Physician Perceived Barriers and Solutions to DASH Diet Recommendations for Hypertension Prevention and Management

As the field of telepractice grows, perceived barriers to service delivery must be anticipated and addressed in order to provide appropriate service delivery to individuals who will benefit from this model. When applying telepractice to the field of AAC, additional barriers are encountered when clients with complex communication needs are unable to speak, often present with severe quadriplegia and are unable to position themselves or access the computer independently, and/or may have cognitive impairments and limited computer experience. Some access methods, such as eye gaze, can also present technological challenges in the telepractice environment. These barriers can be overcome, and telepractice is not only practical and effective, but often a preferred means of service delivery for persons with complex communication needs.

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Neuromuscular Electrical Stimulation in Dysphagia Management: Clinician Use and Perceived Barriers

Contemporary Issues in Communication Science and Disorders ◽

10.1044/cicsd_39_f_55 ◽

2012 ◽

Vol 39 (Fall) ◽

pp. 55-68 ◽

Cited By ~ 2

Author(s):

Samantha Shune ◽

Jerald B. Moon

Keyword(s):

Electrical Stimulation ◽

Neuromuscular Electrical Stimulation ◽

Perceived Barriers

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DASH Diet Takes on New Faith-Based Approach

Skin & Allergy News ◽

10.1016/s0037-6337(09)70455-3 ◽

2009 ◽

Vol 40 (9) ◽

pp. 37

Author(s):

PATRICE WENDLING

Keyword(s):

Dash Diet ◽

Faith Based

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The interaction between dietary approaches to stop hypertension and MC4R gene variant in predicting cardiovascular risk factors

International Journal for Vitamin and Nutrition Research ◽

10.1024/0300-9831/a000690 ◽

2020 ◽

pp. 1-9

Author(s):

Habib Yarizadeh ◽

Alireza Bahiraee ◽

Sara Asadi ◽

Niloofar Sadat Maddahi ◽

Leila Setayesh ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

Model Assessment ◽

Iranian Women ◽

Cvd Risk ◽

Dash Diet ◽

Melanocortin 4 Receptor Gene ◽

Significant Difference ◽

High Adherence

Abstract. Objective: The genetic variants near the melanocortin-4 receptor gene (MC4R), a key protein regulating energy balance and adiposity, have been related to obesity and cardiovascular risk factors. However, qualitative and quantitative aspects of diet may modulate the association of this polymorphism with obesity and cardiovascular diseases (CVDs). The aim of this study was to evaluate interactions among MC4R rs17782313, the Dietary Approaches to Stop Hypertension (DASH) diet and risk factors for CVDs. Method: This cross-sectional study was conducted on 266 Iranian women categorized by body mass index (BMI) range of 25–40 kg/m2 as overweight or obese. CVD risk factors included waist circumference (WC), lipid profile, blood pressure, insulin circulation and fasting blood sugar (FBS). Insulin and FBS were used to calculate homeostatic model assessment insulin resistance (HOMA-IR) Body composition was assessed by a multi-frequency bioelectrical impedance analyzer, InBody 770 scanner. Results: The findings of this study show that high adherence to the DASH diet in the CC groups were associated with decreased SBP and DBP compared to the TT group. In addition, a significant difference between women with high adherence to the DASH diet compared to low adherence was observed for body weight (p < 0.001), fat free mass (FFM) (p = 0.01) and BMI (p = 0.02). Women with the CC genotype had higher insulin (mg/dl) (mean and SD, for TT: 14.6 ± 4.6, TC: 17.3 ± 9.2, CC: 15.3 ± 4.8, p = 0.04) and HOMA-IR (mean for and SD, TT: 3.1 ± 1.07, TC: 3.9 ± 2.4, CC: 3.2 ± 1.1, p = 0.01) than TT group. Inclusion of potential confounding variables (age, physical activity, BMI and daily caloric intake) did not attenuate the difference. Conclusion: Among overweight/obese Iranian women with the CC genotype, incorporating the DASH diet may serve as a dietary prescription to decrease CVD risk. A dietary intervention trial is warranted.

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