Korean J Community Nutr.  2012 Dec;17(6):752-771. 10.5720/kjcn.2012.17.6.752.

The Effect of Sodium Reduction Education Program of a Public Health Center on the Blood Pressure, Blood Biochemical Profile and Sodium Intake of Hypertensive Adults

Affiliations
  • 1Department of Food Science & Nutrition, The Catholic University of Korea, Bucheon, Korea.
  • 2Department of Food & Nutrition, Shingu College, Seongnam, Korea. jskwon@shingu.ac.kr

Abstract

This study was conducted to investigate the effect of sodium reduction education program of a public health center on the blood pressure, blood biochemical profile and sodium intake of hypertensive adults. The program continued for 16 weeks with an 8-week nutrition education and an 8-week follow-up to forty two subjects, 6 males and 36 females aged 46 to 80 years. Subjects received nutrition education including lectures, activities, cooking classes and nutrition counseling. Physical fitness, management of stress, and nutrition counseling were provided during the follow-up. The program was evaluated three times, before and after the nutrition education, and after the follow-up. Systolic blood pressure (p < 0.0001) and diastolic blood pressure (p < 0.001) were decreased after completion of the program. Body weight (p < 0.005), percent body fat (p < 0.005) and body mass index (p < 0.001) were decreased, too. There were no significant differences in blood glucose, HDL-cholesterol and triglycerides, while elevated levels of total cholesterol (p < 0.001) and LDL-cholesterol (p < 0.001) appeared after the program completion. Decreased intakes of vitamin A (p < 0.05), beta-carotene (p < 0.001) and sodium (p < 0.001) were observed. Consumption frequency of noodles, soups, stews, kimchi, fishes/shellfish, seasoned vegetables, and salted seafoods/pickles (p < 0.05~p < 0.001) were decreased, while that of all food groups were not changed during the follow-up. Total score of nutrition knowledge related to sodium intake and hypertension (p < 0.001), and that of dietary behavior associated with high sodium intakes were changed positively (p < 0.001) only during the nutrition education. This sodium reduction education program, including the follow-up study showed positive effects on the blood pressure, sodium intake, nutrition knowledge and dietary behavior of hypertensive adults.

Keyword

sodium reduction education program; nutrition counseling; blood pressure; dietary behavior

MeSH Terms

Adipose Tissue
Adult
Aged
beta Carotene
Blood Glucose
Blood Pressure
Body Mass Index
Body Weight
Cholesterol
Cooking
Counseling
Female
Follow-Up Studies
Humans
Hypertension
Lectures
Male
Physical Fitness
Public Health
Seasons
Sodium
Triglycerides
Vegetables
Vitamin A
Blood Glucose
Cholesterol
Sodium
Triglycerides
Vitamin A
beta Carotene

Figure

  • Fig. 1 Process of the program.


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