J Nutr Health.  2018 Jun;51(3):228-241. 10.4163/jnh.2018.51.3.228.

Effect of a public health center-based nutrition education program for hypertension in women older than 50 years of age

• Park S
• Kwon JS
• Kim HK

• KMID: 2415219
• DOI: http://doi.org/10.4163/jnh.2018.51.3.228

Abstract

PURPOSE
The health risk of women increases after menopause. This study evaluated the effectiveness of a public health center-based nutrition education program for hypertension in women older than 50 years of age.
METHODS
The program included 8-week nutrition education and 8-week follow-up with keeping a health diary and nutrition counseling. The program was evaluated three times: before and after the nutrition education, and after the follow-up. The subjects were classified into hypertensives (n = 44) or normotensives (n = 71).
RESULTS
The rate of taking antihypertensive drugs in the hypertensive group was 86.4%. The systolic blood pressure decreased in the hypertensive and normotensive groups after nutrition education (p < 0.05). The body weight (p < 0.001), BMI (p < 0.001), waist circumference (p < 0.001), and percent body fat (p < 0.01) were also decreased after nutrition education in both groups. The hypertensive group showed an increase in HDL-cholesterol level (p < 0.001) and decreases in triglycerides (p < 0.01) and LDL-cholesterol (p < 0.05) levels after completion of the program. The normotensive group also displayed significant changes in HDL-cholesterol (p < 0.001) and triglycerides (p < 0.01). The dietary habits and nutrition knowledge on sodium and hypertension were improved in both groups (p < 0.001). The total score of dietary behavior related to the sodium intake was improved in the normotensive group (p < 0.001). The total score of the high sodium dish frequency questionnaire decreased in both groups after nutrition education and completion of the program compared to that before the program. Decreases in the consumption frequencies of noodles, pot stews and stews, Kimchi, and beverages were significant. The total self-efficacy score was increased in both groups by the program (p < 0.001). In particular, the hypertensive group showed improvement in all items.
CONCLUSION
This public health center-based nutrition education program may contribute to the prevention and management of hypertension and chronic diseases in women over 50 years of age.

Keyword

nutrition education; blood pressure; serum lipid; sodium; dietary behavior

MeSH Terms

Adipose Tissue
Antihypertensive Agents
Beverages
Blood Pressure
Body Weight
Chronic Disease
Counseling
Education*
Female
Follow-Up Studies
Food Habits
Humans
Hypertension*
Medical Records
Menopause
Public Health*
Sodium
Triglycerides
Waist Circumference
Antihypertensive Agents
Sodium
Triglycerides

Figure

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  Fig. 1 The protocol of study

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