Effectiveness of a comprehensive blood pressure control program in primary health care in Peru
Objective. To assess the effectiveness of a comprehensive blood pressure (BP) control program on improving lifestyle indicators, BP levels, and laboratory examination results among people living in low-income urban areas of Peru. Methods. A prospective before-and-after study design was applied to 1...
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ftdoajarticles:oai:doaj.org/article:f95ce93d7fdf42afb1f0d9dfc2ae3aed 2023-05-15T15:13:18+02:00 Effectiveness of a comprehensive blood pressure control program in primary health care in Peru Jong Koo Kim Hye-yeon Jo Miguel A. Malo Eun Woo Nam 2020-05-01T00:00:00Z https://doi.org/10.26633/RPSP.2020.18 https://doaj.org/article/f95ce93d7fdf42afb1f0d9dfc2ae3aed EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/52082 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2020.18 https://doaj.org/article/f95ce93d7fdf42afb1f0d9dfc2ae3aed Revista Panamericana de Salud Pública, Vol 44, Iss 18, Pp 1-8 (2020) blood pressure primary health care healthy lifestyle vulnerable populations peru Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2020 ftdoajarticles https://doi.org/10.26633/RPSP.2020.18 2022-12-31T14:20:51Z Objective. To assess the effectiveness of a comprehensive blood pressure (BP) control program on improving lifestyle indicators, BP levels, and laboratory examination results among people living in low-income urban areas of Peru. Methods. A prospective before-and-after study design was applied to 1 271 participants with hypertension or pre-hypertension. The intervention was implemented for 2 years, from May 2015 – April 2017, in three health centers in Lima (2 in Comas and 1 in Callao). The changes in participants over the study period were compared. All participants were provided with individualized consultations, group health education sessions, regular group meetings to improve self-management, and text messages providing health education. Paired t- and chi-square tests were used to determine the significance of the changes in indicators before and after the intervention. Results. Lifestyle behaviors, such as weight and blood pressure monitoring, reduced salt consumption, increased fruit and vegetable consumption, and stress control improved during the intervention (P < 0.001). The EuroQol-Five Dimension Scale showed improvement (P < 0.001) and body mass index, waist circumference, and systolic and diastolic BPs of the participants significantly decreased (P < 0.001). Low-density lipoprotein cholesterol (LDL-C) and triglyceride decreased (P < 0.01) and high-density lipoprotein cholesterol (HDL-C) increased. The estimated glomerular filtration rate (eGFR) increased after the program (P < 0.001). Conclusions. This comprehensive BP control program was effective in improving lifestyle indicators, BP levels, and laboratory results among people living in a low-income urban area of Peru. Increasing opportunities for BP measurement, systematic management of hypertensive patients, and community-based prevention and education programs are paramount to hypertension detection, prevention, and control. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 44 1 |
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English Spanish Portuguese |
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blood pressure primary health care healthy lifestyle vulnerable populations peru Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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blood pressure primary health care healthy lifestyle vulnerable populations peru Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Jong Koo Kim Hye-yeon Jo Miguel A. Malo Eun Woo Nam Effectiveness of a comprehensive blood pressure control program in primary health care in Peru |
topic_facet |
blood pressure primary health care healthy lifestyle vulnerable populations peru Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. To assess the effectiveness of a comprehensive blood pressure (BP) control program on improving lifestyle indicators, BP levels, and laboratory examination results among people living in low-income urban areas of Peru. Methods. A prospective before-and-after study design was applied to 1 271 participants with hypertension or pre-hypertension. The intervention was implemented for 2 years, from May 2015 – April 2017, in three health centers in Lima (2 in Comas and 1 in Callao). The changes in participants over the study period were compared. All participants were provided with individualized consultations, group health education sessions, regular group meetings to improve self-management, and text messages providing health education. Paired t- and chi-square tests were used to determine the significance of the changes in indicators before and after the intervention. Results. Lifestyle behaviors, such as weight and blood pressure monitoring, reduced salt consumption, increased fruit and vegetable consumption, and stress control improved during the intervention (P < 0.001). The EuroQol-Five Dimension Scale showed improvement (P < 0.001) and body mass index, waist circumference, and systolic and diastolic BPs of the participants significantly decreased (P < 0.001). Low-density lipoprotein cholesterol (LDL-C) and triglyceride decreased (P < 0.01) and high-density lipoprotein cholesterol (HDL-C) increased. The estimated glomerular filtration rate (eGFR) increased after the program (P < 0.001). Conclusions. This comprehensive BP control program was effective in improving lifestyle indicators, BP levels, and laboratory results among people living in a low-income urban area of Peru. Increasing opportunities for BP measurement, systematic management of hypertensive patients, and community-based prevention and education programs are paramount to hypertension detection, prevention, and control. |
format |
Article in Journal/Newspaper |
author |
Jong Koo Kim Hye-yeon Jo Miguel A. Malo Eun Woo Nam |
author_facet |
Jong Koo Kim Hye-yeon Jo Miguel A. Malo Eun Woo Nam |
author_sort |
Jong Koo Kim |
title |
Effectiveness of a comprehensive blood pressure control program in primary health care in Peru |
title_short |
Effectiveness of a comprehensive blood pressure control program in primary health care in Peru |
title_full |
Effectiveness of a comprehensive blood pressure control program in primary health care in Peru |
title_fullStr |
Effectiveness of a comprehensive blood pressure control program in primary health care in Peru |
title_full_unstemmed |
Effectiveness of a comprehensive blood pressure control program in primary health care in Peru |
title_sort |
effectiveness of a comprehensive blood pressure control program in primary health care in peru |
publisher |
Pan American Health Organization |
publishDate |
2020 |
url |
https://doi.org/10.26633/RPSP.2020.18 https://doaj.org/article/f95ce93d7fdf42afb1f0d9dfc2ae3aed |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 44, Iss 18, Pp 1-8 (2020) |
op_relation |
https://iris.paho.org/handle/10665.2/52082 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2020.18 https://doaj.org/article/f95ce93d7fdf42afb1f0d9dfc2ae3aed |
op_doi |
https://doi.org/10.26633/RPSP.2020.18 |
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Revista Panamericana de Salud Pública |
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44 |
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