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Varela Arévalo, M. T., Arrivillaga Quintero, M., Cáceres de Rodríguez, D. E., Correa Sánchez, D., & Holguín Palacios, L. E. (2005). The beneficial effects of lifestyle modification on blood pressure and quality of life in patients with hypertension. Acta Colombiana De Psicología, (14), 69–85. Retrieved from

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This paper presents the results of a study which purpose was to determine the impact of a lifestyle modification program to reduce blood pressure levels and to improve the quality of life in Hypertension patients. The method was a quasi-experimental, with transversal design, intragroup analysis and repeated measures (pre-post intervention). The sample was composed of 44 hypertension patients attended at a Health Care Service from Cali, Colombia. Systolic (SBP) and Diastolic (DBP) blood pressure levels were registered, and quality of life was assessed through the SF-36 Health Survey v2. A reduction of SBP was found with statistical significance, while DBP remained the same in controlled levels. With regard to quality of life, the lifestyle modification program had beneficial effects on the mental summary and the Role Emotional scale. In the physical summary, the Physical Function and Role Physical improved significantly. The quality of life results showed some differences between patients with controlled and uncontrolled SBP and DBP levels.



Alonso, J., Ferrer, M., Gandek, B., Ware, J. E., Aaronson, N. K., Mosconi, P., et al. (2004). Health-related quality of life associated with chronic conditions in eight countries: Results from the International Quality of Life Assessment (IQOLA) Project. Quality of Life Research, 13, 283–298.

Appel, L., Champagne, C., Harsha, D., Cooper, L., et al. (2003). Effects of comprehensive lifestyle modification on blood pressure control: Main results of the PREMIER clinical trial. JAMA, 289(16), 2083-2094.

Appel, L. J. (2000). The role of diet in the prevention and treatment of hypertension. Current Arteriosclerosis Reports, 2, 521-528.

Bardage, C., & Isacson, D. G. (2001). Hypertension and health-related quality of life: An epidemiological study in Sweden. Journal of Clinical Epidemiology, 54, 172-181.

Blumenthal, J. A., Sherwood, A., Gullette, E. C., Georgiades, A., & Tweedy, D. (2002). Biobehavioral approaches to the treatment of essential hypertension. Journal of Consulting and Clinical Psychology, 70(3), 569-589.

Bouchet, C., Guillemin, F., & Paul-Dauphin, A., et al. (2000). Selection of quality of life measures for a prevention trial: A psychometric analysis. Controlled clinical trials, 21, 30-43.

Castro, M. L. (2001). Calidad de Vida y Promoción de la Salud. En: H. E. Restrepo, & H. Málaga (Eds.), Promoción de la Salud: Cómo construir vida saludable. Bogotá: Editorial Médica Panamericana.

Cohen, J. (2001). Adverse drug effects, compliance and initial doses of antihypertensive drugs recommended by the Joint National Committee vs the Physician’s Desk Reference. Archives of Internal Medicine, 161(6), 880-885.

Correa, D., & Salazar, I. C. (en prensa) Aspectos psicológicos del cáncer y su afrontamiento. En: M. Arrivillaga, D. Correa, & I. C. Salazar (Eds.), Enfermedades crónicas, aspectos psicológicos e intervención.

Côté, I., Grégoire, J. P., Moisan, J., & Chabot, I. (2004). Quality of life in hypertension: the SF-12 compared to the SF-36. The Canadian Journal of Clinical Pharmacology, 11(2), 232-240.

Côté, I., Moisan, J., Chabot, I., & Grégoire, J. P. (2005). Health-related quality of life in hypertension: impact of a pharmacy intervention programme. Journal of Clinical Pharmacy & Therapeutics, 30(4), 355-362.

DeForge, B. R., Stewart, D. L., DeVoe-Weston, M., Graham, L., & Charleston, J. (1998). The relationship between health status and blood pressure in urban African Americans. Journal of the National Medical Association, 90(11), 658-664.

Erci, B., Sayan, A., Kilic, D., Sahin, O., & Gungormus, Z. (2003). The effectiveness of Watson’s caring model on the quality of life and blood pressure of patients with Hypertension. Journal of Advanced Nursing, 41(2), 130-139.

Erickson S. R., Williams, B. C., & Gruppen, L. D. (2001). Perceived symptoms and health related quality of life reported by uncomplicated hypertensive patients compared to normal controls. Journal of Human Hypertension, 15 (8), 539-548.

Fernández, R. (1994). Evaluación conductual hoy: Un enfoque para el cambio en psicología clínica y de la salud. Madrid: Ediciones Pirámide.

Fogari, R., & Zoppi, A. (2004). Effect of antihypertensive agents on quality of life in the elderly. Drugs Aging, 21(6), 377-393.

Fuh, J., Wang, S. J., Lu, S. R., Juang, K. D., & Lee, S. J. (2000). Psychometric evaluation of a Chinese (Taiwanese) version of the SF36 health survey among middle-aged women from a rural community. Quality of Life Research, 9, 675–683.

Gandek, B., Ware, J. E., Aaronson, N. K., et al. (1998). Tests of data quality, scaling assumptions, and reliability of the SF-36 in eleven countries: Results from the IQOLA project. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51(11), 1149– 1158.

Gatchel, R. J., & Oordt, M. S. (2002). Hypertension. En: R. J. Gatchel & M. S. Oordt. (Eds.), Clinical Health Psychology and Primary Care, (pp. 65-82). Washington, D.C: American Psychological Association.

Grimm, R. H., Grandits, G. A., Cutler, J. A., Stewart, A. L., McDonald, R. H., Svendsem, K., et al. (1997). Relationships of qualityof-life measures to long-term lifestyle and drug treatment in the Treatment of Mild Hypertension Study. Archives of Internal Medicine, 157(6), 638-648.

Gutiérrez, J. (2001). Tratamiento de la Hipertensión Arterial. Cambio de Estilo de Vida. Colombia Médica, 32, 83-86.

Hagberg, J. M., Park, J. J., & Brown, M. D. (2000). The role of exercise training in the treatment of Hypertension: an update. Sports Medicine, 30, 193-206.

Hsu-Ko, K., Jones, R., Milberg, W. P., Tennstedt, S., Talbot, L., Morris, J., et al. (2005). Effect of Blood pressure and Diabetes Mellitus on Cognitive and Physical Functions in Older Adults: A Longitudinal Analysis of the Advanced Cognitive Training for Independent and Vital Elderly Cohort. Journal of the American Geriatrics Society, 53(7), 1154-1161.

Labiano, L. M. (2002). Hipertensión arterial: Importancia de las intervenciones psicológicas. Psicología Iberoamericana, 10(2), 64-71.

Lalonde, L., Clarke, A. E., Joseph, L., Mackenzie, T., Grover, S. A., & The Canadian Collaborative Cardiac Assessment Group. (1999). Comparing the psychometric properties of preference-based and non preference-based health-related quality of life in coronary heart disease. Quality of Life Research, 8, 399-409.

Lalonde, L., O’Connor, A., Joseph, L., Grover, S. A., & The Canadian Collaborative Cardiac Assessment Group. (2004). Health-related quality of life in cardiac patients with dyslipidemia and hypertension. Quality of Life Research, 13, 793–804.

Lam, C. L., & Lauder, I. J. (2000). The impact of chronic diseases on the health-related quality of life (HRQOL) of Chinese patients in primary care. Family Practice, 17(2), 159-166.

Lawrence, W. F., Fryback, D. G., Martin, P. A., Klein, R., & Klein, B. E. (1996). Health status and hypertension: a population-based study. Journal of Clinical Epidemiology, 49(11), 1239-1245.

Linden, W., Lenz, J. W., & Con, A. H. (2001). Individualized stress management for primary hypertension: A randomized trial. Archives of Internal Medicine, 161(8), 1071-1081.

Lobo, C. M., Frijling, B. D., Hulscher, M. E., Bernsen, R. M., Grol, R. P., Prins, A., et al. (2004). Effect of a comprehensive intervention program targeting general practice staff on quality of life in patients at high cardiovascular risk: A randomized controlled trial. Quality of Life Research, 13, 73-80.

Mathiowetz, V. G., Finlayson, M. L., Matuska, K. M., Chen, H. Y., & Luo, P. (2005). Randomized controlled trial of an energy conservation course for persons with multiple sclerosis. Multiple Sclerosis, 11, 592-601.

McCraty, R., Atkinson, M., & Tomasina, D. (2003). Impact of a workplace stress reduction program on blood pressure and emotional health in hypertensive employees. The Journal of Alternative and Complementary Medicine, 9(3), 355-369.

Mena-Martin F. J., Martin-Escudero, J. C., Simal-Blanco, F., Carretero-Ares, J. L., Arzua-Mouronte, D., & Herreros-Fernandez, V. (2003). Health-related quality of life of subjects with known and unknown hypertension: results from the population-based Hortega study. Journal of hypertension, 21(7), 1283-1291.

Mithoefer, K., Williams, R. J., Warren, R. F., Potter, H. G., Spock, C. R., Jones, E. C., et al. (2005). The microfracture technique for the treatment of articular cartilage lesions in the knee. A prospective cohort study. Journal of Bone and Joint Surgery, 87(9), 1911-1920.

Moreno, B., & Ximénez, C. (1996). Evaluación de la calidad de vida. En: G. Buela-Casal, V. E. Caballo & J. C. Sierra (Eds.), Manual de evaluación en psicología clínica y de la salud (pp. 1045-1070). Madrid: Siglo XXI.

National Institutes on Health -NIH- (1997). The JNC-VI Guide To Prevention and Treatment of Hypertension. Recuperado en Junio 15 de 2005 de la World Wide Web:

National Institutes on Health -NIH- (2003). Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure Express. Recuperado en Junio 15 de 2005 de la World Wide Web:

Novoa, M. M. (2002, Marzo). Impacto de la nausea y el vómito anticipatorio en la calidad de vida de pacientes con quimioterapia.

Memorias del I Congreso Nacional de Psicología Conductual Cognoscitiva. Cali. Novoa, M. M., Cruz, C. A., Rojas, L., & Wilde, K. (2003). Efectos secundarios de los tratamientos del cáncer de próstata localizado en la calidad de vida y el ajuste marital. Universitas Psicológica, 2(2), 169-186.

Ohldin, A., Young, B., Derleth, A., McDonell, M., Diehr, P., Kiefe, C., et al. (2004). Ethnic differences in satisfaction and quality of life in veterans with ischemic hearth disease. Journal of the National Medical Association, 96(6), 799-808.

Omer, A., Cenk, O., & Ertugrul, K. (2005). The Impact of Co-Morbid Conditions on the SF36: A Primary-Care-Based Study Among Hypertensives. Archives of Medical Research, 36(2), 136-141.

Parmet, S. (2002). Calidad de Vida. JAMA, 288(3), 3070-3070.

Paz, M., Sanz, J., & Labrador, F. (2004). Blood pressure variability and stress management training for essential hypertension. Behavioral Medicine, 30(2), 53-62.

Plaisted, C. S., Lin, P. H., Ard, J. D., McClure, M. L., & Svetkey, L. P. (1999). The effects of dietary patterns on quality of life: A substudy of the Dietary Approaches to Stop Hypertension trial. American Dietetic Association, 99(8), S84-S88.

Restrepo, M. (2000). Psicooncología y calidad de vida. Revista Colombiana de Psicología, 8-9, 106-119.

Rodríguez, J. (1995). Psicología Social de la Salud. España: Síntesis.

Roh, Y. S. (2005). Modeling adherence to therapeutic regimens in patients with hypertension. The Journal of Nurses Academic Society, 35(4), 737-744.

Schnall, E. (2005). Social support: A role for social work in the treatment and prevention of hypertension. Einstein Journal of Biology & Medicine, 21(2), 50-56.

Seynnes, O., Hue, O. A., Garrandes, F., Colson, S. S., Bernard, P. L., Legros, P., et al. (2005). Force Steadiness in the Lower Extremities as an Independent predictor of Functional Performance in Older Women. Journal of Aging and Physical Activity, 13, 395-408.

Shafazand, S., Goldstein, M., Dogle, R., Hlatky, M., & Gould, M. (2004). Health-related quality of life with pulmonary arterial hypertension. Chest Journal, 126(5), 1452-1459.

Sheu, S., Irvin, B. L., Lin, H. S., & Mar, C. L. (2003). Effects of progressive muscle relaxation on blood pressure and psychosocial status for clients with essential hypertension in Taiwan. Holistic Nursing Practice, 17(1),41-48.

Tsai, J. C, Yang H. Y., Wang, W. H., Hsieh, M. H., Chen, P. T., Kao, C. C., et al. (2004). The beneficial effect of regular endurance exercise training on blood pressure and quality of life in patients with hypertension. Clinical and Experimental Hypertension, 26(3), 255–265.

Vinaccia, S., Arango, C. (2003). Evaluación de la calidad de vida y su relación con la cognición hacia la enfermedad en pacientes colostomizados con diagnóstico de cáncer colorectal. Suma Psicológica, 10(1), 43-65.

Vinaccia, S., Tobón, S., Cadena, J., & Anaya, J. M. (2004, Septiembre). Calidad de vida en personas con artritis reumatoidea a partir del cuestionario de calidad de vida en la artritis. Memorias del II Congreso Colombiano de Psicología Conductual-Cognoscitiva. Cali.

Ware, J. E., Kosinski, M., & Dewey, J. E. (2000). How to score version 2 of the SF-36 Health Survey. Lincoln, RI: QualityMetric Incorporated.

Ware, J. E., Kosinski, M., Gandek, B., et al. (1998). The factor structure of the SF-36 Health Survey in 10 countries: Results from the IQOLA Project. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51(11), 1159–1165.

Whelton, P. K., He, J., Appel, L. J., Cuttler, J. A., Havas, S., Kotchen, T. A., et al. (2002). Primary Prevention of hypertension. Clinical and public health advisory from the National High Blood Pressure Education Program. JAMA, 288(15), 1882-1888.

Whelton, S. P, Chin, A., Xin, X., & He, J. (2002). Effect of aerobic exercise on blood pressure: A meta-analysis of randomized, controlled trials. Annals Internal Medicine, 2, 493-503.

Yost, K., Haan, M., Levine, R., & Gold, E. (2005). Comparing SF-36 scores across three groups of women with different health profiles. Quality of Life Research, 14(5), 1251-1261.


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