Projected Impact of Nonpharmacologic Management of Stage 1 Hypertension Among Lower-Risk US Adults.
Kendra D SimsPengxiao Carol WeiJoanne M PenkoSusan HennessyPamela G CoxsonNita H MukandBrandon K BellowsDhruv S KaziYiyi ZhangRoss BoylanAndrew E MoranKirsten Bibbins-DomingoPublished in: medRxiv : the preprint server for health sciences (2023)
Evidence-based health behaviors, such as adopting the unprocessed foods-centric Dietary Approaches to Stop Hypertension (DASH) diet, could provide long-term dividends to improved cardiovascular health.However, one-third of initially low-risk adults with stage 1 hypertension did not regularly use healthcare. There additionally are documented challenges to sustaining these lifestyle changes. Systemic deprivation of health-promoting resources in the social and built environment can pose insurmountable economic barriers for marginalized patients, perpetuating cardiovascular disparities.The recommended medical provider counseling on behavioral modification must be paired with community interventions, infrastructure improvements, and nutrition-promoting food system policies to promote adherence.
Keyphrases
- healthcare
- blood pressure
- physical activity
- mental health
- public health
- end stage renal disease
- weight loss
- health information
- newly diagnosed
- chronic kidney disease
- ejection fraction
- primary care
- peritoneal dialysis
- prognostic factors
- metabolic syndrome
- human health
- climate change
- affordable care act
- risk assessment
- social media
- patient reported outcomes
- health promotion
- smoking cessation
- human immunodeficiency virus
- drug induced
- health insurance
- insulin resistance
- breast cancer risk