<p>The study included 301 respondents with a 100% response rate.158 (52.5%) were females and the median age was 57 (±12.4 SD) years. The overall adherence in this study was only 26.9%.The study found that the patients aged older than 55 years (AOR= 2.81; 95% CI: 1.35-5.84), formal education (AOR: 0.52; 95% CI: 0.28 - 0.96), the patients who had hypertension with 5 to 10 years diagnosis time (AOR = 2.33: 95% CI: 1.01–5.37), co-morbidity (AOR=2.06; 95% CI: 1.21,3.49) and good knowledge about healthy lifestyle (AOR:0.42; 95% CI: 0.24-0,74) have an independently associated with adherence to lifestyle modifications.</p>