The effect of medical nutrition therapy on changes in dietary knowledge and DASH diet adherence in older adults with cardiovascular disease

Racine, Elizabeth F.; Troyer, Jennifer L.; Warren‐Findlow, Jan; McAuley, William J.

doi:10.1007/s12603-011-0102-9

Cited by 34 publications

(26 citation statements)

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“…Knowledge regarding consequences of lifestyle changes and mechanisms of antihypertensive medication was not associated with control of hypertension. Similarly, an intensive nutritional intervention therapy (intense one-on-one educational sessions) for hypertensive patients increased knowledge but was not associated with improved dietary behaviour [17]. In summary, patient 8 ISRN Hypertension education can lead to increased knowledge about hypertension; however, this is not necessarily reflected in adaptations in behaviour [18] or, as this study shows, is not associated with better BP control.…”

Section: Natural Remedies Well After Um [-] Probably a Year And A Halmentioning

confidence: 60%

A Qualitative Study of Patient Perspectives about Hypertension

et al. 2013

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To understand hypertensive patients' perspectives regarding blood pressure and hypertension treatment, this qualitative study applied semistructured interviews of hypertensive patients. Participants were recruited from two hypertension clinics at the University of Alberta in Edmonton, Canada. To be eligible for inclusion, patients had to be aged 18 years or older, diagnosed with hypertension by a healthcare provider, and currently taking an antihypertensive medication. Participants were stratified in the analysis according to blood pressure control. Twenty-six patients (mean age 57; 62% female) were interviewed, of which 42% were on target and 58% were not. Three underlying themes emerged from the interviews: (a) knowledge of blood pressure relating to diagnosis and management and control of hypertension, (b) integration of hypertension management into daily routine, and (c) feelings and beliefs of wellness. None of the above themes were associated with better control. Knowledge gaps were found, which emphasize the need for further patient education and physician training. Feelings and beliefs of wellness, and not knowledge, were important factors in home assessment of blood pressure. The absence of connections between control of hypertension and the identified domains indicates that current approaches could benefit from the development of a more personalized approach for education and communication.

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Section: Natural Remedies Well After Um [-] Probably a Year And A Halmentioning

confidence: 60%

A Qualitative Study of Patient Perspectives about Hypertension

et al. 2013

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“…Under another randomized prospective trial, 2 studies examining the effects of different interventions on DASH compliance using DASH score were identified [16], [17]. This trial involved 210 participants aged ≥60 years with hyperlipidemia and/or hypertension.…”

Section: Resultsmentioning

confidence: 99%

“…The study by Troyer et al [16] was the main study focusing on the dietary changes between those received and not received therapeutic meals, while the study by E. Racine et al [17] was the sub-analysis of the effectiveness of MNT versus education information on DASH diet knowledge. In the first study [16], the analysis involved 210 participants, in which 50% received 7 therapeutic meals per week for 52 weeks.…”

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confidence: 99%

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Compliance with the Dietary Approaches to Stop Hypertension (DASH) Diet: A Systematic Review

et al. 2013

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BackgroundThe Dietary Approaches to Stop Hypertension (DASH) diet has been recognized as effective to lower blood pressure in feeding trials, but compliance with the diet must be persistent to maximize health benefits in clinical practice. This paper reports a systematic review of the latest evidence on the method to assess DASH compliance and the corresponding patients' compliance in interventional settings.MethodsThe databases including MEDLINE, EBM Reviews, EMBASE, and CINAHL Plus were searched for original research studies published in the period of January 1992- December 2012 that evaluated compliance with DASH diet. Studies written in English language, with DASH intervention, with complete documentation of the degree of DASH compliance and the assessment method used were included in this review. The search terms included: dietary approaches to stop hypertension, DASH, compliance, adherence, consistency, and concordance.ResultsNine studies were included. Different types of interventions were identified, ranging from feeding trial to dietary counseling. These studies differed in the assessment methods used to evaluate DASH compliance, which included objective approaches like measurement of urinary excretion, and subjective approaches like dietary intake assessment for DASH target comparison and construction of DASH scoring systems. Compliance levels were lower in educational interventions than that of the original DASH feeding trial.ConclusionsTo conclude, although no consensus existed regarding the best approach to assess DASH compliance, its suboptimal compliance warrants attention. This study implied a need to investigate effective approaches to sustain the DASH dietary pattern beyond counselling alone.

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“…Em relação ao tratamento medicamentoso, a principal dificuldade foi lembrar o horário para tomar a medicação. Observaram ainda associação entre o conhecimento da doença e o seguimento das orientações recebidas, mas não entre o conhecimento ou o seguimento das orientações com o controle de pressão arterial, demonstrando que, assim como no estudo de Ribeiro et al, 37 o conhecimento sobre a doença não necessariamente implica uma mudança de comportamento e, apesar de fundamental para a adesão do paciente, por si só não é o suficiente para promover mudanças necessárias para melhorar a adesão à dieta, 17,38 o que corrobora os achados na literatura.…”

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Adesão Às Orientações Nutricionais: Uma Revisão De Literatura

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Gomes

et al. 2017

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A adesão dos pacientes às orientações nutricionais é imprescindível para que se obtenham os resultados esperados da educação alimentar. O fenômeno da adesão e não adesão traz grande impacto na morbimortalidade de indivíduos que são acometidos por doenças crônicas e é um dos problemas mais importantes enfrentados pelos profissionais de saúde. Este trabalho teve como objetivo identificar como é avaliada a adesão às orientações nutricionais e seus determinantes, além de sumarizar formas para melhorar a adesão. Realizou-se uma revisão de literatura nas bases de dados eletrônicas SciELO, LILACS, PubMed e ClinicalKey, no período de 2005 a 2015. Ao longo da revisão literária, constatouse que a avaliação da adesão pode ser subjetiva ou objetiva e que é feita com diferentes tipos de ferramentas por causa da grande dificuldade encontrada na maneira de mensurar essa variável. Várias interfaces influenciam a adesão ao tratamento, como o paciente, a doença, a terapia, os aspectos socioeconômicos e culturais, o sistema de saúde e o relacionamento com os profissionais de saúde. Devido à complexidade da dimensão da temática adesão, não existe um método ou instrumento que se adapte a todos os objetivos e análises. Contudo, são necessários estudos metodológicos que elaborem e validem instrumentos de aferição da adesão às orientações nutricionais.Palavras-chave: Adesão do Paciente. Terapia Nutricional. Orientação. Avaliação. Fidelidade a Diretrizes.

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The effect of medical nutrition therapy on changes in dietary knowledge and DASH diet adherence in older adults with cardiovascular disease

Abstract: The MNT administered was effective at improving dietary knowledge, but not at improving DASH adherence. Three MNT sessions may be insufficient to change behavior. Integrating behavioral change theory and cultural sensitivity to MNT may improve diet adherence among diverse older adults.

Cited by 34 publications

References 28 publications

A Qualitative Study of Patient Perspectives about Hypertension

A Qualitative Study of Patient Perspectives about Hypertension

Compliance with the Dietary Approaches to Stop Hypertension (DASH) Diet: A Systematic Review

Adesão Às Orientações Nutricionais: Uma Revisão De Literatura

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