• Abuabker Ibrahim Elbur Assistant Professor of Pharmacy Practice Pharmacy Practice Research Unit, College of Pharmacy, Taif University, P.O. Box: 888, 21974, Al-Haweiah,Taif, Kingdom of Saudi Arabia.


Adherence, Diet, Exercise, Medications, Hypertension


Objective: The main aims were to measure adherence to diet, exercise and medications among hypertensive patients and to identify determinants of adherence if any.

Methods: A cross-sectional study was conducted during October-December 2013 at Al-Hada Armed Forces Hospital and Princess Mansour Community Hospital; Taif; Kingdom of Saudi Arabia. All adult patients (>18 year) diagnosed with essential hypertension were recruited. A convenience method of sampling was adopted. Data was processed using the software Statistical Package for Social Science (SPPS). P values of<0.05 were considered as statistically significant.

Results: Overall, 144 patients were included. Of them 92 (63.9%) were recruited from Princess Mansour Hospital and 52 (36.1%) others from Al-Hada Hospital. Rates of adherence to exercise, a healthy diet and medications were 20.1%, 11.8% and 34.7% respectively. The level of monthly income was found to be strongly associated with adherence to both a healthy diet (*P =0.046) and regular exercise (*P = 0.004). Presence of other co-morbidity was found to be an important factor in the commitment to a healthy diet (*P = 0.012), regular exercise (*P = 0.028) and medications (*P = 0.002). Patients of ages <65 year were found to be more adherent to a healthy diet compare to elderly ones (*P = 0.007). Only 6 (4.2%) patients were found to be adherent to all studied domains. Adherence to all domains increased significantly with educational level (*P= 0.002).

Conclusions: Adherence to all studied domains was sub-optimal. Well-organized and individualized patient-oriented education is needed.



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World Health Organization. Prevention of cardiovascular disease: Guidelines for assessment and management of cardiovascular risk. Geneva: WHO; 2007.

Saeed AA, Al-Hamdan NA, Bahnassy AA, Abdalla AM, Abbas MA, Abuzaid LZ. Prevalence, Awareness, Treatment, and Control of Hypertension among Saudi Adult Population: A National Survey. Int J Hypertens 2011;2011:174-35.

Appel LJ, Moore TJ, Obarzanek E, Vollmer WM, Svetkey LP, Sacks FM, et al. A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N Engl J Med 1997;336(16):1117-24.

Vollmer WM, Sacks FM, Ard J, Appel LJ, Bray GA, Simons-Morton DG, et al. Effects of diet and sodium intake on blood pressure: subgroup analysis of the DASH-sodium trial. Ann Intern Med 2001;135(12):1019-28.

Fletcher G. Physical inactivity as a risk factor for cardiovascular disease. Am J Med 1999;107(2A):10S-11S.

Rimm EB, Ascherio A, Glovannucci E, Speigelman D, Stampfer MJ, Willet WC. Vegetables, fruits and cereal fibre intake and risk of coronary heart disease among men. JAMA 1996;275:447-51.

Wllet WC. Diet and health: what should we eat? Sci 1994;264:532-7.

IIoh GUP, Amadi AN, Okafor GOC, Ikwudinma AO, Odu FU, Godswill–Uko EU. Adherence to lifestyle modifications among adult hypertensive Nigerian with essential hypertension in a primary care clinic of a tertiary hospital in resource–poor environment of Eastern Nigeria. Br J Med Med Res 2014;4(18):3478-90.

Uzun S, Kara B, YokuÅŸoÄŸlu M, Arslan F, Yilmaz MB, Karaeren H. The assessment of adherence of hypertensive individuals to treatment and lifestyle change recommendations. Anadolu Kardiyol Derg 2009;9(2):102-9.

Heymann AD, Gross R, Tabenkin H, Porter B, Porath A. Factors associated with hypertensive patients' compliance with recommended lifestyle behaviors. Isr Med Assoc J 2011;13(9):553-7.

Lyalomhe G, Lyalomhe S. hypertension–related knowledge, attitudes and lifestyle practices among hypertensive patients in sub–urban Nigerian community. J Public Health Epidemiol 2010;2(4):71-7.

Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care 1986;24(1):67-74.

Knight EL, Bohn RL, Wang PS, Glynn RJ, Mogun H, Avorn J. Predictors of uncontrolled hypertension in ambulatory patients. Hypertension 2001;38(4):809-14.

Vibha G, Singh GR, Bano Hajra B. Prevalence of cardiac complications in elderly patients of hypertension. JARBS 2013;5(3):234-7.

Al-Nozha MM, Al-Mazrou YY, Al-Maatouq MA, Arafah MR, Khalil MZ. Obesity in Saudi Arabia. Saudi Med J 2005;26(5):824-9.

Memish ZA, El Bcheraoui C, Tuffaha M, Robinson M, Daoud F, Jaber S, et al. Obesity and associated factors-Kingdom of Saudi Arabia, 2013. Prev Chronic Dis 2014;11:140-236.

Madani KA. Obesity in Saudi Arabia. Bahrain Med Bull 2000;22(3):1-9.

Cordero A, Bertomeu-Martínez V, Mazón P, Fácila L, Bertomeu-González V, Cosín J, et al. Factors associated with uncontrolled hypertension in patients with and without cardiovascular disease. Rev Esp Cardiol 2011;64(7):587-93.

Lowe J. Hypertension in diabetes. Aust Prescr 2002;25:8-10.

Yang L, Xu X, Yan J, Yu W, Tang X, Wu H, Parkin CL. Analysis on associated factors of uncontrolled hypertension among elderly hypertensive patients in Southern China: a community-based, cross-sectional survey. BMC Public Health 2014;14:903.

Serour M, Alqhenaei H, Al-Saqabi S, Mustafa A, Ben-Nakhi A. Cultural factors and patients’ adherence to lifestyle measures. Br J Gen Pract 2007;57(537):291–5.

Orzech KM, Vivian J, Torres CH, Armin J, Shaw JS. Diet and exercise adherence and practices among medically underserved patients with chronic disease: variation across four ethnic groups. Health Educ Behav 2013;40(1):56–66.

Acelajado MC. Optimal management of hypertension in elderly patients. Integr Blood Pressure Control 2010;3:145–53.

Karakurt P, Kasikci M. Factors affecting medication adherence in patients with hypertension. J Vas Nurs 2012;30:118-25.



How to Cite

Elbur, A. I. “LEVEL OF ADHERENCE TO LIFESTYLE CHANGES AND MEDICATIONS AMONG MALE HYPERTENSIVE PATIENTS IN TWO HOSPITALS IN TAIF; KINGDOM OF SAUDI ARABIA”. International Journal of Pharmacy and Pharmaceutical Sciences, vol. 7, no. 4, Apr. 2015, pp. 168-72, https://innovareacademics.in/journals/index.php/ijpps/article/view/4804.



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