Deteriorating Dietary Habits Among Adults With Hypertension

Mellen, Philip B.; Gao, Sue; Vitolins, Mara Z.; Goff, David C.

doi:10.1001/archinternmed.2007.119

Cited by 352 publications

(252 citation statements)

References 34 publications

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“…Este facto é patente na deterioração secular do impacto das mensagens relativas à dieta DASH (Dietary Approach to Stop Hypertension), dirigidas a doentes com hipertensão arterial. 65 Mesmo indivíduos que aderem e obtêm resultados favoráveis, com intervenções direcionadas ao estilo de vida, tendem a aderir menos a intervenções subsequentes. 64 A dificuldade em promover adesão terapêutica sustentada tem uma das suas máximas expressões nas recidivas observadas em indivíduos submetidos a cirurgia bariátrica.…”

Section: Promoção Da Atividade Físicaunclassified

Promovendo Mudanças Comportamentais Sustentáveis no Controlo do Peso Corporal

et al. 2014

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RESUMOA obesidade assume atualmente uma importância óbvia, expressa pelos esforços de investigação, de saúde pública e clínicos, a nível mundial. Se a evidência produzida aponta para algumas direções de sucesso terapêutico, a efetividade destas a médio ou longo prazo tende a ser pouco satisfatória. A literatura não é inequívoca em áreas nucleares da intervenção nutricional para tratamento da obesidade, como sejam a magnitude da restrição energética, a proporção dos macronutrientes, o fracionamento alimentar, entre outros. O mesmo acontece na área da recomendação de atividade física. Proliferam assim as formas de intervenção e importa portanto fazer um exercício de integração da evidência científica e clínica. Este artigo consiste numa revisão narrativa de questões centrais para a prática da intervenção em obesidade, nomeadamente no que toca às ações que, no seu conjunto, visam a redução e/ou controlo do peso corporal e seus benefícios. Salienta-se o papel do profissional de saúde como promotor de hábitos que favorecem o controlo do peso corporal, numa perspetiva que integra o saber científico do profissional com a disponibilidade e capacidade para a mudança do doente. Palavras-chave: Obesidade; Comportamento Alimentar; Peso Corporal. ABStRACtThere is a wide acknowledgement of obesity as a relevant clinical entity. Such relevance can be inferred by the huge worldwide amount of research and related health promotion and clinical efforts. Though the evidence sustains some cues for the therapeutic success, the overall long-term effectiveness of obesity treatment tends to be not so satisfactory. Scientific literature is not unequivocal in key areas of nutritional intervention, such as the magnitude of caloric restriction, proportion of macronutrients, meal frequency, among others. The same applies to the area of physical activity recommendation for weight control. As a correlate of this scenario of incertitude, there is a proliferation of interventions and there is a clear need to integrate the scientific and clinical evidence. This paper presents a narrative literature review of key issues of clinical practice in obesity, regarding a set of actions that, in the overall, have as main purpose the promotion of reduction and/or control of body weight. The role of the health professional is highlighted as a facilitator of acquisition of habits that favor weight control, by integrating the professional's scientific knowledge with the patient's readiness for and capacity to change. Keywords: Eating Disorders; Feeding Behavior; Body Weight; Obesity. INtRODUÇÃOA sobrecarga ponderal e suas comorbilidades são um problema-chave de saúde, com elevados custos biopsicossocias.1 Os últimos dados de prevalência a nível nacional (2003)(2004)(2005) revelam mais de 50% de adultos com peso excessivo (14,2% obesos).2 Atendendo à evolução epidemiológica conhecida, é razoável considerar que estes valores sejam já uma subestimação da realidade.A efetividade das intervenções visando a redução e/ou controlo do peso corporal tem-se revelado pou...

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Section: Promoção Da Atividade Físicaunclassified

Promovendo Mudanças Comportamentais Sustentáveis no Controlo do Peso Corporal

et al. 2014

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“…6 In several other population studies, there were high rates of obesity, smoking, physical inactivity and poor dietary habits in participants reporting hypertension. 7,8 In the National Health and Nutrition Examination, only 19.4% of hypertensive participants adhered to Dietary Approaches to Stop Hypertension dietary guidelines. 8 In this issue of the Journal of Human Hypertension, Scheltens et al 9 provide further cause for concern.…”

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confidence: 99%

“…7,8 In the National Health and Nutrition Examination, only 19.4% of hypertensive participants adhered to Dietary Approaches to Stop Hypertension dietary guidelines. 8 In this issue of the Journal of Human Hypertension, Scheltens et al 9 provide further cause for concern. Among 8779 well-characterized hypertensive participants from the European Investigation into Cancer and Nutrition cohort, those that were aware of their condition more often adhered to several dietary guidelines (including intake of fat, fibre and alcohol) compared with unaware hypertensives, although there were no differences in other important behaviours including smoking and physical activity.…”

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confidence: 99%

“…For example, among hypertensive participants from the National Health and Nutrition Examination, participants of non-Hispanic black ethnicity, men, and those with cardiovascular risk factors (high cholesterol, diabetes and overweight), were more likely to report receiving lifestyle modification counselling. 11,12 However, those receiving advice are not necessarily more likely to adhere to the recommendations, as adherence to the Dietary Approaches to Stop Hypertension diet was associated with non-black ethnicity, higher education and known diabetes mellitus, 8 and other data have shown greater levels of nonadherence in obese hypertensives. 11 A second important issue may be that when anti-hypertensive drug treatment is initiated healthy lifestyle changes seem less crucial to patients.…”

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confidence: 99%

See 1 more Smart Citation

Adherence to healthy lifestyle in hypertensive patients: ample room for improvement?

Hamer

2010

J Hum Hypertens

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“…These observations are of particular importance to the US population as dietary patterns in the United States have become less DASH-like, since publication of the original DASH report. 3 Thus, the blood pressure benefits of isolated moderation of salt intake may be even greater now than previously, especially in view of the progressive increase in mean population age, another important factor related to salt sensitivity.…”

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confidence: 99%