Healthy lifestyle, medication adherence tied to lower mortality in hypertension

February 01, 2022

3 min read


Disclosures:
The authors report no relevant financial disclosures.


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The combination of healthy lifestyle and adherence to antihypertensive medications was associated with decreased risk for mortality in patients with hypertension, according to data in JAMA Network Open.

“No study has examined the joint association of antihypertensive medication use and healthy lifestyle with mortality among individuals with hypertension, to our knowledge. In addition, whether improvement in lifestyle may yield health benefits for individuals with hypertension is unclear,” Qi Lu, MBBS, of the department of nutrition and food hygiene at the Hubei Key Laboratory of Food Nutrition and Safety, Ministry of Education Key Laboratory of Environment and Health and State Key Laboratory of Environmental Health (Incubating) at Tongji Medical College, Huazhong University of Science and Technology in Wuhan, China, and colleagues wrote. “To fill these knowledge gaps, we aimed to prospectively examine the association of antihypertensive medication use and healthy lifestyle, as well as changes in lifestyle, with risk of all-cause and cause-specific mortality among middle-aged and elderly adults with hypertension in China.”


Graphical depiction of data presented in article

Data were derived from Lu Q, et al. JAMA Netw Open. 2022;doi:10.1001/jamanetworkopen.2021.46118.

Utilizing data from the Dongfeng-Tongji prospective cohort of employees at the Dongfeng Motor Corporation in China, researchers evaluated lifestyle factors, including BMI, smoking status, diet, physical activity and sleep duration. Lifestyle factors were scored on a

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Practitioners Face Reimbursement Barriers for Life style Medication Interventions

The respondents bundled dietitians, nurse practitioners, physician assistants, actual physical therapists, and medical professionals.

Study outcomes clearly show that quite a few doctors and other clinicians are hindered from supporting clients make these changes.

A survey of 1286 practitioners reveals that 55% described not getting any reimbursement for life-style medication methods, although 27% described some reimbursement and 18% becoming reimbursed for all their existence drugs interventions, according to analysis final results from the American Higher education of Way of life Medicine.

The respondents provided dietitians, nurse practitioners, doctor assistants, actual physical therapists, and medical professionals.

The respondents shared specific examples of equally clinician and patient barriers, this sort of as a Medicare patient who was denied coverage for a nutrition-centered body weight management system in favor of a costly surgical method.

“Chronic condition management guidelines plainly advocate health and fitness habits improvements, but numerous reimbursement boundaries discourage or prevent overall health treatment practitioners from helping individuals achieve individuals lifestyle modifications,” analyze author Kelly Freeman, MSN, AGPCNP-BC, DipACLM mentioned in a statement. “If optimum well being outcomes are actually the target, extra methods are necessary to very best illuminate the most impactful varieties of way of living interventions and how to properly put into practice them in a sustainable manner.”

Some survey respondents suggested various variations that would strengthen their skill to apply life-style drugs. The best suggestions incorporated far better digital health-related file capabilities, policy variations to incentivize improved well being results and way of life medication-specific billing codes, and reimbursement for elevated time put in with people.

The examine authors proposed that unique plan alterations must transform to address the limits of the payment and reimbursement styles. A proposal instance is to develop new quality steps that emphasize clinical results and individual encounter to handle serious sickness remission and

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