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2010 | 60 | 1 |

Tytuł artykułu

Compliance to DASH diet by patients with essential hypertension

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Języki publikacji

EN

Abstrakty

EN
Lifestyle modification, including dietary changes, is very important in the prevention and treatment of hypertension. It has been well documented that DASH (Dietary Approaches to Stop Hypertension) diet has the potential to lower blood pressure and to improve patients’ overall health. The aim of this study was to evaluate compliance to DASH diet by patients with essential hypertension. A total of 159 patients with medically treated essential hypertension, 80 men and 79 women were included in the study. All patients were taking multiple antihypertensive drugs to achieve hypertension target goal (<140/90 mm Hg). Over 70% of hypertensive patients were obese (BMI ≥30 kgm2) and abdominal obesity, confirmed by waist circumferences, was found in 94.3% of them. The diets of hypertensive patients met daily nutritional guidelines only for protein and sodium intake. According to DASH diet, very high intakes of saturated fat and cholesterol, as well as a high intake of total fat were found. The intakes of hypotensive minerals such as calcium, potassium and magnesium were below the levels recommended by DASH diet. Daily intake of fiber was only 25.6±10.3 g among men and 21.6±6.5 g among women (70- 80% of recommended value). This diet profile may contribute to an increased risk of cardiovascular diseases. Most of the hypertensive patients on DASH diet require major dietary changes. A comprehensive, tailored nutritional education, provided by dietitian, should be offered for motivated patients.

Słowa kluczowe

Wydawca

-

Rocznik

Tom

60

Numer

1

Opis fizyczny

p.71-76,ref.

Twórcy

autor
  • Department of Dietetics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences, Nowoursynowska 159C, 02-776 Warsaw, Poland
autor
autor

Bibliografia

  • 1. Bansal N., Tendler B.E., White W.B., Mansoor G.A., Blood pressure control in the hypertension clinic. Am. J. Hypertens., 2003, 16, 878–880.
  • 2. Chakraborti S., Chakraborti T., Mandal M., Mandal A., Das S., Ghos S., Protective role of magnesium in cardiovascular disease: a review. Mol. Cell. Biochem., 2002, 238, 163–179.
  • 3. Chobanian A.V., Bakris G.L., Black H.R., Cushman W.C., Green L.A., Izzo J.L.Jr., Jones D.W., Materson B.J., Oparil S., Wright J.T.Jr., Roccella E.J., The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of high blood pressure: the JNC 7 report. J. Am. Med. Assoc., 2003, 2560–2572.
  • 4. Chuang S-Y., Chou P., Hsu P-F., Cheng H-M., Tsai S-T., Lin I-F., Chen C-H., Presence and progression of abdominal obesity are predictors of future high blood pressure and hypertension. Am. J. Hypertens., 2006, 19, 788–795.
  • 5. Das U.N., Nutritional factors in the pathobiology of human essential hypertension. Nutrition, 2001, 17, 337–346.
  • 6. Davy K.P., Hall J.E., Obesity and hypertension: two or one? Am. J. Physiol. Regul. Integr. Comp. Pysiol., 2004, 286, R803-R813.
  • 7. Delbridge E., Prendergast L., Pritchard J., Proietto J., The effect of a high protein vs. high carbohydrate diet on cardiovascular risk factors. M.Walqvist, A.Okada (eds): Asia Pac. J. Clin. Nutr., 2006, 15, HEC Press, Australia S42 (abstract).
  • 8. Gus M., Cichelero F.T., Moreira C.M., Escobar G.F., Moreira L.B., Wiehe M., Fuchs S.C., Fuchs F.D., Waist circumference cutoff values to predict the incidence of hypertension: an estimation from a Brazilian population-based cohort. Nutr. Metab. Card. Dis., 2008, 19, 15–19.
  • 9. He J., Streiffer R., Muntner P., Krousel-Wood M.A., Whelton P.K., Effect of dietary fiber on blood pressure: a randomized, double-blind, placebo-controlled trials. J. Hypertens., 2004, 22, 73–80.
  • 10. Hodgson J.M., Blood pressure. Nutr. Diet., 2007, 64 (suppl 4), S169-S172.
  • 11. Hodgson J.M., Burke V., Beilin L.J., Puddey I.B., Partial substitution of carbohydrates with protein from lean red meat lowers blood pressure in hypertensive individuals. Am. J. Clin. Nutr., 2006, 83, 78–787.
  • 12. IDF, The IDF consensus of worldwide definition of the metabolic syndrome. Alberti G., Zimmet P., Shaw P., Grundy S.M., International Diabetes Federation 2006. Available at: [http://www.idf.org/webdata/docs/MetS_def_update2006.pdf].
  • 13. Iso H., Stampfer M.J., Manson J.E., Rexrode K., Hennekens C.H., Colditz G.A., Speizer F.E., Willet W.C., Prospective study of calcium, potassium, and magnesium intake and risk of stroke in women. Stroke, 1999, 30, 1772–1779.
  • 14. Jarosz M., Bułhak-Jachymczyk B., Normy żywienia człowieka. 2008, Wyd. PZWL, Warszawa (in Polish).
  • 15. Johnson R.K., Dietary intake – how do we measure what people are really eating? Obes. Res., 2002, 10, suppl 1, 63S-68S.
  • 16. Johnson S., Cummins C., Evers K., The impact of transtheoretical model-based multiple behavior interventions on nutrition. 2008, in: Nutrition for the Middle Aged and Elderly (eds. N.E. Bernhardt, A.M. Kasko). Nova Science Publisher, Inc., pp. 195–212.
  • 17. Karppanen H., Karpppanen P., Mervaala E., Why and how to implement sodium, potassium, calcium, and magnesium changes in food items and diets? J. Hum. Hypertens., 2005, 19, S10-S19.
  • 18. Kearney P.M., Whelton M., Reynolds K., Whelton P.K., He J., Worldwide prevalence of hypertension: a systematic review. J. Hypertens., 2004, 22, 11–19.
  • 19. Kunachowicz H., Nadolna I., Przygoda B., Iwanow K., 2005, Food Composition Tables. IŻŻ, Warszawa (in Polish).
  • 20. Lukaski H.C., Johnson P.E., Bolonchuk W.W., Lykken G.I., Assessment of fat-free mass using bioelectrical impedance measurements of the human body. Am. J. Clin. Nutr., 1985, 41, 810–817.
  • 21. McCarron D.A., Morris C.D., Cole C., Dietary calcium and human hypertension. Science, 1982, 217, 267–269.
  • 22. McCarron D.A., Oparil S., Resnick L.M., Chait A., Haynes R.B., Kris-Etherton P., Pi-Sunyer F.X., Stern J.S., Morris C.D., Clark S., Hatton D.C., McMahon M., Holcomb S., Snyder W., Comprehensive nutrition plan improve cardiovascular risk factors in essential hypertension. Am. J. Hypertens., 1998, 11, 31–40.
  • 23. McCarron D.A., Reusser M.E., Are low intakes of calcium and potassium important causes of cardiovascular disease? Am. J. Hypertens., 2001, 14, 6, 206S-212S.
  • 24. Moore M.C., Nutritional Assessment and Care. Fifth edition, 2005, Elsevier Mosby.
  • 25. Niegowska J., Gajewska D., Kucharska A., Sych A., Intakes of macronutrients and selected micronutrients by patients with essential hypertension. Pol. J. Food Nutr. Sci., 2006, 15/16, SI 2, 83–86.
  • 26. NIH, U.S. Department of Health and Human Services, National Institutes of Health, National Heart, Lung, and Blood Institute, Your guide to lowering your blood pressure with DASH. DASH eating plan. 2006, NIH Publication, No.06–4082.
  • 27. Rywik S.L., Davis C.E., Pająk A., Broda G., Folsom A.R., Kawalec E., Williams O.D., Poland and U.S. collaborative study on cardiovascular epidemiology hypertension in the community: prevalence, awareness, treatment and control of hypertension in the Pol-MONICA Project and the U.S. Atherosclerosis Risk in Communities Study. Ann. Epidemiol., 1998, 8, 3–13.
  • 28. Sacks F.M., Obarzanek E., Windhauser M.M., Svetkey L.P., Vollmer W.M., Lin P.H., McCullough M., Karanja N., Steele P., Proschan M.A., Evans M.A., Appel L.J., Bray G.A., Vogt T.M., Moore T.J., Rationale and design of the Dietary Approaches to Stop Hypertension Trial (DASH): a multicenter controlled feeding study of dietary patterns to lower blood pressure. Ann. Epidemiol., 1995, 5, 108–118.
  • 29. Sacks F.M., Svetkey L.P., Vollmer W.M., Appel L.J., Bray G.A., Harsha D., Obarzanek E., Conlin P.R., Miller III E.R., Simons- Morton D.G., Karanja N., Lin P-H., Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. N. Eng. J. Med., 2001, 344, 1, 3–10.
  • 30. Spranger C.B., Ries A.J., Berge C.A., Radford N.B., Victor R.G., Identifying gaps between guidelines and clinical practice in the evaluation and treatment of patients with hypertension. Am. J. Med., 2004, 117, 14–18.
  • 31. Stamler J., Elliott P., Kesteloot H., Nichols R., Caleys G., Dyer A.R., Stamler M.A., Inverse relation of dietary protein markers with blood pressure. Findings for 10 020 men and women in the INTERSALT Study. INTERSALT Cooperative Research Group. INTERnational study of SALT and blood pressure. Circulation, 1996, 94, 1629–1634.
  • 32. Townsend M.S., Fulgoni III V.L., Stern J.S., Adu-Afarwuah S., McCarron D.A., Low mineral intake is associated with high systolic blood pressure in the third and fourth National Health and Nutrition Examination Surveys. Am. J. Hypertens., 2005, 18, 261–269.
  • 33. Tykarski A., Posadzy-Małaczyńska A., Wyrzykowski B., Kwaśniewska M., Pająk A., Kozakiewicz K., Rywik S., Broda G., Increased incidence of arterial hypertension and effectiveness of its treatment in adult Poles. Results of WOBASZ programme. Kardiol. Pol., 2005, 63, 6 (supl. 4), S1-S6 (in Polish).
  • 34. Whelton P.K., He J., Appel L.J., Cutler J.A., Havas S., Kotchen T.A., Roccella E.J., Stoout R., Vallbona C., Winston M.C., Karimbakas J., Primary prevention of hypertension. Clinical and Public health advisory from the National High Blood Pressure Education Program. J. Am. Med. Assoc., 2002, 288, 1882–1888.
  • 35. WHO, Diet, nutrition and the prevention of chronic diseases. Report of a joint WHO/FAO Expert Consultation. World Health Organization Geneva, 2003, WHO Technical Report Series No 916.
  • 36. WHO, Obesity: preventing and managing the global epidemic. World Health Organization Geneva, 2000, WHO Technical Report Series No 894.
  • 37. WHO, Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organization, 1995, WHO Technical Report Series, No. 854.
  • 38. Windhauser M.M., Ernst D.B., Karanja N.M., Crawford S.W., Redican S.E., Swain J.F., Karimbakas J.M., Champagne C.M., Kimberly P.H., Evans M.A., Translating the Dietary Approaches to Stop Hypertension diet from research to practice: dietary and behavior change techniques. J. Am. Diet. Assoc., 1999, 99 (suppl.),S90-S95.

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