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. 2022 Oct;24(10):1266-1275.
doi: 10.1111/jch.14576. Epub 2022 Sep 30.

Underuse of lifestyle recommendations in hypertension management in France: The Esteban study

Juliette Vay-Demouy  1 , Hélène Lelong  1 , Pauline Neudorff  1 , Amélie Gabet  2 , Clémence Grave  2 , Jacques Blacher  1 , Valérie Olié  2
Affiliations

Underuse of lifestyle recommendations in hypertension management in France: The Esteban study

Juliette Vay-Demouy et al. J Clin Hypertens (Greenwich). 2022 Oct.

Abstract

Lifestyle recommendations are first-line elements in the management of arterial hypertension. This cross-sectional study aimed to analyze the level to which lifestyle recommendations are used in hypertension management in France, using data from the Esteban study, which was implemented by Santé Publique France, France's public health agency, from 2014 to 2016 on a representative sample of the French population. The study sample comprised 440 adult Esteban participants who were aware they had hypertension and were aged 18-74 years old. The main outcomes were the proportion of participants who received lifestyle recommendations in their hypertension management plan, and the proportion of recommendations according to the three following dimensions: physical activity, weight loss, and changes in diet. Over half (57.0%) of the 440 participants declared they did not receive lifestyle recommendations as part of their hypertension management plan in the year preceding the study. Of these, 39.0% did not receive pharmacological treatment either. Physical activity was recommended to 31.8% of sedentary participants and weight loss to 26.8% of participants with overweight or obesity. One-fifth of the study sample (20.1%) received dietary recommendations. Of these, 69% and 10.7% were advised to limit their salt and alcohol intake, respectively. Lifestyle interventions are too rarely recommended in hypertension management plans in France. Adherence to lifestyle recommendations needs in-depth discussion not only at the time of diagnosis but also throughout follow-up.

Keywords: healthy diet; hypertension management; lifestyle recommendations; physical activity; weight loss.

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Conflict of interest statement

Juliette VAY‐DEMOUY reports, outside the submitted work, financial support from Boston Scientific SAS and AstraZeneca. Jacques BLACHER reports, outside the submitted work, personal fees from Abbott, Bayer, Bottu, Ferring, Steripharma, Kantar, Teriak, personal fees and non‐financial support from Pfizer, Quantum Genomics, Sanofi and Servier. Pauline NEUDORFF, Valérie OLIE, Clémence GRAVE and Amélie GABET declare that they have no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Study flowchart
FIGURE 2
FIGURE 2
Distribution of “aware” hypertensive adults according to their overall HTN management program
See this image and copyright information in PMC

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