Publication:
Lifestyle changes for prehypertension with other cardiovascular risk factors: Findings from Thailand

0
0

Issued Date

2011

Resource Type

Article

File Type

application/pdf

ISSN

15443191

DOI

10.1331/JAPhA.2011.10129

Other identifier(s)

2-s2.0-84857478387

Rights Holder(s)

มหาวิทยาลัยศรีนครินทรวิโรฒ

Bibliographic Citation

Journal of the American Pharmacists Association. Vol 51, No.6 (2011), p.719-726

Suggested Citation

Pongwecharak J., Treeranurat T. Lifestyle changes for prehypertension with other cardiovascular risk factors: Findings from Thailand. Journal of the American Pharmacists Association. Vol 51, No.6 (2011), p.719-726. doi:10.1331/JAPhA.2011.10129 Retrieved from: https://hdl.handle.net/20.500.14740/7425

Title

Lifestyle changes for prehypertension with other cardiovascular risk factors: Findings from Thailand

Author(s)

Pongwecharak J.
 Treeranurat T.

Abstract

Objective: To evaluate a model for community pharmacists to screen and recommend lifestyle changes for patients with prehypertension/hypertension and other elevated modifiable cardiovascular risk factors. Design: Descriptive, exploratory, nonexperimental study. Setting: One accredited community pharmacy in Hat Yai, Thailand, between October 2008 and January 2009. Participants: Individuals 35 years or older without any previous diagnosis of hypertension and other cardiovascular disease. Intervention: Measurement of blood pressure, blood glucose, total cholesterol, and body mass index; history taking for smoking and physical exercise; laboratory referral; assessment of readiness to adopt lifestyle changes; and provision of verbal advice and an education pamphlet on cardiovascular risk factors and recommended lifestyle modifications. Main outcome measures: Number of prehypertensive/hypertensive participants, patient return rate at 3-month follow-up, rate of laboratory referral uptake, confirmed glucose intolerance and dyslipidemia, and changes from baseline in blood pressure level. Results: 263 of 400 people eligible for screening were found to have prehypertension or hypertension. Of these patients, 57% returned at 3-month follow-up. Mean (±SE) systolic (6.5 ± 0.89 mm Hg [95% CI 4.7-8.2], P < 0.001) and diastolic (2.2 ± 0.82 [0.54-3.77], P = 0.009) blood pressure were lowered. Compared with baseline (39.3%), the percentage of normotensive participants increased significantly at 3-month follow-up (51.8%; P < 0.001). The overall laboratory referral uptake was 36% (50 of 138). Glucose intolerance was confirmed in 2 of 21 participants. Of the 42 patients accepting laboratory confirmation, total and low-density lipoprotein cholesterol were confirmed to be above the normal range in 100% and 78.6%, respectively. Among these participants, those who returned at follow-up were rescreened for blood glucose and total cholesterol. Both values were found to be in the normal range. Although more participants reported lifestyle changes at 3 months, the smoking rate and amount of physical exercise were not changed. Conclusion: Community pharmacists, through the use of point-of-care testing and referrals for laboratory testing, can detect patients who are at risk of developing or already have hypertension, diabetes, and/or dyslipidemia. Lifestyle advice from pharmacists can have a positive effect on these risk factors.

Subject(s)

Cholesterol
 Glucose
 High density lipoprotein cholesterol
 Low density lipoprotein cholesterol
 Adult
 Article
 Blood pressure measurement
 Body mass
 Cardiovascular risk
 Cholesterol blood level
 Descriptive research
 Diastolic blood pressure
 Dyslipidemia
 Exercise
 Exploratory research
 Female
 Follow up
 Glucose blood level
 Glucose intolerance
 Human
 Lifestyle modification
 Major clinical study
 Male
 Observational study
 Outcome assessment
 Patient referral
 Pharmacist
 Pharmacy
 Prehypertension
 Smoking
 Systolic blood pressure
 Thailand
 Cardiovascular disease
 Diabetes mellitus
 Dyslipidemia
 Hospital information system
 Hypertension
 Lifestyle
 Mass screening
 Methodology
 Middle aged
 Organization and management
 Patient education
 Pharmacy
 Prehypertension
 Professional standard
 Risk factor
 Adult
 Cardiovascular Diseases
 Community Pharmacy Services
 Diabetes Mellitus
 Dyslipidemias
 Female
 Follow-Up Studies
 Humans
 Hypertension
 Life Style
 Male
 Mass Screening
 Middle Aged
 Patient Education as Topic
 Pharmacists
 Point-of-Care Systems
 Prehypertension
 Professional Role
 Risk Factors
 Thailand

View online Resources

Research Projects

Organizational Units

Journal Issue

URI

https://hdl.handle.net/20.500.14740/7425

Collections

Scopus: Year 1983-2021

Endorsement

Review

Supplemented By

Referenced By