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Elderly with high blood pressure less likely to get lifestyle modification advice from doctors
Date:11/2/2007

ld to reduce salt intake, 61.9 percent were told to change their eating habits and 43.5 percent said they were advised to reduce alcohol intake.

But disparities emerged when the researchers examined the survey results for particular types of advice received by particular groups of patients. For example, 53.7 percent of those aged 60 or older reported receiving eating habit advice, compared to 71.2 percent of those aged 40-59 and 64.9 percent of those aged 18-39. Similarly, 35.1 percent of those 60 or older reported receiving advice to reduce alcohol intake, compared to 48.9 percent of those aged 40-59 and 43.4 percent of those aged 18-39.

It is possible that health care providers may put aside or even abandon the notion of giving LSM advice to older patients, perhaps feeling that their hypertension mandates the use of medication, the researchers wrote. Even for individuals on medication, however, LSM should remain an important part of hypertension management; it can help reduce the need for higher doses of medication or multiple antihypertensive agents.

When the survey responses were sorted according to body weight, 45.5 percent of those who were underweight or at a healthy weight reported receiving eating habit advice, compared to 59.5 percent of those who were overweight and 75 percent of those were were obese. When the results were sorted according to medication use, 63.2 percent those who were taking antihypertensive medication reported receiving eating habit advice, compared to 56.9 percent of those not taking medication.

A greater disparity emerged in the medication group when exercise advice was examined. Of those taking medication, 82.6 percent reported receiving exercise advice, compared to 65.9 of those not taking medication.


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Contact: Stephanie Crayton
scrayton@unch.unc.edu
919-966-2860
University of North Carolina at Chapel Hill
Source:Eurekalert

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