Evidence map›Paper›PMID 40525605›Full record

SynthesisNursing open2025

Effectiveness of Health Promotion Programs on Blood Pressure in People With Hypertension and Prehypertension in Southeast Asian Populations: Systematic Review and Meta-Analysis.

Pataporn Bawornthip, Andrea Driscoll, Damien Khaw, Anastasia Hutchinson

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nursing open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Pataporn BawornthipSchool of Nursing and Midwifery, Faculty of Health, Deakin University, Burwood, Victoria, Australia.ORCID https://orcid.org/0000-0002-8023-4071
Andrea DriscollSchool of Nursing and Midwifery, Faculty of Health, Deakin University, Burwood, Victoria, Australia.ORCID https://orcid.org/0000-0002-6837-0249
Damien KhawSchool of Nursing and Midwifery, Faculty of Health, Deakin University, Burwood, Victoria, Australia.ORCID https://orcid.org/0000-0002-9311-6912
Anastasia HutchinsonSchool of Nursing and Midwifery, Faculty of Health, Deakin University, Burwood, Victoria, Australia.ORCID https://orcid.org/0000-0002-0014-689X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate health promotion programmes for managing hypertension in Southeast Asia.

designSystematic review and meta-analysis.

methodsA systematic search was conducted across five databases: MEDLINE, APA PsycInfo, Scopus, Web of Science, and CINAHL, covering studies conducted in Southeast Asia and published in English from January 2003 to December 2023. The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and the protocol was registered in PROSPERO. Eligibility criteria included adults aged 18 years and older with prehypertension or hypertension, evaluating health promotion programmes focusing on exercise intervention, dietary modification, and health education compared with usual care.

resultsEleven of the twenty-six studies were included in meta-analyses and showed a statistically significant effect of the interventions on blood pressure. Two studies of dietary interventions demonstrated decreased systolic blood pressure with a pooled mean difference of 8.32 mmHg (95% CI -11.29, -5.34, p ≤ 0.001). Four studies of endurance exercise reduced systolic blood pressure with a pooled mean difference of 15.95 mmHg (95% CI -19.45, -12.46, p < 0.001). Two studies of combined diet and exercise with intensive coaching decreased systolic blood pressure with a pooled mean difference of 6.41 mmHg (95% CI -7.49, -5.33, p < 0.001). Two studies of health education show a clinically significant decrease in systolic blood pressure by 5-18 mmHg. PATIENT OR PUBLIC CONTRIBUTION: Health promotion interventions are feasible and acceptable in Southeast Asian populations and significantly reduce blood pressure, particularly systolic blood pressure. Consuming a healthy diet such as the Dietary Approaches to Stop Hypertension Diet (DASH), restricting sodium, and increasing potassium intake is feasible and effective in the Southeast Asian context. To optimise impacts on blood pressure control, endurance exercise interventions should adhere to established exercise principles. Health education programs should incorporate effective coaching strategies to enhance their impact.

Indexed as

Blood PressureHealth PromotionHypertensionPrehypertensionAdultAsia, SoutheasternHumansSoutheast Asian Peopledietary interventionexercisehealth educationhealth promotionhypertensionprehypertensionSoutheast Asia

Identifiers

PMID40525605
PMCPMC12172000

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.