Lifestyle Medicine Interventions to Manage Hypertension in Brazilian Patients With Type 2 Diabetes

被引:0
|
作者
Correia, Eduardo Thadeu de Oliveira [1 ,2 ]
机构
[1] Univ Hosp, Cleveland, OH USA
[2] Dept Radiol, 11100 Eucl Ave, Cleveland, OH 44106 USA
关键词
hypertension; diabetes; glycemic control; blood pressure; lifestyle; BLOOD-PRESSURE CONTROL; CHRONIC DISEASE; CARDIOVASCULAR-DISEASE; DIETARY PATTERNS; CLINICAL ENDOCRINOLOGISTS; AMERICAN ASSOCIATION; ALCOHOL-CONSUMPTION; HOME TELEHEALTH; RISK-FACTORS; METAANALYSIS;
D O I
10.1177/15598276231197619
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Hypertension and type 2 Diabetes (T2D) are highly associated and can promote an additive risk of mortality and hospitalization, as well as a significant burden on the Brazilian Unified Healthcare System. Despite this, blood pressure and glycemic control are still suboptimal and remain a significant challenge in Brazil. As it will be reviewed in this paper, current evidence supports the effectiveness of various dietary, exercise, and lifestyle interventions for hypertension and T2D. Among dietary interventions, the DASH diet appears to be particularly effective in reducing blood pressure and decreasing the risk of cardiovascular mortality, with a moderate effect on glycemic control. Regular physical activity, including aerobic, resistance, or combined exercise programs, is also recommended to reduce blood pressure, improve glycemic control and also reduce cardiovascular disease risk. Stress reduction programs have also been shown to be effective in reducing blood pressure. However, although numerous lifestyle interventions are effective for hypertension and T2D, factors such as personal preferences, motivation, and cultural background should be considered to ensure the long-term sustainability of these interventions. In addition, there is a need for further research to determine the cost-effectiveness of lifestyle interventions in the Brazilian population to encourage the development of evidence-based health policies.
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页数:14
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