Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
JCR Impact Factor (IF) – 1.736
5-Year Impact Factor – 2.135
Index Copernicus  – 168.52
MEiN – 70 pts

ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
Periodicity – monthly

Download original text (EN)

Advances in Clinical and Experimental Medicine

2016, vol. 25, nr 3, May-June, p. 441–448

doi: 10.17219/acem/33838

Publication type: original article

Language: English

Download citation:

  • BIBTEX (JabRef, Mendeley)
  • RIS (Papers, Reference Manager, RefWorks, Zotero)

Compliance Among Adolescents with Arterial Hypertension

Anna Paczkowska1,A,B,C,D,E,F, Dorota Kopciuch1,D,E,F, Elżbieta Nowakowska1,A,C,E,F, Karolina Hoffmann2,B,C,E,F, Wiesław Bryl2,A,E,F

1 Department of Pharmacoeconomics and Social Pharmacy, Poznan University of Medical Sciences, Poland

2 Department of Internal Diseases, Metabolic Disorders and Arterial Hypertension, Poznan University of Medical Sciences, Poland


Background. The term “compliance” means the degree to which the patient’s behavior, applying medication or certain lifestyle changes, is consistent with arrangements communicated to him by a doctor or other healthcare professional. Literature indicates that the degree of adherence to medical recommendations for hypertensive patients is unsatisfactory, making it the main cause of the low effectiveness of antihypertensive therapy.
Objectives. The aim of the study was to assess the compliance of adolescents in the field of pharmacological and non-pharmacological methods of hypertension treatment.
Material and Methods. The study included 62 patients (20 women, 42 men) diagnosed with hypertension and treated in specialist healthcare facilities. As a research tool, a questionnaire prepared on the basis of recent literature was used.
Results. The vast majority of respondents (72.7%) declared that they were regularly taking antihypertensive drugs. The proportion of patients regularly taking antihypertensive drugs was higher in patients treated with monotherapy than with polytherapy (48.5% vs. 24.2%). Among the methods of non-pharmacological treatment of hypertension, the most accepted lifestyle change in the study population was smoking cessation (83.8% of respondents) and reduction of salt consumption (64.5% of respondents), and the least acceptable lifestyle change was maintaining proper body weight by eating a low calorie diet (30.6% of respondents).
Conclusion. Adolescents with hypertension adhere in varying degrees to medical recommendations related to the hypertension treatment. The available literature indicates that the currently effective way to improve cooperation with the patients is education.

Key words

compliance, arterial hypertension, adolescents

References (27)

  1. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ: The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: The JNC 7 Report. JAMA 2003, 289, 2560–2572.
  2. Chandar J, Zilleruelo G: Hypertensive crisis in children. Pediatr Nephrol 2012, 27, 741–51.
  3. Feber J, Ahmed M: Hypertension in children: New trends and challenges. Clin Sci 2010, 119, 151–161.
  4. Haynes RB, Taylor DW, Sackett DL: Compliance in Health Care. The Johns Hopkins University Press, Baltimore 1979, 1–18.
  5. Tykarski A, Brzezińska U: Terapia hipotensyjna a przestrzeganie zaleceń. Nadciśnienie tętnicze 2005, 9, 217–227.
  6. Waeber B, Burnier M, Brunner HR: The problem of compliance with antihypertensive therapy. In: Manual of Hypertension. Eds.: Mancia G, London, Churchill Livingstone 2002, 33–45.
  7. Garfield FN, Caro JJ: Compliance and hypertension. Curr Hypertens Rep 1999, 1, 502–506.
  8. WHO: Adherence to long-term therapies: Evidence for action. Geneva, WHO 2003.
  9. DiPietro A, Kees-Folts D, DesHarnais S, Camacho F, Wassner S: Primary hypertension at a single center: Treatment, time to control, and extended follow-up. Pediatr Nephrol 2009, 24, 2421–2428.
  10. Klocek M: Współpraca chorego z lekarzem i przestrzeganie zaleceń terapeutycznych. In: Hipertensjologia. Patogeneza, diagnostyka i leczenia nadciśnienia tętniczego. Eds.: Więcek A, Januszewicz A, SzczepańskaSadowska E, Prejbisz A, Medycyna Praktyczna, Kraków 2011, 112–118.
  11. Kumar Praveen N, Halesh L: Antihypertensive treatment: A study on correlates of nonadherence in a tertiary care facility. Int J of Biomed Res 2010, 1, 248–252.
  12. Lurbe E, Cifkova R, Cruickshank J: Management of high blood pressure in children and adolescents: Recommendations of the European Society of Hypertension. J Hypertens 2009, 27, 1719–1742.
  13. Stray-Pedersen M, Helsing R, Gibbons L, Cormick G, Holmen T, Vik T, Belizan J: Weight status and hypertension among adolescents girls in Argentina and Norway: Data from ENNyS and HUNT studies. BMC Public Health 2009, 9, 398.
  14. Singh A, Maheshwari A, Sharma N, Anand K: Lifestyle associated risk factors in adolescents. Indian J Pediatr 2006, 73, 901–906.
  15. Sugiyama T, Xie D, Graham-Maar R, Inoue K, Kobayashi Y, Stettler N: Dietary and lifestyle factors associated with blood pressure among U.S. Adolescents. J Adolesc Health 2007, 40, 166–172.
  16. Kyngäs H, Lahdenperä T: Compliance of patients with hypertension and associated factors. J Adv Nurs 1999, 29, 832–839.
  17. Mears C, Charlebois N, Holl J: Medication adherence among adolescents in a school-based health center. J Sch Health 2006, 76, 52–56.
  18. Krzych Ł, Kowalska M, Zejda J: Styl życia młodych osób dorosłych z podwyższonymi wartościami nadciśnienia tętniczego. Nadciśnienie Tętnicze 2006, 10, 524–531.
  19. Krzysztoszek J, Wierzejska E, Paczkowska A, Ratajczak P: Health-related behaviours and hypertension prevention in Poland. An envioronmental study. Arch Med Sci 2013, 9, 218–229.
  20. Kebede D, Ketsela T: Precursors of atherosclerotic and hypertensive diseases among adolescents in Addis Ababa, Ethiopia. Bulletin of the World Health Organization 1993, 71, 787–794.
  21. Rudatsikira E, Muula A, Siziya S: Current cigarette smoking among in-school American youth: Results from the 2004 National Youth Tobacco Survey. Int J Equity Health 2009, 8, 10.
  22. Grundy S, Garber A, Goldberg R: Prevention Conference VI: Diabetes and Cardiovascular Disease: Writing Group IV: Lifestyle and medical management of risk factors. Circulation 2002, 105, 153–158.
  23. Sabate E: World Health Organization. Adherence to long-term therapies: Evidence for action. World Health Organization, Geneva 2003.
  24. McMurray R, Harrell J, Bangdiwala S, Bradley C, Deng S, Levine A: A school-based intervention can reduce body fat and blood pressure in young adolescents. J Adolesc Health 2002, 31, 125–132.
  25. Harrell J, Gansky S, McMurray R: School-based interventions improve heart health in children with multiple cardiovascular disease risk factors. Pediatrics 1998, 102, 371–380.
  26. Couch S, Saelens B, Levin L, Dart K, Falciglia G, Daniels S: The efficacy of a clinic-based behavioral nutricion intervention emphasizing a DASH-type diet for adolescents with elevated blood pressure. Journal Pediatr 2008, 152, 494–501.
  27. Feng J, MacGregor G: Importance of salt in determining blood pressure in children: Meta-analysis of controlled trials. Hypertension 2006, 48, 861–869.