Impact of Lifestyle Modification Counseling on Hypertension Control in Opd patients: a Prospective Observational Study

Abstract

Background:Hypertension is a significant modifiable risk factor of cardiovascular morbidity and mortality across the
globe. Lifestyle modification counseling plays a critical role in blood pressure (BP) management, especially in outpatient
settings.
Objective:To evaluate the role of structured lifestyle modification counseling on the control of blood pressure among
patients with hypertension attending the outpatient department (OPD).
Methods:This study was conducted at a tertiary care center in Bihar. A total of 130 hypertensive patients were enrolled
over a 9-month period (April 2025 to December 2025), and each participant was followed up for 3 months. Baseline
demographic, clinical, and lifestyle parameters were recorded. Patients received standardized counselling. Blood pressure
readings were recorded at baseline and follow-up visits. Statistical analysis was performed using paired t-test and chisquare
test.
Results: Mean systolic BP reduced significantly from 152.4 ± 12.6 mmHg at baseline to 136.8 ± 10.2 mmHg at 3 months
(p < 0.001). Mean diastolic BP decreased from 94.2 ± 8.4 mmHg to 84.6 ± 6.8 mmHg (p < 0.001). The proportion of
patients achieving BP control increased from 18.5% to 62.3% (p < 0.001).
Conclusion: Lifestyle modification counseling significantly improves blood pressure control in hypertensive OPD patients.
Incorporating structured counseling into routine clinical practice can enhance hypertension management outcomes.