scholarly journals Factors associated with noncompliance of sodium restriction in hypertensive and heart failure patients at the National Hospital of Cotonou, Benin

2021 ◽  
Vol 11 (2) ◽  
Author(s):  
Colette Sylvie Azandjeme ◽  
Charles-Jérome Sossa ◽  
Murielle Eliane Hounkponou ◽  
Yolaine Ahanhanzo-Glèlè ◽  
Basilia Sodabi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Salt Intake ◽  
Daily Intake ◽  
Nutritional Therapy ◽  
Cross Sectional Study ◽  
Sodium Restriction ◽  
Care Providers ◽  
Cross Sectional ◽  
Salt Reduction ◽  
Factors Associated

Introduction: Nutritional therapy in the treatment of high blood pressure and heart failure is a real challenge in terms of compliance of sodium restriction for success of the treatment. The study aims to assess the level of patient compliance with the sodium restriction by salt consumption, prescribed by care providers and the associated factors. Materials and Methods: Total daily salt intake was estimated in a cross-sectional study of 166 hypertensive and heart failure subjects monitored in the cardiology department of the “Centre Hospitalier Universitaire - Hubert Koutoukou Maga” (CNHU-HKM), using two 24-hour recalls combined with a food frequency questionnaire for salt-providing foods. Results: Out of the study, 83.7% of patients had a daily intake above recommendations. Factors associated with the non-compliance of salt restriction were the lack of knowledge of palliative spices and herbs of salty taste (p=0.009) and the consumption of salty snack foods and salty peanuts (p=0.032). Conclusion: Nutritional education and support activities should be carried out to improve the salt reduction compliance for these patients.

scholarly journals Salt-Related Knowledge, Attitudes, and Behaviors on Efate Island, Vanuatu

2019 ◽  
Vol 16 (6) ◽  
pp. 1027 ◽  
Author(s):  
Emalie Sparks ◽  
Katherine Paterson ◽  
Joseph Santos ◽  
Kathy Trieu ◽  
Nerida Hinge ◽  
...  
Keyword(s):  
Salt Intake ◽  
Daily Intake ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Salt Reduction ◽  
Salt Consumption ◽  
Meal Preparation ◽  
Attitudes And Behaviors ◽  
Rural And Urban ◽  
And Behaviors

In Vanuatu, mean salt intake exceeds the recommended maximum daily intake, and contributes to the high proportion of deaths attributable to cardiovascular diseases. Understanding salt-related knowledge, attitudes, and behaviors of the Vanuatu population can inform appropriate interventions. This cross-sectional study was conducted as part of the 2016–2017 Vanuatu Salt Survey. In total, 753 participants aged between 18 and 69 years from rural and urban communities on the Island of Efate were included. Demographic and clinical data were collected and a salt-related knowledge, attitudes, and behaviors survey was administered. Knowledge relating to the need to reduce salt consumption was high, but reported behaviors did not reflect this knowledge. A total of 83% of participants agreed that too much salt could cause health problems, and 86% reported that it was “very important” to lower the amount of salt in the diet. However, more than two-thirds of the population reported always/often adding salt to food during cooking/meal preparation and at the table, and always/often consuming processed foods high in salt. Strategic, targeted, and sustained behavior change programs in parallel with interventions to change the food environment to facilitate healthier choices should be key components of a salt reduction program. Actions should implemented as part of a comprehensive strategy to prevent and control non-communicable diseases in Vanuatu.

scholarly journals Retrospective Analysis of Metabolic Syndrome: Prevalence and Distribution in Executive Population in Urban Pakistan

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Niloufer Sultan Ali ◽  
Ali Khan Khuwaja ◽  
Adnan-ur-Rahman ◽  
Kashmira Nanji
Keyword(s):  
Metabolic Syndrome ◽  
Health Care Providers ◽  
Final Analysis ◽  
Analysis Data ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Care Providers ◽  
Cross Sectional ◽  
Factors Associated ◽  
History Of

Background. Metabolic Syndrome (MetS) is a major public health concern. Objective. The aim of this study was to estimate the frequency of MetS, its components, and factors associated with MetS amongst apparently healthy individuals in Pakistan. Methods. A retrospective cross-sectional study was conducted at the executive Clinics of Aga Khan Hospital, Pakistan. Medical records of patients aged ≥18 years visiting the clinics from July 2011 to December 2011 were consecutively reviewed. Records in which either MetS components data or 10% of overall data was missing were excluded. A total of 1329 participants’ records was included in final analysis. Data was analyzed using SPSS version 19 and multivariable logistic regression was used to identify the factors associated with MetS. Results. A total of 847 (63.7%) participants had MetS; mean age of the participants were 47.6 ± 11.6 years. About 70.4% were males and 29.6% were females. Approximately 70% of participants had BMI ≥25 kg/m2. MetS was associated with male gender (AOR = 2.1; 95% C.I: 1.6–3.2) and history of diabetes among parents (AOR = 3.0; 95% C.I: 1.6–6.0). Conclusion. This study shows that a large proportion of population has MetS and is overweight or obese. This requires urgent interventions on part of health care providers’ especially family physicians. Educating masses about life style factors can make a difference. Further researches on this issue are warranted.

scholarly journals Salt intake per dish in the Japanese diet: a clue to help establish dietary goals at home

2021 ◽  
Vol 10 ◽  
Author(s):  
Miyuki Imamoto ◽  
Toshihiko Takada ◽  
Sho Sasaki ◽  
Kenji Kato ◽  
Yoshihiro Onishi
Keyword(s):  
Salt Intake ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Salt Reduction ◽  
Balanced Diet ◽  
Dietary Records ◽  
Using Data ◽  
Japanese Diet ◽  
At Home

The salt intake of Japanese at home remains high. To aid in salt reduction and encourage a balanced diet, we conducted a cross-sectional study using data from a previous clinical trial in community-dwelling individuals to evaluate major salt sources and relationships among the intake of different dishes in the Japanese diet at home. Dietary records and urinary salt excretion measurements were performed daily for 1 month in seventy-nine participants. The records were classified into six grain dish categories as staple dishes, seven side dish categories and a snack category. Regression analyses were used to estimate (1) salt intake per meal for each category of grain dish, (2) salt intake per dish from each dish category and its contribution to the total salt intake and (3) the influence of grain dish selection on the frequencies of other dishes. Salt intake per meal was approximately 3 g, regardless of grain dish selection. Fish and meat dishes showed the largest contribution to the total salt intake (35 %), followed by vegetable dishes (19 %). The intake of fish or meat and vegetables was promoted by plain rice and reduced by ramen noodles. The intake of dairy products was only promoted by bread, while that of fruits was not influenced by any grain dish category. These results suggest simple strategies to reduce salt intake while maintaining dietary balance, such as eating plain rice more often and using less salt to cook meat/fish and vegetable dishes.

scholarly journals Barriers of dietary salt reduction among hypertensive patients: a cross sectional study

2020 ◽  
Vol 7 (9) ◽  
pp. 3459
Author(s):  
Mariyam Khwaja
Keyword(s):  
Blood Pressure ◽  
Salt Intake ◽  
Lifestyle Modification ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Dietary Salt ◽  
Cross Sectional ◽  
Salt Reduction ◽  
Hypertensive Patients ◽  
Dietary Salt Intake

Background: Healthy dietary practice is an important lifestyle modification and one of the key adjuncts to pharmacotherapy in management of hypertension. A modest reduction in salt intake of 5 gm/day lowered blood pressure by 7/4 mmHg diastolic in hypertensive patients. Despite knowledge about the ill consequences, many people continue to consume high levels of salt in their diet. To motivate people to reduce salt in their diet, a solid understanding of barriers encountered by those under salt reduction recommendation is necessary. Hence, this study was conducted with the aim of identifying the barriers to dietary salt reduction among hypertensive patients.Methods: A community based cross sectional study was conducted on a sample of 356 hypertensive patients in field practice areas (urban and rural) in Department of Community Medicine, JNMC, AMU, Aligarh. A pretested semi-structured questionnaire was used for the study. Compliance to dietary salt intake was assessed by calculating average salt intake per person per day. The tenets of health belief model were used to examine the key determinants of human behavior. Analysis was done by using correlation, proportions, chi-square and multiple linear regression.Results: 31.4% of the participants took salt <5 gm per day. A significant association was noticed with area, religion, social class, family size, perceived benefits and perceived susceptibility. A significant positive correlation was seen with total adherence score and family size.Conclusions: A lot of barriers hinder the compliance to dietary salt reduction. Health Education stressing the role of salt reduction in control of blood pressure is recommended.

Symptom Clusters and Their Impacts on Hospital Readmission in Patients With Heart Failure: A Cross-Sectional Study

2018 ◽  
Vol 32 (3) ◽  
pp. 311-327 ◽  
Author(s):  
Youn-Jung Son ◽  
Mi Hwa Won
Keyword(s):  
Heart Failure ◽  
Hospital Readmission ◽  
Multiple Logistic Regression Analysis ◽  
Bodily Pain ◽  
Cross Sectional Study ◽  
Symptom Clusters ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Relationship

Background and Purpose:Readmissions after hospitalization due to multiple symptoms in heart failure (HF) are common and costly. Patients have difficulty differentiating HF symptoms from comorbid illness or aging. Therefore, early identification of symptom clusters could improve symptom recognition and reduce hospital readmission. However, little is known about the relationship between symptom clusters and readmission in HF patients. This study aimed to identify symptom clusters among Korean patients with HF and the relationship between symptom clusters and hospital readmission.Methods:This cross-sectional study included 306 HF outpatients within 12 months after discharge. Exploratory factor analysis was used to identify the symptom clusters. Multiple logistic regression analysis was used to examine the effect of symptom clusters on readmission, after adjusting for sociodemographic and clinical characteristics.Results:Three symptom clusters were identified in HF patients: the “respiratory distress” cluster, “bodily pain and energy insufficiency” cluster, and “circulatory and gastrointestinal distress” cluster. Patients with class III or IV of HF functional class experienced three symptom clusters at a higher level. This study showed that the “bodily pain and energy insufficiency” cluster was the strongest predictor of hospital readmission in HF patients (adjusted odds ratio = 6.59, 95% confidence interval (CI) [1.29, 32.79]).Implications for Practice:A higher level of “bodily pain and energy insufficiency” cluster was associated with hospital readmission in Korean HF patients. Health-care providers should be encouraged to consider patients’ cultural backgrounds to recognize differences in symptom clusters. Further studies are needed to evaluate symptom clusters across international cohorts and their impacts on patients’ outcomes.

scholarly journals Factors Related to Lacking Knowledge on the Recommended Daily Salt Intake among Medical Professionals in Mongolia: A Cross-Sectional Study

2021 ◽  
Vol 18 (8) ◽  
pp. 3850
Author(s):  
Naoko Hikita ◽  
Enkhtungalag Batsaikhan ◽  
Satoshi Sasaki ◽  
Megumi Haruna ◽  
Ariunaa Yura ◽  
...  
Keyword(s):  
Salt Intake ◽  
Cross Sectional Study ◽  
Medical Professionals ◽  
Medical Doctors ◽  
Dietary Salt ◽  
Cross Sectional ◽  
Dietary Salt Intake ◽  
Factors Associated ◽  
Accurate Knowledge ◽  
Knowledge Deficit

In Mongolia, the recommendations are to restrict salt intake to less than 5 g/day to reduce the risk of cardiovascular disease. We aimed to reveal factors associated with not knowing the recommended daily salt intake among medical professionals in Mongolia. Of the recruited 538 medical professionals working at public health facilities in Darkhan-Uul Province, the data from 338 (62.8%), obtained using self-administered questionnaires, were analyzed. Among these, 175 (51.8%) did not know the recommended daily salt intake. Compared with medical doctors, midwives and nurses had higher odds of not knowing the recommendations (adjusted odds ratio (AOR): 4.20, 95% confidence interval (CI): 1.40–12.59; AOR: 2.10, 95% CI: 1.15–3.76, respectively). Compared to participants who consumed more than four cups/day of salted suutei tsai (Mongolian milk tea), those who consumed approximately two cups/week had lower odds of not knowing the recommendations (AOR: 0.21, 95% CI: 0.07–0.63). With most participants lacking accurate knowledge on this topic, and considering that people who are aware of the recommendations are more likely to take action to reduce dietary salt intake, it is imperative to urgently address this knowledge deficit because medical professionals have a responsibility to educate the community by disseminating accurate health information.

scholarly journals Prescribing and Conducting Non-Pharmacological Management of Patients With Decompensated Heart Failure Admitted to a University Hospital Emergency

2010 ◽  
Vol 18 (6) ◽  
pp. 1145-1151 ◽  
Author(s):  
Joelza Chisté Linhares ◽  
Graziella Badin Aliti ◽  
Raquel Azevedo Castro ◽  
Eneida Rejane Rabelo
Keyword(s):  
Heart Failure ◽  
Weight Control ◽  
Salt Intake ◽  
Decompensated Heart Failure ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Fluid Restriction ◽  
Cross Sectional ◽  
Pharmacological Management ◽  
Patients With Heart Failure

This cross-sectional study aimed to describe the prescription of non-pharmacological management of patients with heart failure attending the emergency care of a hospital and the effectiveness of the practice. 256 patients aged 63±13 years, 153 (60%) men, participated in the research. The most commonly prescribed non-pharmacological treatment was sodium restriction, 240 (95%), followed by weight control, 135 (53%). Fluid restriction and fluid balance were the least commonly prescribed treatments, 95 (37%) and 72 (28%), respectively. Only 38 (54%) of balances, 89 (67%) of weight controls and 69 (57%) of diuresis controls were performed. Concerning patients’ previous knowledge of the treatments, 229 (90%) were advised to restrict salt intake, and 163 (64%) were advised to restrict fluid intake. Weight control was the least commonly known care, 117 (46%). Except for salt control, the other treatments were prescribed in slightly more than half of the samples, and were ineffective.

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