Adherence to DASH Diet Slips Among Hypertensive Patients

2007 ◽  
Vol 37 (14) ◽  
pp. 10
Keyword(s):  
Hypertensive Patients ◽  
Dash Diet

scholarly journals PENERAPAN ANJURAN DIET DASH DIBANDINGKAN DIET RENDAH GARAM BERDASARKAN KONSELING GIZI TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI PUSKESMAS LARANGAN UTARA

2021 ◽  
Vol 44 (1) ◽  
pp. 109-120
Author(s):  
Agustina Pungki Astuti ◽  
Didit Damayanti ◽  
Iskari Ngadiarti
Keyword(s):  
Blood Pressure ◽  
Nutritional Status ◽  
Diastolic Blood Pressure ◽  
Sodium Intake ◽  
Hypertensive Patients ◽  
Dash Diet ◽  
Sodium Diet ◽  
Low Sodium Diet ◽  
Low Sodium ◽  
Significant Difference

The low sodium and Diet Approaches to Stop Hypertension (DASH) are diets for reducing high blood pressure. This study aimed to analyze the effect of nutrition counseling on the DASH diet compared to low sodium diet on blood pressure in hypertensive patients. The study design was an experimental study that randomly allocated 34 respondents to DASH diet and 35 respondents to low sodium diet. The ages of respondents were 43 to 76 years and women were 74.3 percent. Nutrition counseling was conducted by researchers to respondents who visited health center or Posbindu Larangan Utara. Nutritional counseling was conducted for an average of 20 minutes using existing brochures. Low sodium diet emphasizes reducing sodium intake while DASH diet emphasis more on consuming lots of vegetables, fruit, nuts and low-fat products. Variables collected were the characteristics of respondent, disease, drugs taken and nutritional status, while blood pressure using a sphygmomanometer, food intake including sodium were measured before and 2 weeks after nutritional counseling. Results showed that there was a significant difference in diastolic blood pressure after patients were given DASH diet compared to low sodium diet (p 0.05) and there was a significant difference in delta of systolic and diastolic reduction in DASH diet compared to low sodium diet. Test also showed a significant reduction in systolic, diastolic blood pressure and sodium intake (p 0.001) in both diet groups after receiving counseling. It concluded that DASH diet can be recommended to decrease blood pressure in hypertensive patients with consider nutritional status. ABSTRAK  Diet Rendah Garam (RG) dan Diet Approaches to Stop Hypertension (DASH) adalah diet untuk menurunkan tekanan darah tinggi. Penelitian ini bertujuan untuk menganalisa pengaruh konseling gizi diet DASH dibandingkan diet RG terhadap tekanan darah pasien hipertensi. Rancangan penelitian adalah eksperimen yang secara acak mengalokasi diet DASH kepada 34 orang dan diet RG kepada 35 orang responden. Usia responden antara 43 hingga 76 tahun dan sebagian besar perempuan (74,3%). Konseling gizi dilakukan oleh tim peneliti kepada pasien hipertensi yang memeriksakan diri ke puskesmas atau posbindu Larangan Utara. Konseling gizi dilakukan rata-rata 20 menit menggunakan brosur yang sudah ada. Diet RG menekankan pengurangan asupan natrium sedangkan diet DASH lebih menekankan ke banyak konsumsi sayur, buah, kacang-kacangan dan produk rendah lemak. Variabel yang dikumpulkan adalah karakteristik responden, penyakit dan obat yang diminum serta status gizi sedangkan tekanan darah menggunakan sfigmomanometer, asupan makanan, zat gizi termasuk natrium diukur sebelum dan 2 minggu setelah konseling gizi dilakukan. Hasil menunjukkan adanya perbedaan yang bermakna pada tekanan darah diastolik setelah pasien diberi diet DASH dibandingkan dengan pasien yang diberi diet RG (p0,05) dan terdapat perbedaan delta penurunan sistolik dan diastolik bermakna pada diet DASH dibanding diet RG. Analisa juga menunjukkan adanya penurunan tekanan darah sistolik, diastolik dan asupan natrium  yang bermakna (p0.001) pada kedua kelompok diet setelah mendapat konseling diet DASH dan diet RG. Disimpulkan diet DASH dapat direkomendasikan untuk membantu menurunkan tekanan darah pada pasien hipertensi dengan memperhatikan status gizi. Kata kunci: hipertensi, tekanan darah, diet rendah garam, diet DASH

scholarly journals A SYSTEMATIC REVIEW ON DIETARY APPROACHES TO STOP HYPERTENSION (DASH) TO CONTROL RAISED BLOOD PRESSURE AMONG HYPERTENSIVE PATIENTS

2020 ◽  
Vol 9 (4) ◽  
pp. 198-202
Author(s):  
Subhana Akber Khan ◽  
Assad Hafeez ◽  
Siham Sikander ◽  
Abdul Wali Khan ◽  
Rizwana Yasmin
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Cardiovascular Diseases ◽  
Public Health Problem ◽  
Pharmacological Therapy ◽  
Renal Diseases ◽  
Dietary Recommendations ◽  
Lifestyle Modifications ◽  
Hypertensive Patients ◽  
Dash Diet

Introduction: Hypertension is a widely recognized public health problem worldwide. Its further complications lead to cardiovascular diseases, stroke, retinal and renal diseases. DASH diet has been recommended to control raised blood pressure among hypertensive patients. However; limited evidence exists for it in Asian countries. This study aimed to review published research articles on DASH diet for hypertension control. Methods: Studies on hypertension and DASH diet (N=54) were searched using PubMed Central from 2012 to 2019 including all countries. The search strategy consisted of keywords "hypertension OR raised blood pressure OR blood pressure" and "Dietary Approaches to Stop Hypertension OR DASH diet". Whereas; no limitation was used for searching the literature and further references of the relevant studies were also analyzed. Full text articles of 31 researches were retrieved and analyzed for this review article. Results: Findings of this review suggests that DASH diet is significantly effective in lowering the blood pressure as well as for prevention of cardiovascular diseases (CVDs). In addition, a low-sodium diet is beneficial for individuals and hypertensive patients in reducing CVD related events. However; evidence suggests that adherence to DASH diet for a longer duration is effective along with lifestyle modifications in the population. Conclusion: Consuming a DASH diet as recommended can be a useful preventive measure to reduce blood pressure. Country-specific dietary recommendations are thus required. DASH diet along with pharmacological therapy and lifestyle modifications are proven to be effective. Further, longitudinal studies establishing temporal associations between consumption of DASH diet and its effect on blood pressure will be essential for clinical and public health practice.

scholarly journals Short-term effect of modest salt reduction combined with the CM-DASH diet on salt eating habits in hypertensive patients with type II diabetes: A randomized, control, single-blind trial

2021 ◽  
Author(s):  
Dan Chen ◽  
Jie Tang ◽  
Tao Gong ◽  
Lisha Mu ◽  
Jing Li ◽  
...  
Keyword(s):  
Type Ii Diabetes ◽  
Salt Intake ◽  
Urine Samples ◽  
Type Ii ◽  
Short Term ◽  
Salt Reduction ◽  
Hypertensive Patients ◽  
Dash Diet ◽  
Short Period ◽  
And Control

Abstract Background Excessive salt intake is currently the foremost universal risk factor for controllable chronic disease. Reducing salt intake has been identified as one of the most cost-effective measures countries can adopt to improve the health outcomes of their populations. This study evaluated the short-term effects of a modest salt intake reduction combined with the Chinese Modified Dietary Approaches to Stop Hypertension (CM-DASH) diet on salt intake, certain biochemical parameters, mean arterial pressure (MAP), and pulse pressure (PP) in hypertensive patients with type II diabetes. Methods Sixty-one participants were randomized to the intervention group (52% low-sodium salt and DASH intervention [n = 30, 11 men]) and control group (normal salt and DASH intervention [n = 31, 14 men]). An 8-week dietary intervention was applied. Daily salt intake, blood pressure, and drug use were recorded every week. Twenty-four-hour urine samples, casual urine samples, and blood samples were measured at baseline, the fourth week, and the end of the intervention.Results Of the 61 participants, 59 patients (25 men and 34 women) completed the entire study. The daily salt intake of all patients significantly decreased compared with at baseline (P < 0.001). The Na+/K+ ratio and urine creatinine decreased after the intervention, and the 24-hour urine potassium of the intervention and control groups increased after the intervention and the fourth week, respectively. Additionally, 24-hour UNa, (MAU), and urinary microalbumin-to-creatinine ratio(UACR) decreased significantly after the intervention but increased after the fourth week. Finally, MAP and PP both decreased after the intervention, but the difference between the two groups was not statistically significant.Conclusion A modest salt reduction and the CM-DASH diet for hypertensive patients with type II diabetes can achieve the effect of salt reduction in a short period. Before and after individual comparisons, sodium and potassium intake, MAU, MAP, and PP were improved, but no statistically significant difference was observed between the two groups regardless of the use of 52% sodium limited formula salt or traditional table salt. The salt reduction effect needs to be investigated with an extended follow-up.Trail registration ChiCTR2000029017.Registered on 11/01/2020-Prospective registration, http:// www.chictr.org.cn/

scholarly journals Effect Education of DASH DIET on Dietary Intake Adherence and Blood Pressure of Hypertension Outpatients in Rumkital Marinir Cilandak

2019 ◽  
Vol 3 (2) ◽  
pp. 120
Author(s):  
Rita Uliatiningsih ◽  
Adhila Fayasari
Keyword(s):  
Blood Pressure ◽  
Dietary Compliance ◽  
Hypertensive Patients ◽  
Dash Diet ◽  
Group Design ◽  
Diet Adherence ◽  
Background Diet ◽  
Before And After ◽  
Quasi Experimental ◽  
Test Result

Background: Diet DASH (Dietary Approaches To Stop Hypertension)  is one of the methods to lowering  high blood pressure. Dietary compliance is one of the important things that hypertensive patients need to care of. The hypertensive patients should obey DASH diet in order to avoid further complication. This study aims to discover the effect of DASH diet education on diet adherence and blood preesure re in hypertensive patients in Cilandak Marine Hospital, Jakarta.Method: This study used quasi experimental design with pretest-posttest one group design approaches. There were 75 respondents in this study which were obtained using purposive sampling type. The data were obtained from Cilandak Marine Hospital, Jakarta. The statistical analysis used paired sample t test. Result: The result of the study showed that dietary compliance of DASH diet with blood pressure in hypertensive patients in Cilandak Marine Hospital, Jakarta were categorized 3 parts as non compliants when the score is 31-45 for as many as 32 respondents (42,7%), fair compliants when the score is 46-60 for as many as 39 respondent (52,0%)  and 4 respondents (5,3%) are categorized in compliant score 61-75. The analysis of the systole and diastole of the blood pressure before and after the intervention in hypertensive patients showed a significant related correlation (p=0,000) .Conclusion: There is a significant correlation between the dietary compliance of DASH diet with blood pressure in hypertensive patients in Cilandak Marine Hospital, Jakarta.

scholarly journals Pemberian Terapi Jus Wortel Pada Penderita Hipertensi Di Desa Bauh Gunung Sari Lampung Timur

2021 ◽  
Vol 4 (5) ◽  
pp. 1184-1189
Author(s):  
Suwarto Suwarto ◽  
Prima Dian Furqoni
Keyword(s):  
Blood Pressure ◽  
Pharmacological Treatment ◽  
Saturated Fat ◽  
Carrot Juice ◽  
Hypertensive Patients ◽  
Dash Diet ◽  
Pressure Drops ◽  
Low Sodium Diet ◽  
High Prevalence ◽  
Total Fat

ABSTRAK Hipertensi merupakan masalah kesehatan dengan prevalensi yang tinggi, yaitu sebesar 25,8%, pengobatan farmakologi, penurunan Hipertensi Pada pasien hipertensi dpat dilakukan dengan pengobatan non farmakologi. Salah satu alternatif pengobatan non farmakologi pada pasien hipertensi adalah pemberian pola makan DASH yang kaya akan kalium dan kalsium; diet rendah natrium. JNC VII menyarankan pola makan DASH yaitu diet yang kaya dengan buah, sayur, dan produk susu redah lemak dengan kadar total lemak dan lemak jenuh .Natrium yang direkomendasikan < 2.4 g (100 mEq)/hari. Tujuan Asuhan Keperawatan Komprehensif Pada klien Hipertensi Dengan Terapi Komplementer Jus Wortel di Desa Bauh Gunung Sari Lampung Timur Tahun 2020. Metode terapi dengan Wortel diblender 150 gram ditambah ±100cc air mineral + 1 sendok makan madu (sebagai pemanis ) diberikan kepada responden sebanyak ±200gram /hari selama 5 hari berturut-turut pada pukul 13.00-15.00wib. masalah hipertensi teratasi dengan terapi jus wortel dengan hasil efektif pada kedua pasien hanya saja kadar penurunan tekanan darah dan waktu penurunan berbeda diantara kedua pasien dikarenakan intensitas nyeri antara kedua pasien, dan kadar tekanan darah kedua pasien yang berbeda. Kata Kunci : Hipertensi, Komplikasi, Terapi Jus Wortel  ABSTRACT Hypertension is a health problem with a high prevalence, which is 25.8%, pharmacological treatment, hypertension reduction in hypertensive patients can be done with non-pharmacological treatment. One alternative non-pharmacological treatment in hypertensive patients is the administration of a DASH diet that is rich in potassium and calcium; a low sodium diet. JNC VII recommends the DASH diet, which is a diet rich in fruits, vegetables, and low-fat dairy products with total fat and saturated fat content. The recommended sodium is <2.4 g (100 mEq) / day. Purpose of Comprehensive Nursing Care for Hypertension clients with Complementary Carrot Juice Therapy in Bauh Gunung Sari Village, East Lampung in 2020. The therapeutic method with Blender Carrot 150 grams plus ± 100cc mineral water + 1 tablespoon of honey (as a sweetener) is given to respondents as much as ± 200gram / days for 5 consecutive days from 1:00 to 15:00 a.m. the problem of hypertension is resolved with carrot juice therapy with effective results in both patients except that the level of blood pressure drops and the time of decrease is different between the two patients due to the intensity of pain between the two patients, and the blood pressure levels of the two patients are different. Keywords: Hypertension, Complications, Carrot Juice Therapy

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