensive patients in selected Hospitals in West Arsi Zone, Oromia Regional State, Ethiopia

Background: Globally 1.13 billion people were living with hypertension, Out of this two-thirds of them were living in low and middle-income countries. In Ethiopia, Non-Communicable Disease deaths are estimated at around 42%. However, it remains widely undetected and poorly controlled. To resolve these, lifestyle modification approaches that are often overlooked are the cornerstone of the prevention and management of hypertension. Objective: To assess lifestyle modification practice and associated factors among hypertensive patients in selected hospitals in West Arsi Zone, Oromia Regional, Ethiopia December 7 to 21, 2019. Method: Hospital-based cross-sectional study was conducted in the selected public hospital among 299 hypertensive patients. Systemic random sampling methods were used to select the study participants. Data were collected by face-to-face interviews using a structured questionnaire by trained data collectors. Data were analyzed using descriptive statistics and multivariate logistic regression method to identify predictors of the outcome (p &lt; 0.05). Results: Of the total participants, only 25.2% (95% CI: 18.8-32.9) of the patients were practiced recommended lifestyle modifications. Patients Age older than 65 years (AOR = 2.9, 95% CI: 1.17 - 7.0), the patients with 2-5 years’ time since diagnosed hypertension (AOR = 0.26, 95% CI: 0.07 - 0.9), multiple co-morbidity (AOR = 2.7, 95% CI: 1.25 - 5.8,) and their knowledge on hypertension management (AOR = 14.6, 95% CI: 4.6 - 45.9) have an independently associated with recommended lifestyle modification. Conclusion: Lifestyle modification practices among hypertensive patients were low in this study. Age, comorbidity, time since diagnoses of hypertension, and knowledge of lifestyle were identified as predictors of the outcome.

Knowledge, attitude and practices of lifestyle modification and associated factors among hypertensive patients on-treatment follow up at Yekatit 12 General Hospital in the largest city of East Africa: A prospective cross-sectional study.

BackgroundHypertension is a devastating global public health challenge; studies indicated that Ethiopia has been affected by the burden of hypertension especially in urban areas. The overall prevalence of hypertension in Ethiopia was estimated to be 19.6% (23.5% in urban and 14.7% in rural population). Along with medical management of hypertension, appropriate lifestyle modification is a crucial and inexpensive means of hypertension control. The main purpose of the study was therefore to assess knowledge, attitude and practice of lifestyle modification among patients on follow up for hypertension treatment at Yekatit 12 General Hospital.MethodsA prospective cross-sectional study design was applied in Yekatit 12 General Hospital from October 28, 2018, to February 28, 2019, by allotting proportionate samples from the two chronic outpatients departments (OPD). Using single proportion sampling techniques, the study participants were selected and the total sample size calculated was 405. Primarily, clinical measurements were made according to the international standard set to verify true hypertensive patient’s inclusions. Then, data about socio-demographic characteristics, lifestyle modification related to knowledge, attitude and practices were comprehensively collected using an interviewer-administered structured questionnaire. The collected data was entered into Epi-data exported to SPSS Window version of 22 for analysis. All variables with ρ-value less than 0.05 in the final model were considered as independently associated with knowledge, attitude and practices of patients’ lifestyle modification. The strength of association was described by Odds Ratio (OR) at the corresponding CI of 95%.ResultsThe overall sampled hypertensive patients as compared to the planned sample size was 95.5% (n = 387), out of which 53.5% (n = 207) was male patients. The mean age was 50 years with a standard deviation of 14.4. The study revealed that 67.7% [95% CI (65.32%, 70.08%)] were knowledgeable; and 54.0% [95% CI (51.34%, 56.6%)] were reported to have favorable attitude towards lifestyle modification. Regarding their practices, 38% [95% CI (19.91%, 57.49%] of the respondents had good practices. Their monthly income [AOR = 2.39, 95% CI (1.12, 5.11)] and duration on-treatment follow up since diagnosed with hypertension [AOR = 4.39, 95% CI (1.20, 16.03)] were independently associated with knowledge. Concerning their damned practices, age [AOR = 7.71, 95% CI (2.4, 24.8)] and knowledge [AOR = 3.94, 95% CI (2.01, 7.72)] were independently associated with the practices.ConclusionThough the encouraging high knowledge status and favourable attitudes towards lifestyle modification among hypertensive patients, the practices are among the lowest findings report in all standards. Hence, older patients, jobless patients, and low-income patients and patients on long-term treatment follow up who were diagnosed with hypertension before 10 years needs special attention and interventions by the country NCDs policy formulators to rise their non-pharmacological practices to control high blood pressure and its consequences.

Lifestyle Modification Practice and Associated Factors Among Diagnosed Hypertensive Patients in Selected Hospitals in Central Gondar Zone.

Background:Hypertension is one of the leading causes of disability and death in both developed and developing countries including Ethiopia. Non-communicable diseases account for 42% of deaths in Ethiopia. However, it is still widely undetected and poorly controlled. Hence, this study aims to assess the lifestyle modification practices and related factors of adult hypertensive patients in the central Gondar region of northwestern Ethiopia.Methods:Institutional based, cross-sectional study was conducted from April 10 up to May 10, 2021. A simple random sampling was used to select 629 study participants. Data were collected by using self-administered and structured questionnaire. Data were entered to EpiData 4.6 and exported to SPSS 20 for further analysis. A multivariable logistic regression analysis was employed to identify the factors associated with lifestyle modification. Adjusted Odds Ratio (AOR) with 95% confidence interval was used to show the strength of association, while a P-value <.05 of was used to declare the significance of association.Results:The overall prevalence of recommended lifestyle modification in hypertensive patients was 24.2% (95% CI (20.8, 27.5)). Age ⩾65 years (AOR = 0.59, 95% CI: 0.39, 0.88), no formal education (AOR = 0.65, 95% CI: 0.4, 0.97), diagnosis time is 5 to 10 years (AOR = 1.93, 95% CI: 1.11, 3.34), co morbidities (AOR = 0.47, 95% CI: 0.3, 0.73), and rich wealth index (AOR = 1.99, 95% CI: 1.22, 3.27) are is significantly associated with good lifestyle modification practices.Conclusions:The practice of good lifestyle modifications in the study area was found to be low among the hypertensive patients. Respondents’ age, education status, wealth index, duration of diagnosis, and co morbidities were found to be significant factors related to good lifestyle modification practices. Therefore, more attention should be paid to providing nutrition counseling and health promotion to improve the practice of lifestyle modification in patients with hypertension.

Assessment of knowledge, attitude, practice, and barriers to lifestyle modification among individuals with diabetes mellitus in Kano Nigeria

Objectives: To determine the level of knowledge, attitude and practice with the barriers causing non adherence to lifestyle modification (LSM). Materials and Methods: This is a cross-sectional study; purposive sampling technique was used to recruit 140 individuals having diabetes mellitus from diabetic clinic of Murtala Muhammad Specialist Hospital, Kano. Data were collected using the Michigan Diabetes Research Training Centre Questionnaire and the ‘Barriers to Being Active Quiz’ which assessed knowledge, attitude, practice and barriers of lifestyle modification. Descriptive statistics of mean, frequency and percentage were used to summarize participant/study characteristics; Chi square was used to assess the association among knowledge, attitude, practice and barriers to LSM as well as the association between knowledge, attitude, practice, barriers and demographic variables of participants. Results: Majority were Female 76 (54.3%) within the age range of 40-59 years 83 (59.3%) and mostly obese 98 (70%). Majority have good knowledge, positive attitude and good practice. Lack of will and time were the main important barriers of exercise. Conclusion: It can be concluded that there was a good knowledge, attitude and practice of LSM among individuals having diabetes mellitus.

Determinants of diabetic retinopathy in Tikur Anbessa Hospital, Ethiopia: a case\u2013control study

BackgroundDiabetic retinopathy is the most frequent complication of Diabetes Mellitus and remains the leading cause of preventable blindness. However, there are limited studies on the determinants of diabetic retinopathy in the study area as well in Ethiopia. Hence, this study aimed to assess the determinants of diabetic retinopathy among diabetic patients at Tikur Anbessa Hospital.MethodsAn institution-based unmatched case–control study design was conducted at Tikur Anbessa Hospital from May 11 to June 26, 2020. Diabetic patients who developed retinopathy within 2 years were cases in the study. Patients who were free of retinopathy were controls in this study. Data were collected using a pretested interviewer-administered questionnaire, Topcon retinal examination, and a record review. The collected data were entered into Epi Data version 3.1 software, and analyzed using SPSS version 25. Binary logistic regression analysis was used to assess the determinants of diabetic retinopathy.ResultsA total of 282 patients (142 cases and 140 controls) were included in the study. The mean age (± Standard deviation) for the cases and the controls were 50.6 (SD: ± 18.7) and 44.9 (SD: ± 17.65) respectively. Patients who had a glucometer at home (AOR = 0.048; 95% CI: 0.005–0.492), exercise adherence (AOR = 0.075; 95% CI: 0.007–0.84), diabetes duration < 5 years (AOR = 0.005; 95% CI: 0.00–0.10) and 5–10 years (AOR = 0.041; 95% CI: 0.003–0.57), health information on diabetic complications (AOR = 0.002; 95% CI: 0.00–0.042) and appointments every month (AOR = 0.004; 95% CI: 0.00–0.073) and every 3 months (AOR = 0.022; 95% CI: 0.002–0.23) were less likely to develop diabetic retinopathy. Participants who had poor glycemic control (AOR = 19.9; 95% CI: 2.34–168.69), systolic hypertension (AOR = 23.4; 95% CI: 2.56–215.36) and nephropathy (AOR = 17.85; 95% CI: 2.01–158.1), had a higher risk of developing diabetic retinopathy.ConclusionsPatients who had a glucometer at home, exercise adherence, diabetes duration < 10 years, health information on diabetic complications, and frequent follow-up had a preventive role. However, poor glycemic control, systolic hypertension, and nephropathy increase the risk of diabetic retinopathy. A concerted effort should be made to improve the health status of patients with Diabetes Mellitus, with particular emphasis on lifestyle modification practices to prevent diabetic retinopathy.

The Knowledge, Attitude and Practice of Lifestyle Modification among Hypertensive Patients at Rajshahi Medical College Hospital

The Knowledge, Attitude and Practice of Lifestyle Modification among Hypertensive Patients at Rajshahi Medical College Hospital