Pre- and Post-Intervention Blood Pressure Analysis in a Community-Based Lifestyle Program
Hypertension is a major risk factor for cardiovascular disease, yet many individuals remain undiagnosed and untreated. This study utilizes data from a 6-month community-based lifestyle intervention, Hub City Steps, which collected blood pressure measurements at baseline, 3 months, and 6 months to evaluate the impact of behavioral changes on hypertension management. Among 269 participants, those with undiagnosed hypertension saw the greatest reductions (SBP: -12.3 mmHg, DBP: -7.8 mmHg, p<0.001), followed by self-reported hypertensive individuals (SBP: -8.2 mmHg, DBP: -4.0 mmHg, p<0.001). No significant change was observed in participants without hypertension. Paired t-tests, Wilcoxon Signed-Rank tests, and generalized linear mixed models confirmed these effects. Findings underscore the effectiveness of community-based participatory research (CBPR) approaches in improving hypertension management, particularly for undiagnosed individuals.