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There are some studies reporting that the awareness of hypertension can affect people’s lifestyle and results in changes.
A total of 2577 patients, with a mean age of 40.80 years (95% confidence interval: 40.60–41.01), were enrolled into the study.
Baseline characteristics of participants were shown in Table 1. Those who were aware of their disease were older and less educated.
Nevertheless, it is expected that aware patients modify their lifestyle, or at least behave in a way different from those who are not aware of their illness.
The only significant difference between the two groups was in terms of salt consumption and cigarette smoking.
This is probably due to the extensive trainings on the effect of these two variables on hypertension.
There are a few justifications for the lack of change in lifestyle and the lack of significance difference in lifestyles between those aware of their illness and those unaware of their disease.Of all aware patients, 27.79% (22.35–33.64) were adherence to the good lifestyle category.Almost the same percentage 29.24% (23.62–34.86) were observed in patients who were not aware of his/her illness.Based on the official guidelines on hypertension treatment, lifestyle modification is the first line of treatment for hypertensive patients, and it is expected that people’s awareness of hypertension result in changes in people’s lifestyles.However, the results of our study showed no significant difference in lifestyle between people with hypertension who were aware of their illness and those who were not aware of their illness.The results show that aware patients were more adherences to healthier lifestyle than those who were not aware.However, this significance finding is not true for physical activity.There was a significant difference between those who were aware without medication and who were aware with medication regarding adherence to healthy lifestyle categories (Table 3).People who were aware without medication, were more tending to good lifestyle compared with those who were aware of medication (30.52% vs. Additionally, we found that there is no significant difference in case of controlling hypertension and adherence to healthy lifestyle (p-value = 0.091) in the total population.Based on the results of such studies, there is a significant difference between those aware of their illness and those unaware of their illness in terms of salt and alcohol consumption and smoking, but there is no significant difference between the two groups in terms of other lifestyle risk factors.In a study conducted in Korea and Spain, it was found that people who were aware of their hypertension, as compared with those who were not aware of their illness, consumed less salt and smoked less frequently.