지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 39 - 49 (11page)
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초록· 키워드
오류제보하기
Abstract Background: Although dietary modification is strongly recommended for prevention and treatment of hypertension, little is known about which factors are associated with adherence to dietary guidelines. We investigated knowledge and attitude, perceived benefits of, barriers to, and self-efficacy of dietary therapy, and identified the factors associated with dietary adherence among adults with and without hypertension. Methods: We collected information on the knowledge/attitudes and perceived benefits of dietary therapy, as well as barriers to and self-efficacy regarding dietary adherence from 497 middle-aged (34–69 years) adults who participated in the follow-up examination of the Cardiovascular and Metabolic Diseases Etiology Center (CMERC) cohort study during December 2018 and February 2019. Results: Among people without hypertension, 95.5% (343/359) and 95.8% (344/359) answered that they would limit sodium intake and consume health diet, respectively, if diagnosed hypertension. However, among people with hypertension, only 79.7% (110/138) and 77.5% (107/138) reported they were limiting dietary sodium intake and having healthy diet, respectively. Frequency of diet management was not different between normotensive (34.0%) and hypertensive (35.5%) groups. Compared to normotensives, hypertensive people were more likely to have lower dietary adherence score, think they need to change their diet, think dietary change impossible, and report lower self-efficacy for following diet guidelines. Dietary management was significantly associated with cardiometabolic risk factors (OR: 1.63) and dietary education (OR: 2.19) among normotensives, while it was associated only with awareness that lifestyle modification is necessary regardless of antihypertensive medication (OR: 6.29) among hypertensive people. Good dietary adherence had significant associations with perceived barriers (OR: 0.71), selfefficacy (OR: 3.71), and dietary education (OR: 1.98) among normotensives; and with perceived barriers (OR: 0.54), self-efficacy (OR: 4.06), and dietary management (OR: 4.16) among hypertensive people. Conclusions: Many Koreans have relatively low adherence to dietary guidelines for hypertension prevention and treatment. Knowledge, dietary practices, and factors affecting dietary adherence were different between adults with and without hypertension. A targeted approach will be needed to improve blood pressure control of the Korean population.
목차
등록된 정보가 없습니다.
참고문헌 (34)
참고문헌 신청
O'Brien E / 2017 / The lancet commission on hypertension : addressing the global burden of raised blood pressure on current and future generations / J Clin Hypertens 19:564~568
Vasan RS / 2002 / Residual lifetime risk for developing hypertension in middle-aged women and men : the Framingham heart study / JAMA 287:1003~1010
Lackland DT / 2015 / Global burden of cardiovascular disease and stroke : hypertension at the Core / Can J Cardiol 31:569~571
Cushman WC / 2003 / The burden of uncontrolled hypertension : morbidity and mortality associated with disease progression / J Clin Hypertens 5:14~22
Hae-Young Lee / 2019 / 2018 Korean Society of Hypertension Guidelines for the management of hypertension: part II-diagnosis and treatment of hypertension / Clinical Hypertension 25(4):51~74
Vasan RS / 2002 / Residual lifetime risk for developing hypertension in middle-aged women and men : the Framingham heart study / JAMA 287:1003~1010
Lackland DT / 2015 / Global burden of cardiovascular disease and stroke : hypertension at the Core / Can J Cardiol 31:569~571
Cushman WC / 2003 / The burden of uncontrolled hypertension : morbidity and mortality associated with disease progression / J Clin Hypertens 5:14~22
Hae-Young Lee / 2019 / 2018 Korean Society of Hypertension Guidelines for the management of hypertension: part II-diagnosis and treatment of hypertension / Clinical Hypertension 25(4):51~74
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