Nutrition related knowledge and practices of hypertensive adults attending hypertensive clinics at day hospitals in the Cape Metropole

Becker, H; Bester, Mary Estelle; Reyneke, N.; Labadarios, Demetre; Monyeki, Kotsedi Daniel; Steyn, Nelia P.

doi:10.4102/curationis.v27i2.988

Cited by 4 publications

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“…Knowledge on the detrimental effect of high salt intake was fairly high and higher than could have been anticipated from previous research [ 10 , 11 , 12 , 13 , 14 ]. However, fairly good knowledge about health effects of salt did not seem to have translated into strong attitudes and practices with regards to salt intake reduction.…”

Section: Discussionmentioning

confidence: 80%

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Food Consumption, Knowledge, Attitudes, and Practices Related to Salt in Urban Areas in Five Sub-Saharan African Countries

et al. 2018

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High salt intake is a major risk factor of hypertension and cardiovascular disease. Improving knowledge, attitudes, and practices (KAP) related to salt intake in the general population is a key component of salt reduction strategies. The objective of this study was to describe and compare the KAP of adults related to salt in urban areas of five countries in sub-Saharan Africa. The survey included 588 participants aged 25 to 65 years who were selected using convenience samples in the urban areas of Benin, Guinea, Kenya, Mozambique, and Seychelles. Socio-demographic and food consumption were assessed using a structured closed-ended questionnaire administered by survey officers. Height, weight, and blood pressure were measured. Food consumption varied largely between countries. Processed foods high in salt, such as processed meat, cheese, pizzas, and savory snacks were consumed rather infrequently in all the countries, but salt-rich foods, such as soups or bread and salty condiments, were consumed frequently in all countries. The majority of the participants knew that high salt intake can cause health problems (85%) and thought that it is important to limit salt intake (91%). However, slightly over half (56%) of the respondents regularly tried to limit their salt intake while only 8% of the respondents thought that they consumed too much salt. Salt and salty condiments were added most of the time during cooking (92% and 64%, respectively) but rarely at the table (11%). These findings support the need for education campaigns to reduce salt added during cooking and for strategies to reduce salt content in selected manufactured foods in the region.

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Section: Discussionmentioning

confidence: 80%

“…Only a few studies have examined KAP related to salt intake in SSA countries [ 10 , 11 , 12 , 13 , 14 ]. These studies have generally found low levels of KAP related to salt intake.…”

Section: Introductionmentioning

confidence: 99%

Food Consumption, Knowledge, Attitudes, and Practices Related to Salt in Urban Areas in Five Sub-Saharan African Countries

et al. 2018

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“…As well as being able to quantify Na intake, as would be required for the purpose of epidemiological surveys and clinical trials, a rapid scoring system was developed to enable its use in public health-related activities. The majority of South African hypertensive patients receive dietary advice from nurses at primary care clinics but there is a lack of health promotion tools to assist clinic staff in empowering patients to consume a diet that is low in Na and high in potassium 36 . Despite hypertensive patients having a good knowledge of the role of salt intake in the development of hypertension 32 , few are consuming diets with daily salt content <6 g 37 .…”

Section: Discussionmentioning

confidence: 99%

Development and validation of a short questionnaire to assess sodium intake

Charlton

Steyn

Levitt

et al. 2008

Public Health Nutr.

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Nel, J. (2008). Development and validation of a short questionnaire to assess sodium intake. Public Health Nutrition, 11 (1), 83-94. Development and validation of a short questionnaire to assess sodium intake AbstractObjectives: To develop and validate a short, food frequency questionnaire to assess habitual dietary salt intake in South Africans and to allow classification of individuals according to intakes above or below the maximum recommended intake of 6 g salt/day. Design: Cross-sectional validation study in 324 conveniently sampled men and women. Methods: Repeated 24-hr urinary Na values and 24-hr dietary recalls were obtained on three occasions. Food items consumed by > 5% sample and which contributed e 50 mg Na/serving were included in the questionnaire in 42 categories. A scoring system was devised, based on Na content of one index food per category and frequency of consumption. Results: Positive correlations were found between Na content of 35 of the 42 food categories in the questionnaire and total Na intake, calculated from 24-hr recall data. Total Na content of the questionnaire was associated with Na estimations from 24-hr recall data (r = 0.750; P Keywords sodium, questionnaire, intake, validation, short, assess, development Disciplines Medicine and Health Sciences | Social and Behavioral Sciences Publication DetailsCharlton, K. E., Steyn, K., Levitt, N., Jonathan, D., Zulu, J. & Nel, J. (2008). Development and validation of a short questionnaire to assess sodium intake. Public Health Nutrition, 11 (1), 83-94. AuthorsKaren E. Charlton, Krisela Steyn, Naomi Levitt, Deborah Jonathan, Jabuliswe Zulu, and Johanna Nel Abstract Objectives: To develop and validate a short food-frequency questionnaire to assess habitual dietary salt intake in South Africans and to allow classification of individuals according to intakes above or below the maximum recommended intake of 6 g salt day 21 . Design: Cross-sectional validation study in 324 conveniently sampled men and women. Methods: Repeated 24-hour urinary Na values and 24-hour dietary recalls were obtained on three occasions. Food items consumed by .5% of the sample and which contributed $50 mg Na serving 21 were included in the questionnaire in 42 categories. A scoring system was devised, based on Na content of one index food per category and frequency of consumption. Results: Positive correlations were found between Na content of 35 of the 42 food categories in the questionnaire and total Na intake, calculated from 24-hour recall data. Total Na content of the questionnaire was associated with Na estimations from 24-hour recall data (r 5 0.750; P , 0.0001; n 5 328) and urinary Na (r 5 0.152; P 5 0.0105; n 5 284). Urinary Na was higher for subjects in tertile 3 than tertile 1 of questionnaire Na content (P , 0.05). Questionnaire Na content of ,2400 and $2400 mg day 21 equated to a reference cut-off score of 48 and corresponded to mean (standard deviation) urinary Na values of 145 (68) and 176 (99) mmol day 21 , respectively (P , 0.05). Sensitivity and spe...

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“…We acknowledge Becker et al (2004) for granting us the opportunity to use their questionnaire, as well as the hypertensive clients and healthcare professionals in those three primary healthcare clinics, without whom this study would not have been possible.…”

Section: Acknowledgementsmentioning

confidence: 99%

“…Permission was granted by Becker et al (2004) to conduct a similar study in Ga-Rankuwa. The principles of respect for persons, beneficence, justice and confidentiality were applied (Nkosi 2008:100-102).…”

Section: Ethical Considerationmentioning

confidence: 99%

Compliance or non-compliance of hypertensive adults to hypertension management at three primary healthcare day clinics in Tshwane

Mafutha

Wright

2013

curationis

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The objective of this article was to report on the rate of compliance to medication, sodium use and appointment keeping of hypertensive adults who are attending primary healthcare clinics in Tshwane. Despite the availability of effective management of hypertension globally, non-compliance to management still exists. This article reports on the hypertensive adult's compliance to medication, sodium use and appointment keeping. The design was a crosssectional descriptive study. The sample was n = 101 hypertensive patients from three primary healthcare clinics. Structured interviews were used to gather the data. The results indicated a variation in compliance rate depending on the question asked. When investigating whether the participants received enough medication on their last visit to the clinic, 98% said that they received enough medication to last them a month (Nkosi 2008:130). However, the appointment-keeping scale revealed that 23% of the participants reported that they left the clinic without prescribed medication or missed an appointment. When, using the Hill-Bone Compliance Scale, individuals were asked a question using the verb forgetting, 9 out of 10 would answer 'no', but when the verb decide was used to determine compliance, 6 out of 10 would admit to deciding not to take their medication sometimes. In terms of sodium use, 33% showed good compliance and 44% low compliance (Nkosi 2008:138). Compliance with regard to taking hypertension medication was 70%, which is good. This study recommends that compliance to hypertension management be assessed by asking questions specifically for sodium use, medication and appointment keeping as it was clear from the findings of this study that a person would comply with appointment keeping but not take medication daily as prescribed or not use sodium as recommended.

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Nutrition related knowledge and practices of hypertensive adults attending hypertensive clinics at day hospitals in the Cape Metropole

Cited by 4 publications

References 0 publications

Food Consumption, Knowledge, Attitudes, and Practices Related to Salt in Urban Areas in Five Sub-Saharan African Countries

Food Consumption, Knowledge, Attitudes, and Practices Related to Salt in Urban Areas in Five Sub-Saharan African Countries

Development and validation of a short questionnaire to assess sodium intake

Compliance or non-compliance of hypertensive adults to hypertension management at three primary healthcare day clinics in Tshwane

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