Skip to main content
Erschienen in: Herz 4/2018

22.05.2017 | Original articles

European guidelines on lifestyle changes for management of hypertension

Awareness and implementation of recommendations among German and European physicians

verfasst von: Dr. J. Bolbrinker, L. Zaidi Touis, H. Gohlke, B. Weisser, R. Kreutz

Erschienen in: Herz | Ausgabe 4/2018

Einloggen, um Zugang zu erhalten

Abstract

Background

In the 2013 European Society of Hypertension (ESH) and European Society of Cardiology (ESC) guidelines for the management of arterial hypertension, six lifestyle changes for treatment are recommended for the first time with class I, level of evidence A. We initiated a survey among physicians to explore their awareness and consideration of lifestyle changes in hypertension management.

Methods

The survey included questions regarding demographics as well as awareness and implementation of the recommended lifestyle changes. It was conducted at two German and two European scientific meetings in 2015.

Results

In all, 1064 (37.4% female) physicians participated (806 at the European and 258 at the German meetings). Of the six recommended lifestyle changes, self-reported awareness was highest for regular exercise (85.8%) followed by reduction of weight (66.2%). The least frequently self-reported lifestyle changes were the advice to quit smoking (47.3%) and moderation of alcohol consumption (36.3%). Similar frequencies were observed for the lifestyle changes implemented by physicians in their care of patients.

Conclusion

A close correlation between awareness of guideline recommendations and their implementation into clinical management was observed. European physicians place a stronger emphasis on regular exercise and weight reduction than on the other recommended lifestyle changes. Moderation of alcohol consumption is the least emphasized lifestyle change.
Literatur
1.
Zurück zum Zitat Lim SS, Vos T, Flaxman AD, Danaei G et al (2012) A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380:2224–2260. doi:10.1016/s0140-6736(12)61766-8 CrossRefPubMedPubMedCentral Lim SS, Vos T, Flaxman AD, Danaei G et al (2012) A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380:2224–2260. doi:10.​1016/​s0140-6736(12)61766-8 CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat NCD-RisC Collaboration(NCD-RisC), NRF (2017) Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19,1 million participants. Lancet 389:37–55. doi:10.1016/S0140-6736(16)31919-5 CrossRef NCD-RisC Collaboration(NCD-RisC), NRF (2017) Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19,1 million participants. Lancet 389:37–55. doi:10.​1016/​S0140-6736(16)31919-5 CrossRef
5.
Zurück zum Zitat MacMahon S, Peto R, Cutler J, Collins R et al (1990) Blood pressure, stroke, and coronary heart disease. Part 1, prolonged differences in blood pressure: prospective observational studies corrected for the regression dilution bias. Lancet 335:765–774. doi:10.1016/0140-6736(90)90878-9 CrossRefPubMed MacMahon S, Peto R, Cutler J, Collins R et al (1990) Blood pressure, stroke, and coronary heart disease. Part 1, prolonged differences in blood pressure: prospective observational studies corrected for the regression dilution bias. Lancet 335:765–774. doi:10.​1016/​0140-6736(90)90878-9 CrossRefPubMed
10.
Zurück zum Zitat Mancia G, Fagard R, Narkiewicz K, Redon J et al (2013) 2013 ESH/ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens 31:1281–1357. doi:10.1097/01.hjh.0000431740.32696.cc CrossRefPubMed Mancia G, Fagard R, Narkiewicz K, Redon J et al (2013) 2013 ESH/ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens 31:1281–1357. doi:10.​1097/​01.​hjh.​0000431740.​32696.​cc CrossRefPubMed
13.
Zurück zum Zitat Appel LJ (2003) Lifestyle modification as a means to prevent and treat high blood pressure. J Am Soc Nephrol 14:S99–s102CrossRefPubMed Appel LJ (2003) Lifestyle modification as a means to prevent and treat high blood pressure. J Am Soc Nephrol 14:S99–s102CrossRefPubMed
14.
Zurück zum Zitat The Treatment of Mild Hypertension Research Group (1991) The treatment of mild hypertension study. A randomized, placebo-controlled trial of a nutritional-hygienic regimen along with various drug monotherapies. The Treatment of Mild Hypertension Research Group. Arch Intern Med 151:1413–1423CrossRef The Treatment of Mild Hypertension Research Group (1991) The treatment of mild hypertension study. A randomized, placebo-controlled trial of a nutritional-hygienic regimen along with various drug monotherapies. The Treatment of Mild Hypertension Research Group. Arch Intern Med 151:1413–1423CrossRef
15.
23.
Zurück zum Zitat O’Donnell CJ, Kannel WB (1998) Cardiovascular risks of hypertension: lessons from observational studies. J Hypertens Suppl 16:S3–S7CrossRefPubMed O’Donnell CJ, Kannel WB (1998) Cardiovascular risks of hypertension: lessons from observational studies. J Hypertens Suppl 16:S3–S7CrossRefPubMed
32.
Zurück zum Zitat Elhani S, Cleophas TJ, Atiqi R (2009) Lifestyle interventions in the management of hypertension: a survey based on the opinion of 105 practitioners. Neth Heart J 17:9–12CrossRefPubMedPubMedCentral Elhani S, Cleophas TJ, Atiqi R (2009) Lifestyle interventions in the management of hypertension: a survey based on the opinion of 105 practitioners. Neth Heart J 17:9–12CrossRefPubMedPubMedCentral
33.
Zurück zum Zitat Baumann S, Toft U, Aadahl M, Jorgensen T et al (2015) The long-term effect of a population-based life-style intervention on smoking and alcohol consumption. The Inter99 Study – a randomized controlled trial. Addiction 110:1853–1860. doi:10.1111/add.13052 CrossRefPubMed Baumann S, Toft U, Aadahl M, Jorgensen T et al (2015) The long-term effect of a population-based life-style intervention on smoking and alcohol consumption. The Inter99 Study – a randomized controlled trial. Addiction 110:1853–1860. doi:10.​1111/​add.​13052 CrossRefPubMed
Metadaten
Titel
European guidelines on lifestyle changes for management of hypertension
Awareness and implementation of recommendations among German and European physicians
verfasst von
Dr. J. Bolbrinker
L. Zaidi Touis
H. Gohlke
B. Weisser
R. Kreutz
Publikationsdatum
22.05.2017
Verlag
Springer Medizin
Erschienen in
Herz / Ausgabe 4/2018
Print ISSN: 0340-9937
Elektronische ISSN: 1615-6692
DOI
https://doi.org/10.1007/s00059-017-4575-0

Weitere Artikel der Ausgabe 4/2018

Herz 4/2018 Zur Ausgabe

Das Risiko für Vorhofflimmern in der Bevölkerung steigt

02.05.2024 Vorhofflimmern Nachrichten

Das Risiko, im Lauf des Lebens an Vorhofflimmern zu erkranken, ist in den vergangenen 20 Jahren gestiegen: Laut dänischen Zahlen wird es drei von zehn Personen treffen. Das hat Folgen weit über die Schlaganfallgefährdung hinaus.

VHF-Ablation nützt wohl nur bei reduzierter Auswurfleistung

02.05.2024 Ablationstherapie Nachrichten

Ob die Katheterablation von Vorhofflimmern bei Patienten mit Herzinsuffizienz die Komplikationsraten senkt, scheint davon abzuhängen, ob die Auswurfleistung erhalten ist oder nicht. Das legen die Ergebnisse einer Metaanalyse nahe.

Weniger Extremitätenischämien mit dualer Plättchenhemmung

02.05.2024 Thrombozytenaggregationshemmer Nachrichten

Eine Behandlung mit Ticagrelor zusätzlich zu ASS kann das Risiko für Revaskularisierungen und Amputationen von Extremitäten bei Diabetikern mit stabiler KHK deutlich reduzieren, vor allem für solche mit PAVK. Dafür spricht eine Auswertung der Interventionsstudie THEMIS.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärzte und Psychotherapeuten.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.