Lifestyle Adherence and Clinical Outcomes Among Hypertensive Patients at UMT University Teaching Hospital: A Cross-Sectional Study
DOI:
https://doi.org/10.61919/jhrr.v6i5.2008Keywords:
Hypertension, Lifestyle Adherence, Clinical Outcomes, Metabolic Syndrome, Patient Education, Teaching Hospital.Abstract
Background: Lifestyle modification is essential for hypertension control, yet adherence remains poor in routine clinical practice. Objective: To assess lifestyle adherence and clinical outcomes among hypertensive patients at Riphah Rehablitation Center. Methods: This cross-sectional study included 317 patients. Demographic, clinical, lifestyle adherence, disease-related knowledge, and cardiometabolic outcome variables were analyzed. Poor clinical outcome predictors were assessed using multivariable logistic regression. Results: The mean age was 64.8 ± 13.9 years, and 66.6% were female. Overall lifestyle adherence was observed in only 23.7% of participants, while 76.3% had poor clinical outcomes. LDL cholesterol was not at goal in 59.9%, BMI was not at goal in 79.8%, and inadequate physical activity was reported by 65.6%. Independent predictors of poor clinical outcome included age ≥65 years, diabetes mellitus, metabolic syndrome, poor disease-related knowledge, and family history of cardiometabolic disease. Secondary or higher education and income above the median were protective factors. Conclusion: Poor lifestyle adherence and adverse clinical outcomes were highly prevalent among hypertensive patients. Structured lifestyle counseling, patient education, and targeted cardiometabolic risk management are needed to improve hypertension outcomes
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