Non-pharmacological treatment of hypertension in primary health care: A comparative clinical trial of two education strategies in health and nutrition
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Non-pharmacological treatment of hypertension in primary health care: A comparative clinical trial of two education strategies in health and nutrition

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Non-pharmacological treatment of hypertension in primary health care: A comparative clinical trial of two education strategies in health and nutrition

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dc.contributor.author Ribeiro, Amanda G es_ES
dc.contributor.author Ribeiro, Sônia MR es_ES
dc.contributor.author Dias, Cristina MGC es_ES
dc.contributor.author Ribeiro, Andréia Q es_ES
dc.contributor.author Castro, Fátima AF es_ES
dc.contributor.author Morales Suárez-Varela, María M. es_ES
dc.contributor.author Cotta, Rosângela MM es_ES
dc.date.accessioned 2015-06-22T09:52:42Z
dc.date.available 2015-06-22T09:52:42Z
dc.date.issued 2011 es_ES
dc.identifier.uri http://hdl.handle.net/10550/44693
dc.description.abstract BackgroundPoor adherence to non-pharmacological treatment of hypertension represents a serious challenge for public health policies in several countries. This study was conducted to compare two intervention strategies regarding the adherence of adult women to dietary changes recommended for the treatment of hypertension in a community covered by Primary Health Care Unit.MethodsThis study is a randomized controlled trial of a sample composed of 28 women with hypertension enrolled in the Primary Health Care Unit located in the urban area of southeastern Brazil. The participants were already undergoing treatment for hypertension but devoid of nutritional care; and were divided into two groups, each composed of 14 individuals, who received interventions that consisted of two different strategies of nutritional guidance: monthly health education workshops alone (Group 1) and combined with family orientation through home visits (Group 2). Adherence to nutritional guidelines was evaluated by dietary, anthropometric, clinical and serum biochemical parameters, measured before and after the interventions. Knowledge on control and risk of hypertension was also investigated. The study lasted five months.ResultsMean age was 55.6 (± 2.8) and 50.7 (± 6.5) in the groups 1 and 2, respectively. The home orientation strategy promoted greater adherence to dietary changes, leading to a statistically significant improvement in the clinical, anthropometric, biochemical and dietary parameters. The group 2 reduced the consumption of risk foods (p = 0.01), oil (p = 0.002) and sugar (p = 0.02), and decreased body mass index (-0.7 kg/m2; p = 0.01); waist circumference (-4.2 cm; p = 0.001), systolic blood pressure (-13 mm HG; p = 0.004) and glycemia (-18.9 mg/dl; p = 0. 01). In group 1 only waist circumference (-2 cm; p = 0.01) changed significantly.ConclusionNutritional orientations at the household level were more effective with regard to the adherence of individuals to non-pharmacological treatment of hypertension, regarding the reduction of clinical and behavioral risk parameters. es_ES
dc.source BMC Public Health Vol. 11 pp. 637-637 es_ES
dc.title Non-pharmacological treatment of hypertension in primary health care: A comparative clinical trial of two education strategies in health and nutrition es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.identifier.doi 10.1186/1471-2458-11-637 es_ES
dc.identifier.idgrec 084750 es_ES

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