The Effect of Sodium Reduction Education Program of a Public Health Center on the Blood Pressure, Blood Biochemical Profile and Sodium Intake of Hypertensive Adults

정은진,; 손숙미,; 권종숙,

doi:10.5720/kjcn.2012.17.6.752

Cited by 21 publications

(6 citation statements)

References 19 publications

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“…Moon and Kim (2011) showed that a nutrition education programme (comprising four sessions) significantly decreased blood cholesterol from 200.7 to 188.7 mg/dL in a group of hypertensive patients. When it came to triglycerides and HDL, findings in literature are contradictory (Hartman et al, 1995;Jung et al, 2012;Lee et al, 2010). A possible explanation for the lack of congruency between our findings and those of wider literature could be related to the study population.…”

Section: Discussioncontrasting

confidence: 79%

“…This could also be related to the short intervention period. Existing evidence is contradictory when it comes to the association between health education and hypertension, with some studies showing a significant improvement in blood pressure (Jung et al, 2012), while others display a lack of effect (Moon and Kim, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…A possible explanation for the lack of congruency between our findings and those of wider literature could be related to the study population. The majority of the existing studies have investigated the impact of health education on health outcomes in individuals already suffering from various chronic diseases (Hsieh et al, 2009;Jung et al, 2012;Lee et al, 2010;Metghalchi et al, 2008). However, our study is one of the few studies that assessed the effectiveness of health education as a primary preventive tool in a population that was mostly free from, but at the risk of having, cardio-metabolic risk factors.…”

Section: Discussionmentioning

confidence: 99%

“…However, not enough research has been conducted to investigate the impact of a health education intervention that emphasises the intake of dietary fibre and its effect on CVD risk factors. Most interventions targeted the intake of specific food groups, such as fruits and vegetables, known to be rich in dietary fibre, without underlining dietary fibre itself or its substantial health benefits Health education that emphasises lifestyle modification through healthy eating and increasing fibre consumption could have a role in the prevention of heart disease and various cardiometabolic factors, such as diabetes (Creamer et al, 2016;Philis-Tsimikas et al, 2011), hypertension (Hsieh et al, 2009;Jung et al, 2012) and obesity (Hsieh et al, 2009), even after short intervention periods. When it comes to the association with dyslipidaemia, the evidence is not as strong and varies based on the specific type of blood lipid.…”

Section: Introductionmentioning

confidence: 99%

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Effects of nutrition education on cardio-metabolic outcomes: A randomised clinical trial

Santos

Beeson

Segovia‐Siapco

et al. 2019

Health Education Journal

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Objective: The aim of this study was to assess the effect of Full Plate Diet (FPD) on the primary prevention of cardio-metabolic risk factors. Design: Randomised clinical trial. Setting: Drayson Center, Loma Linda University, CA, USA. Methods: Forty individuals were randomly assigned to either an intervention group receiving the FPD health education for 10 weeks or to a control group not receiving this intervention. Comprehensive evaluations of clinical and anthropometric outcomes were conducted at baseline and at the end of intervention. To assess within-group changes and between-group differences, a general linear model was used. Results: Significant reductions in weight (−1.54 kg, 95% confidence interval [CI] −2.5, −.54) and total cholesterol (TC) (−11.7 mg/dL; 95% CI −21.4, −2) and non-significant reductions in means for low-density lipoprotein cholesterol (LDL-C) (−7.3 mg/dL, 95% CI −16, 1.5) and triglycerides (−18.7 mg/dL, 95% CI −46, 8.5) were observed in the intervention group after 10 weeks compared with baseline. These reductions were non-significantly higher in the intervention compared with the control group. There were no significant mean changes in systolic and diastolic blood pressure, high-density lipoprotein cholesterol (HDL-C) and haemoglobin A1c (A1c) in the intervention group after 10 weeks. Conclusion: A multi-component programme comprising 10 weeks of health education that emphasised the high intake of fibre failed to significantly reduce cardio-metabolic risk factors. It did show a downward trend in triglycerides, TC and body weight that may be of clinical importance suggesting that a future investigation with a longer intervention duration is needed.

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Section: Discussioncontrasting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of nutrition education on cardio-metabolic outcomes: A randomised clinical trial

Santos

Beeson

Segovia‐Siapco

et al. 2019

Health Education Journal

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“…A self-administered questionnaire was developed based on previous studies [ 16 , 17 , 18 ], and face validity was established by experts. The questionnaire consisted of the following three sections: demographic information, questions for classifying the stage of behavioral change, and cognitive and behavioral factors related to reducing sodium intake (see in Supplementary Material ).…”

Section: Methodsmentioning

confidence: 99%

Stages of Behavioral Change for Reducing Sodium Intake in Korean Consumers: Comparison of Characteristics Based on Social Cognitive Theory

et al. 2017

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High sodium intake increases the risk of cardiovascular disease. Given the importance of behavioral changes to reducing sodium intake, this study aims to investigate the stages of change and the differences in cognitive and behavioral characteristics by stage in Korean consumers. Adult participants (N = 3892) completed a questionnaire on the stages of behavioral change, recognition of social efforts, outcome expectancy, barriers to practice, nutrition knowledge and dietary behaviors, and self-efficiency related to reduced sodium intake. The numbers of participants in each stage of behavioral change for reducing sodium intake was 29.5% in the maintenance stage, 19.5% in the action stage, and 51.0% in the preaction stage that included the precontemplation, contemplation, and preparation stages. Multiple logistic regression showed that the factors differentiating the three stages were recognizing a supportive social environment, perceived barriers to the practice of reducing sodium intake, and self-efficacy to be conscious of sodium content and to request less salt when eating out. Purchasing experience of sodium-reduced products for salty foods, knowledge of the recommended intake of salt and the difference between sodium and salt, and improving dietary habits of eating salted fish, processed food, and salty snacks were factors for being in the action stage versus the preaction stage. These findings suggest that tailored intervention according to the characteristics of each stage is helpful in reducing sodium intake.

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Effects of a Self-Care Reinforcement Program for Socially Vulnerable Elderly Women with Metabolic Syndrome in Korea

Park

Sung

2019

J Korean Acad Community Health Nurs

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The Effect of Sodium Reduction Education Program of a Public Health Center on the Blood Pressure, Blood Biochemical Profile and Sodium Intake of Hypertensive Adults

Cited by 21 publications

References 19 publications

Effects of nutrition education on cardio-metabolic outcomes: A randomised clinical trial

Effects of nutrition education on cardio-metabolic outcomes: A randomised clinical trial

Stages of Behavioral Change for Reducing Sodium Intake in Korean Consumers: Comparison of Characteristics Based on Social Cognitive Theory

Effects of a Self-Care Reinforcement Program for Socially Vulnerable Elderly Women with Metabolic Syndrome in Korea

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