A significant decrease in blood pressure through a family-based nutrition health education programme among community residents in Taiwan

Hsieh, Yi Chen; Hung, Chi Tzong; Lien, Li Ming; Bai, Chyi Huey; Chen, Wei Hong; Yeh, Ching Ying; Chen, Yi Hua; Hsieh, Fang I.; Chiu, Hou Chang; Chiou, Hung Yi; Hsu, Chung Y.

doi:10.1017/s1368980008002875

Cited by 26 publications

(18 citation statements)

References 16 publications

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“…Thus, programs and interventions that consider the role of families in building individuals' resilience would likely be of greater effectiveness than programs that do not incorporate the family. For instance, a family-based nutrition health education program for hypertensive patients in Taiwan was found to be effective in lowering blood pressure, decreasing weight, and significantly reducing stroke-related risk factors [61]. As part of this program, all family members were educated on tips for modifying unfavorable lifestyle behaviors (e.g., nutrition), which resulted in a significant stroke risk reduction compare to the control group that did not incorporate the family.…”

Section: Discussionmentioning

confidence: 99%

Exploring health and well-being in Taiwan: what we can learn from individuals’ narratives

et al. 2020

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Background: Our aim was to explore the concepts of health and well-being from the point of view of the people experiencing them. Most of the efforts to understand these concepts have focused on disease prevention and treatment. Less is known about how individuals achieve health and well-being, and their roles in the pursuit of a good life. We hoped to identify important components of these concepts that may provide new targets and messages to strengthen existing public health programs. An improved understanding of health and well-being-or what it means to be well-can guide interventions that help people lead healthier, more fulfilling lives. Methods: Using a grounded qualitative approach drawing from narrative inquiry, we interviewed 24 Taiwanese adults. Thematic inductive coding was employed to explore the nature of health and well-being. Results: Eight constituent domains emerged regarding well-being and health. While the same domains were found for both constructs, important frequency differences were found when participants discussed health versus wellbeing. Physical health and lifestyle behaviors emerged as key domains for health. Disease-related comments were the most frequently mentioned sub-category within the physical health domain, along with health care use and aging-related changes. For well-being, family and finances emerged as key domains. Family appears to be a cornerstone element of well-being in this sample, with participants often describing their personal well-being as closely tied to-and often indistinguishable from-their family. Other domains included work-life, sense of self, resilience, and religion/spirituality. Conclusions: Health and well-being are complex and multifaceted constructs, with participants discussing their constituent domains in a very interconnected manner. Programs and policies intended to promote health and wellbeing may benefit from considering these domains as culturally-appropriate leverage points to bring about change. Additionally, while the domains identified in this study are person-centered (i.e., reflecting the personal experiences of participants), the stories that participants offered provided insights into how well-being and health are influenced by structural, societal and cultural factors. Our findings also offer an opportunity for future refinement and rethinking of existing measurement tools surrounding these constructs.

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Section: Discussionmentioning

confidence: 99%

Exploring health and well-being in Taiwan: what we can learn from individuals’ narratives

et al. 2020

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“…In the present case-control study, the subjects were composed of 765 first-ever ischemic stroke patients, who entered FSGC between 2005 and 2009. A total of 2736 healthy subjects were recruited as possible controls from a community-based prospective study of the nutrition health education program in Taipei City [9] and subjects who underwent physical examinations at TMUH during 2008-2009. Among these participants, 53 subjects with prevalent stroke were excluded.…”

Section: Methodsmentioning

confidence: 99%

Association between genetic variant on chromosome 12p13 and stroke survival and recurrence: a one year prospective study in Taiwan

et al. 2012

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BackgroundThe association between ischemic stroke and 2 single nucleotide polymorphisms (SNPs) on chromosome 12p13, rs12425791 and rs11833579 appears inconsistent across different samples. These SNPs are close to the ninjurin2 gene which may alter the risk of stroke by affecting brain response to ischemic injury. The purpose of this study was to investigate the association between these two SNPs and ischemic stroke risk, as well as prognostic outcomes in a Taiwanese sample.MethodsWe examined the relations of these two SNPs to the odds of new-onset ischemic stroke, ischemic stroke subtypes, and to the one year risk of stroke-related death or recurrent stroke following initial stroke in a case-control study. A total of 765 consecutive patients who had first-ever ischemic stroke were compared to 977 stroke-free, age-matched controls. SNPs were genotyped by Taqman fluorescent allelic discrimination assay. The association between ischemic stroke and SNPs were analyzed by multivariate logistic regression. Cox proportional hazard model was used to assess the effect of individual SNPs on stroke-related mortality or recurrent stroke.ResultsThere was no significant association between SNP rs12425791 and rs11833579 and ischemic stroke after multiple testing corrections. However, the marginal significant association was observed between SNP rs12425791 and large artery atherosclerosis under recessive model (OR, 2.30; 95%CI, 1.22-4.34; q-value = 0.062). Among the 765 ischemic stroke patients, 59 died or developed a recurrent stroke. After adjustment for age, sex, vascular risk factors and baseline stroke severity, Cox proportional hazard analysis indicated that the hazard ratios were 2.76 (95%CI, 1.34-5.68; q-value, 0.02) and 2.15 (95%CI, 1.15-4.02; q-value, 0.03) for individuals with homozygous variant allele of rs12425791 and rs11833579, respectively.ConclusionsThis is a precedent study that found genetic variants of rs12425791 and rs11833579 on chromosome 12p13 are independent predictors of stroke-related mortality or stroke recurrence in patients with incident ischemic stroke in Taiwan. Further study is needed to explore the details of the physiological function and the molecular mechanisms underlying the association of this genetic locus with ischemic stroke.

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“…Details of the sampling scheme and descriptions have been published elsewhere. 17 Subjects of the second group (nϭ869) were volunteers in the same community. They agreed to join our study and receive an additional neurological examination during their self-paid physical examination in Shin Kong Wu Ho-Su Memorial Hospital.…”

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confidence: 99%

Adults With Late Stage 3 Chronic Kidney Disease Are at High Risk for Prevalent Silent Brain Infarction

Chou

Lien

Chen

et al. 2011

Stroke

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Background and Purpose-The close relationship between stroke and chronic kidney disease (CKD) has been well-documented. However, few studies have focused on silent brain infarction (SBI) in CKD. We investigated the prevalence of SBI in different stages of CKD. Methods-We included 1312 participants aged 30 to 93 years who came from either a random sample of residents or from a group of physically examined subjects in the same community. Basic information, clinical evaluations, laboratory tests, and MRI images were assessed. Subjects were divided into groups 1, 2, 3a, and 3b, corresponding to the estimated glomerular filtration rate (eGFR) levels of Ն90.0, 60.0 to 89.9, 45.0 to 59.9, and 30.0 to 44.9 mL/min/1.73 m 2 . Results-The crude prevalence was 4.7%: 2.6% (20 of 759 subjects) in group 1; 6.3% (32 of 506) in group 2; 12.9% (4 of 31) in group 3a; and 37.5% (6 of 16) in group 3b (PϽ0.001). Additionally, SBI also correlated with age, male sex, hypertension, diabetes, moderate carotid plaque, higher blood pressures, obesity, and levels of triglyceride, high-density lipoprotein cholesterol, high-sensitivity C-reactive protein, and uric acid (all PϽ0.05).

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A significant decrease in blood pressure through a family-based nutrition health education programme among community residents in Taiwan

Cited by 26 publications

References 16 publications

Exploring health and well-being in Taiwan: what we can learn from individuals’ narratives

Exploring health and well-being in Taiwan: what we can learn from individuals’ narratives

Association between genetic variant on chromosome 12p13 and stroke survival and recurrence: a one year prospective study in Taiwan

Adults With Late Stage 3 Chronic Kidney Disease Are at High Risk for Prevalent Silent Brain Infarction

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