This shows that monitoring of lifestyle changes can effectively be implemented in conjunction with other drug therapies to provide the most effective results for patients in need. Additionally, another 2010 (Navidian et al.) study showed that although lifestyle monitoring may not have been much different in terms of systolic blood pressure, there were statistical differences in terms of diastolic blood pressure. In this study, 61 patients with systolic hypertension were split into two groups, where the control group was exposed to a rigid intervention strategy that promoted education and facilitated motivational interviewing. Navidian et al. (2010) shows that such monitored strategy situations can still impact blood pressure in a positive manner.
There are still mixed signals being sent by the literature here. On one hand, lifestyle modification strategies involving supervision seem to be more productive in helping patients adhere to their commitment. Yet, some research shows that this still does not have a significant impact on systolic blood pressure, but other studies show that diastolic levels were impacted. With these conflicting results, it is clear more trials are needed, especially within the more specific category of adults with pre-hypertension. Still, there are several recommendations for changing practice that can still be made based on the literature as it stands. There needs to be increased use of monitored intervention strategies in conjunction with drug treatments. The possibility of success is worth the effort, especially with so little to loose. Additionally, there needs to be more trials with different combinations of treatment combinations to provide more effective multi-faceted approaches to treatment strategies for lowering blood pressure levels.
Aizawa, K.; Shoemaker, J.K.; Overend, T.J.; & Petrella, R.J. (2009). Effects of lifestyle modification on central artery stiffness in metabolic syndrome subjects with pre-hypertension and/or pre-diabetes. Diabetes Research and Clinical Practice, 83(2), 249-256.
Balady, G.J.; Williams, M.A.; Ades, P.A.; Bittner, V.; Comoss, P.; Foody, J.M.; Franklin, B.; Sanderson, B.; & Southard, D. (2007). Core components of cardiac rehabilitation / secondary prevention programs: 2007...
Circulation AHA, 115(2007), 2675-2682.
Bonds, D.E.; Hogan, P.; Bertoni, A.G.; Chen, H.; Clinch, R.; Hiott, A.E.; Rosenberger, E.L.; & Goff, D, C. (2010). A multifaceted intervention to improve blood pressure control: The Guideline Adherence for Heart Health (GLAD). American Heart Journal, 157(2), 278-284.
Blumenthal, J.A.; Babyak, M.A.; Hinderliter, A.; Watkins, L.L.; Craighead, L.; Lin, P.; Caccia, C.; Johnson, J.; Waugh, R., & Sherwood, A. (2010). Effects of the DASH diet alone and in combination with exercise and weight loss on blood pressure and cardiovascular biomarkers in men and women with high blood pressure. Archives of Internal Medicine, 170(2), 126-135.
Cohen, D.L.; Bloedon, L.T.; Rothman, R.L.; Farrar, J.T.; Galantino, M.L.; Volger, S.; Mayor, Christine; Szapary, P.O.; & Townsend, R.R. (2011). Iyengar yoga vs. enhanced usual care on blood pressure in patients with prehypertension to stage I hypertension: A randomized controlled trial. Evidence-Based Complementary Alternative Medicine. Article ID 546428. Web. http://downloads.hindawi.com/journals/ecam/2011/546428.pdf
Dusek, J.A.; Hibberd, P.L.; Buczynski, B.; Chang, B.; Dusek, K.; Johnston, J.M.; Wohlhueter, A.L.; Benson, H.; & Zuxman, R.A. (2008). Stress management vs. lifestyle modification on systolic hypertension and medication elimination: A randomized trial. The Journal of Alternative and Complementary Medicine, 14(2), 129-138.
Vavidian, A.; Abedi, M.R.; Baghban, I.; Fateizadeh, M.; & Poursharifi, H. (2010). Effect of motivational interview of blood pressure of hypertensive patients. Kowsar Medical Journal, 15(2), 115-121.
Smith, S.R.; Aronne, L.J.; Burns, C.M., Kesty, N.C.; Halseth, A.E.; Weyer, C. (2008). Diabetes Care, 31(9), 1816-1823.
Tuomilehto, H.P.L.; Seppa, J.M.; Partinen, M.M.; Peltonen, M.; Gylling, H.; Tuomilehto, J.O.I.; Vanninen, E.J.; Kokkarinen, J.; Sahlma, J.K.; Martikainen, T.; Soini, E.J.; Randell, J.; Tukianen, H.; & Uusitupa, M. (2009). Lifestyle intervention with weight reduction. American Journal of Respiratory and Critical Care Medicine, 179(2009), 320-327.
Weber, M.A.; Black, H.; Bakris, G.; Krum, H.; Linas, S.; Weiss, R.; Linseman, J.V.; Warren, M.; & Lindholm, L.H. (2009). A selective endothelin-receptor antagonist to reduce nlood pressure in patients with treatment-resistant hypertension: A randomized, double-blind, placebo controlled trial. The Lancet, 374(9699), 1423-1431.
Wexler, R.; Elton, T.; Taylor, C.A.; Pleister, A.; & Feldman, D. (2009). Physician reported perception in the treatment of high blood pressure does not correspond to practice. BMC Family Practice, 10(23). Web. http://www.biomedcentral.com/content/pdf/1471-2296-10-23.pdf
High blood pressure or hypertension is defined as a consistent recording of systolic blood pressure of 140mm HG or greater, and a diastolic blood pressure recording of 90mm HG or greater. High blood pressure is the most common circulatory disorder among human beings. Hypertension occurs all over the world, mostly in middle-aged or elderly men and women. Nearly half of all Americans who reach the age of 74 develop high
blood vessel resistance and heart function. In the paper, four peer reviewed journals are looked at to highlight any potential relationship between blood vessel resistance and the heart's functioning. In normal functioning of the heart, there are critical factors that influence blood resistance. These factors include blood vessel's radius, blood viscosity and vessel length (Cinar, Demir, Pac, & Cinar, 1999). Of the three factors, vessel diameter is the most important
Consultant Pharmacists Impact on the Treatment of Hypercholesterolemia What is Cholesterol, and Why is it of Concern? Guidelines for Treating Hypercholesterolemia Management of Hypercholesterolemia Management of Hypercholesterolemia By Different Health Care Workers. Practical Management of Hypercholesterolemia Community Pharmacists and the Management of Hypercholesterolemia Economic Impact of Pharmacists' Treatment of Hypercholesterolemia This paper will look at the impact of consultant pharmacists on the treatment of hypercholesterolemia by physicians. Pharmacists have now assumed responsibilities outside the dispensing counter and have
" (Morris & Woodcock, 2004) V. Murakami et al. (2003) In the work entitled: "Deep Venous Thrombosis Prophylaxis in Trauma: Improved Compliance With a Novel Miniaturized Pneumatic Compression Device" the authors state that: "Intermittent pneumatic compression (IPC) devices prevent lower-extremity deep venous thrombosis (LEDVT) when used properly, but compliance remains an issue." (Murakami et al., 2003) the study conducted by Murakami et al. (2003) is stated to be a."..prospective trial in which
Mobile Computing Research shows that Social media is playing a huge part when it comes to the health care industry. One study done by DC and Interactive Group shows that beyond 90% of individuals from the ages 18-24 mentioned they would rely on health data discovered on social media channels. The study showed that one in two adults utilize their smart phone to find health information. Even patients are going to
Depression, Diabetes and Obesity This is a case study on a 58-year-old male, Mr. H.Y. who worked at a supermarket and is now retired. He has a supportive wife who works full time and children who are all independent .He has a history of smoking, but quit 10 years ago and drinks alcohol twice a week. He is obese and a known case of diabetes for one year. He has gained