Miezah Dennis, Hayman Laura L
Department of Nursing, Manning College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, USA (DM, LLH).
Am J Lifestyle Med. 2024 Nov 6:15598276241297675. doi: 10.1177/15598276241297675.
Hypertension (HTN) is a significant global health challenge affecting billions of individuals worldwide. The prevalence of HTN varies considerably across the globe due to diverse factors, such as lifestyle influenced by culture, genetics, health care access, and socioeconomic conditions. Lifestyle modification has a substantial impact on blood pressure management; however, some cultural practices and behaviors affect recommended lifestyle modification strategies for HTN management. The purpose of this review was to explore lifestyle modification strategies for HTN management from a cultural perspective. Lifestyle modification, including physical activity, stress reduction, changes in dietary patterns (adopting a low-sodium diet and intake of fruit and vegetables), and weight management, provide an effective non-pharmacologic intervention for the management of hypertension. Individual's cultural practices have the potential to determine their diet, physical activity levels, knowledge, and perception about HTN, adherence to treatment and medications, and the use of local herbal preparations for HTN management. Culture focuses on individuals' belief, practices and how these beliefs and practices influence their lifestyle behaviors for HTN management. It is important to consider patients' cultural beliefs before recommending lifestyle behaviors for HTN management.
高血压（HTN）是一项重大的全球健康挑战，影响着全球数十亿人。由于多种因素，如受文化影响的生活方式、遗传、医疗保健可及性和社会经济状况，高血压的患病率在全球各地差异很大。生活方式的改变对血压管理有重大影响；然而，一些文化习俗和行为会影响高血压管理中推荐的生活方式改变策略。本综述的目的是从文化角度探讨高血压管理的生活方式改变策略。生活方式的改变，包括体育活动、减轻压力、饮食模式的改变（采用低钠饮食以及摄入水果和蔬菜）和体重管理，为高血压管理提供了一种有效的非药物干预措施。个人的文化习俗有可能决定他们的饮食、体育活动水平、对高血压的认知和看法、对治疗和药物的依从性，以及使用当地草药制剂来管理高血压。文化关注个人的信仰、习俗以及这些信仰和习俗如何影响他们管理高血压的生活方式行为。在为高血压管理推荐生活方式行为之前，考虑患者的文化信仰很重要。
