Lifestyle modification to improve blood pressure control in individuals with diabetes: is physician advice effective? Diabetes Care 2003 Mar;26(3):602-7
Date
03/01/2003Pubmed ID
12610008DOI
10.2337/diacare.26.3.602Scopus ID
2-s2.0-0041666396 (requires institutional sign-in at Scopus site) 43 CitationsAbstract
OBJECTIVE: To determine the effectiveness of physician advice on hypertension-related lifestyle modification in individuals with diabetes.
RESEARCH DESIGN AND METHODS: Data on adults with one or more physician visit in the 1998 National Health Interview Survey (NHIS) were analyzed (diabetes, n = 1609; no diabetes, n = 19672). The proportion with hypertension who received physician advice to lose weight, increase physical activity, or take antihypertensive medications and the proportion who reported adhering to advice were compared by diabetes status. Logistic regression was used to identify factors associated with receipt of physician advice and adherence to advice by diabetes status controlling for covariates. Then, logistic regression was also used to determine the extent to which patient adherence among people with diabetes differed by age, sex, and race/ethnicity, controlling for other covariates. STATA statistical software was used for all analyses to account for the complex survey design of NHIS.
RESULTS: Controlling for covariates, individuals with diabetes were more likely to receive advice (odds ratio [OR] 1.94 for weight loss, 1.99 for exercise, and 2.16 for medications). Adherence was more likely in individuals with diabetes (OR 1.40 for losing weight and 2.16 for taking medications). Adherence in people with diabetes did not differ by sex or race/ethnicity. Subjects 18-44 years old were least likely to report losing weight (OR 0.15) or taking medications (0.31) compared with subjects >or=65 years old.
CONCLUSIONS: Physician advice appears effective at changing hypertension-related lifestyles in people with diabetes regardless of sex or race/ethnicity. However, advice on increasing physical activity does not seem as effective.
Author List
Egede LEMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Antihypertensive Agents
Blood Pressure
Diabetes Mellitus
Female
Health Behavior
Humans
Hypertension
Interviews as Topic
Male
Middle Aged
Patient Compliance
Physician-Patient Relations
Prevalence
Random Allocation
Risk Reduction Behavior
Weight Loss
