Our objective was to describe the adhesion to the non pharmacological anti hypertensive treatment among users of a school health center (SHC) in the city of Umuarama, Parana state, Brazil. This was an observational, transversal, and descriptive study for all the hypertensive people with a confirmed diagnosis of primary arterial hypertension, registered and accompanied in the SHC in Umuarama, until year 2003. Data were obtained through a structured interview with closed questions related to dietary inputs, smoking and alcoholism, stress, and practice of physical activities. The percentage of adhesion to the nonpharmacological treatment was identified, as well as the characterization of the hypertensive patients. It was concluded that the adhesion to the non-pharmacological treatment did not occur among most of the interviewed patients, especially concerning to diet and physical activities.