Sökning: L773:1751 7176 OR L773:1524 6175
> (2020-2024) >
Lifestyle counselin...
Lifestyle counseling in patients with hypertension in primary health care and its association with antihypertensive pharmacotherapy
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- Lindblom, Sebastian (författare)
- Karolinska Institutet
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- Ivarsson, Charlotte (författare)
- Karolinska Institutet
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- Wändell, Per (författare)
- Karolinska Institutet
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Bergqvist, Monica (författare)
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Norrman, Anders (författare)
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Eriksson, Julia (författare)
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Lund, Lena (författare)
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- Hagströmer, Maria (författare)
- Karolinska Institutet,Sophiahemmet Högskola
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- Hasselström, Jan (författare)
- Karolinska Institutet
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- Sandlund, Christina (författare)
- Karolinska Institutet
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Carlsson, Axel C (författare)
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(creator_code:org_t)
- 2024
- 2024
- Engelska.
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Ingår i: The Journal of Clinical Hypertension. - 1524-6175 .- 1751-7176. ; 26:7, s. 816-824
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- The study aimed to investigate differences in hypertensive- and cardio-preventive pharmacotherapy depending on if patients with hypertension received lifestyle counseling or not, including the difference between men and women. Data from the Region Stockholm VAL database was used to identify all patients with a hypertension diagnosis and had visited a primary health care center within the past five years. Data included registered diagnoses, pharmacotherapy, and codes for lifestyle counseling. Logistic regression adjusted for age and comorbidity (diabetes, stroke, coronary heart disease, atrial fibrillation, gout, obesity, heart failure) was used, presenting results as odds ratios (OR) with 99% confidence interval (CI). The study included 130,030 patients with hypertension; 63,402 men and 66,628 women. Patients receiving recommended lifestyle counseling were more frequently treated with three or more hypertensive drugs: women OR 1.38 (1.31, 1.45) and men = 1.36 (1.30, 1.43); certain drug classes: calcium antagonists: women 1.09 (1.04, 1.14) and men 1.11 (1.06, 1.16); thiazide diuretics: women 1.26 (1.20, 1.34) and men 1.25 (1.19, 1.32); and aldosterone antagonists: women 1.25 (1.12, 1.41) and men 1.49 (1.34, 1.65). Patients receiving recommended level of lifestyle counseling with concomitant coronary heart disease, atrial fibrillation, diabetes, or stroke were more frequently treated with statins than those who did not. Further, recommended lifestyle counseling was significantly associated with anticoagulant treatment in patients with atrial fibrillation. Lifestyle counseling according to recommendations in national guidelines was significantly associated with a more thorough pharmacological treatment of hypertension, statins, and antithrombotic drugs as well as anticoagulants, in both men and women.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Antihypertensive drugs
- Comorbidities
- Hypertension
- Hypertensive care
- Lifestyle counseling
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- Av författaren/redakt...
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Lindblom, Sebast ...
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Ivarsson, Charlo ...
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Wändell, Per
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Bergqvist, Monic ...
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Norrman, Anders
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Eriksson, Julia
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visa fler...
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Lund, Lena
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Hagströmer, Mari ...
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Hasselström, Jan
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Sandlund, Christ ...
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Carlsson, Axel C
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visa färre...
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Sophiahemmet Högskola
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Karolinska Institutet