Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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The Effects of Diet Health Education Program for Prehypertension Group on the Diet Habit and Blood Pressure

고혈압 전단계 집단 식이보건교육이 식이습관과 혈압에 미치는 효과

  • Sim, Jeoung-Ha (Department of Preventive Medicine, Kangwon National University)
  • 심정하 (강원대학교 의과대학 예방의학교실)
  • Published : 2006.12.30
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Abstract

Objectives: The aim of this study was to investigate the effects of DASH diet and law salt diet health education program on the blood pressure and the diet habit in the prehypertension group in Korea. Methods: The participants in this study were 141 people with prehypertension who were seen at a public health center. Data collection was done from March 11 to November 11, 2005 using interview with questionnaires. The participants took part in the diet health education program for 8 weeks. In order to evaluate the effectiveness of health education program, the variables of the diet such as hypertension, law salt diet and DASH diet were measured before and after the health education. The blood pressure was measured three times during the education. The collected data were analyzed with paired t-test and repeated ANOVA using SPSS 12.0 for Windows. Results: The diet habit variables after the education showed that their diet habit tend to the low salt diet and the DASH diet. The participants improved in their knowledge of hypertension and law salt diet, and they improved in the behavioral level of law salt diet and DASH diet after the health education for 8 weeks. Systolic and diastolic pressure were significantly decreased in prehypertension group after 8 weeks [10mmHg/6mmHg(p<0.001)]. Conclusion: These result suggest that the improvement in the level of behavior might be related with the change in blood pressure among the people having prehypertension in Korea.

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References

  1. 김주홍. 유산소운동이 고혈압 고령여성의 혈압 및 체력에 미치는 영향 [석사학위논문]. 부산: 동아대학교 대학원, 2005
  2. 문은혜. 50세 이상 성인과 노인 고혈압환자를 위한 영양교육 프로그랩 시행 및 효과 평가 [석사학위논문.] 서울: 서울여자대학교 대학원, 2005
  3. 박은정. 고혈압환자의 운동 습관과 허혈성 심질환 발생위험도와의 관련성 [석사학위논문]. 서울: 연세대학교 보건대학원, 2005
  4. 신선미, 김종희, 한규종, 이희우. 서울시 교직원의 고혈압 실태파악과 그 요인에 관한 연구. 한국학교보건학회지 2004:17(1):55-69
  5. 이송미, 정혜경, 강주희, 윤영원, 김현승. 한국중년기 및 노년기심장질환자들에서의 'Modified DASH diet' 영양교육 프로그램의 효과. 임상노인의학회지 2004:5(2):199-207
  6. 이수정. 고혈압환자의 저염식 이행에 관한 설문조사 [석사학위논문]. 서울: 서울대학교 대학원, 1998
  7. 이영휘. 효능기대증진프로그램이 자기효능과 자가 간호행위에 미치는 영향 [박사학위논문]. 서울: 연세대학교 대학원, 1994
  8. 이현정. 보건소진료실을 이용한 개별보건교육이 고혈압환자의 지식, 자기효능감, 자가간호 행위에 미치는 효과 [석사학위논문]. 서울: 연세대학교 보건대학원, 2003
  9. 전은영. 사상체질식이 적용이 본태성 고혈압 환자의 혈압, 비만도 및 혈중지질에 미치는 효과: 유산소운동과 저염식이 병용환자를 대상으로. 대한간호학회지 2002:32(5):673-683
  10. 통계청. 2004 사망원인통계결과. 서울: 통계청, 2004
  11. Benetoes A. Thomas F. Safer ME. Bean KE, Guize L. Should diastolic and systolic blood pressure be for cardiovascular risk evaluation: a study in middle-aged men women. J Am Coll Cardiol 2001:37(1):163-168 https://doi.org/10.1016/S0735-1097(00)01092-5
  12. Colin PR 외 8명. The effect of dietary patterns on blood pressure control in hypertensive patients: results from the dietary approaches to stop hypertension (DASH) trial. Am J Hypertens 2000:13:949-955 https://doi.org/10.1016/S0895-7061(99)00284-8
  13. Franklin SS 외 6명. Hemodynamic patterns of age-related changes in blood Pressure. Circulation 1997:96:308-315 https://doi.org/10.1161/01.CIR.96.1.308
  14. Greenberg J. Are blood pressure predictors. of cardiovascular disease mortality different for prehypertensives than for hypertensives?. Am J Hypertens 2006:19(5):454-461 https://doi.org/10.1016/j.amjhyper.2005.10.023
  15. Greenlund KJ, Croft JB, Mensah GA. Prevalence of heart disease and stroke risk factors in persons with prehypertension in the United States, 1999-2000. Arch Intern Med 2004:164(19):2113-2118 https://doi.org/10.1001/archinte.164.18.1999
  16. Kannel WB, Vasan RS, Levy D. Is the relation of systolic blood pressure to risk of cardiovascular disease continuous and graded, or are there critical values?. Hypertension 2003:42:453-456 https://doi.org/10.1161/01.HYP.0000093382.69464.C4
  17. Leitschuh M, Cupples LA, Kannel W, Gagnon D, Chobanian A. High-normal blood pressure progression to hypertension in the Framingham Heart Study. Hypertension 1991:17(1):22-27 https://doi.org/10.1161/01.HYP.17.1.22
  18. Moore TJ, Colin PR, Ard J, Svetkey LP. DASH(Dietary Approaches to stop hypertension)Diet is effective treatment for stage 1 isolated systolic hypertension. Hypertension 2000:38:155-158
  19. National Heart, Lung and Blood Institute. Your guide to lowering your blood pressure with Dash, Dash Diet Eating Plan. http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/new_dash.pdf. 2006
  20. Russell LB, Valiyeva E, Carson JL. Effects of prehypertension on admissions and deaths: a simulation. Arch Intern Med 2004:164(19):2119-2224 https://doi.org/10.1001/archinte.164.19.2119
  21. Sacks FM 외 11명. Effects on blood pressure of reduced dietary sodium and the dietary approaches to stop hypertension(DASH) diet. New Engl J Med 2001:34:3-10
  22. Svetkey LP 외 7명. Effects of dietary patterns on blood pressure. Arch Intern Med 1999:159:285-293 https://doi.org/10.1001/archinte.159.3.285
  23. Svetkey LP 외 6명. Effect of the dietary approaches to stop hypertension diet and reduced sodium intake on blood pressure control. J Clin Hypertens 2004:6(7):373-381 https://doi.org/10.1111/j.1524-6175.2004.03523.x
  24. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003:289:2560-2572 https://doi.org/10.1001/jama.289.19.2560