ASSOCIATION BETWEEN LIFESTYLE COUNSELLING AND ADHERENCE TO NON-PHARMACOLOGICAL RECOMMENDATIONS AMONG HYPERTENSIVE PATIENTS AT IBADAN, SOUTH WESTERN, NIGERIA
Authors & Affiliations
Mayode Jayeola1, Oladimeji Adebayo1,2, Oluwabukola Deborah Akindoyin1, Omokorede Oluwafikunmi Ademowo-Olusanya1, Akinyemi Aje2, Quadri Erinjogunola1, Anu Makinde1,2, Abiodun Adeoye1,2,3, Olanike Allison Orimolade2,3, Adewole Adebiyi2,3, Okechukwu S Ogah2,3, Veronica Obasuyi4, Olumuyiwa Folayan5, Temilade Adeyanju2,3, Olulola O Oladapo1,2,3, Samuel Omokhodion1,5 Authors’ institutional affiliations 1. Institute of Cardiovascular Diseases, College of Medicine, University of Ibadan, Ibadan, Nigeria 2. Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Nigeria 3. Department of Medicine, Faculty of Clinical Sciences, University of Ibadan, Ibadan, Nigeria 4. Department of Emergency Medicine, University College Hospital, Ibadan, Nigeria 5. Department of Paediatrics, University College Hospital, Ibadan, Nigeria Correspondence: Dr Oladimeji Adebayo, Institute of Cardiovascular Diseases, College of Medicine, University of Ibadan, Ibadan, Nigeria
📖 Abstract Content
Background Lifestyle counselling is a key component of hypertension management, but its effectiveness in promoting adherence to non-pharmacological recommendations in sub-Saharan Africa remains uncertain. This study evaluated the association between lifestyle counselling, counselling providers, and adherence to recommended lifestyle practices among hypertensive patients attending two tertiary hypertension clinics in Nigeria.
Methodology We performed a secondary cross-sectional analysis of 225 hypertensive patients attending two tertiary hypertension clinics in Ibadan, Nigeria. Overall lifestyle adherence was classified as good or moderate/poor. Associations between lifestyle counselling, counselling providers, counselling topics, and adherence were examined using chi-square tests and multivariable logistic regression adjusting for age, sex, education, income, hypertension duration, and stress. P value was set at <0.05.
Results Among 225 participants (mean age 65.2±11.1 years; 73.5% women), 177 (78.7%) demonstrated good lifestyle adherence, while 96.9% reported receiving lifestyle counselling. Overall counselling was not independently associated with good adherence after adjustment (AOR 0.95, 95% CI 0.08–10.70; p=0.966). Counselling by doctors, nurses, and dietitians was similarly not independently associated with adherence, although doctor-led counselling showed a positive trend (AOR 2.19, 95% CI 0.93–5.11; p=0.071). Monthly income >₦100,000 remained the only independent predictor of good adherence (AOR 8.01, 95% CI 2.04–31.39; p=0.003). Exercise counselling demonstrated the strongest domain-specific association with adequate physical activity.
Conclusion High counselling coverage limited discrimination of counselling effects, while socioeconomic status remained the strongest predictor of lifestyle adherence.
