Empowerment-based nutrition interventions on blood pressure
| Autor(a) principal: | |
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| Data de Publicação: | 2023 |
| Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10362/161170 |
Resumo: | Funding Information: The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was sponsored by CUF and Pingo Doce, as part of the Menos Sal Portugal project, and with support from the Centro de Medicina Laboratorial Germano de Sousa. The sponsors did not play a role in the study design or the interpretation of the results. The study was also promoted by the CINTESIS@RISE (UIDB/4255/2020 and UIDP/4255/2020), NOVA Medical School of Universidade NOVA de Lisboa and supported by national funds through FCT Fundação para a Ciência e a Tecnologia, I.P., within the scope of the project “RISE-LA/P/0053/2020”. Publisher Copyright: Copyright © 2023 Moreira-Rosário, Ismael, Barreiros-Mota, Morais, Rodrigues, Castela, Mendes, Soares, da Costa, Oliveira, Henriques, Pinto, Pita, de Oliveira, Maciel, Serafim, Araújo, Rocha, Pestana, Silvestre, Marques, Faria, Polonia and Calhau. |
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Empowerment-based nutrition interventions on blood pressurea randomized comparative effectiveness trialblood pressurecardiovascular diseaseshypertensionmediterranean dietsodium/potassium ratioPublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingFunding Information: The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was sponsored by CUF and Pingo Doce, as part of the Menos Sal Portugal project, and with support from the Centro de Medicina Laboratorial Germano de Sousa. The sponsors did not play a role in the study design or the interpretation of the results. The study was also promoted by the CINTESIS@RISE (UIDB/4255/2020 and UIDP/4255/2020), NOVA Medical School of Universidade NOVA de Lisboa and supported by national funds through FCT Fundação para a Ciência e a Tecnologia, I.P., within the scope of the project “RISE-LA/P/0053/2020”. Publisher Copyright: Copyright © 2023 Moreira-Rosário, Ismael, Barreiros-Mota, Morais, Rodrigues, Castela, Mendes, Soares, da Costa, Oliveira, Henriques, Pinto, Pita, de Oliveira, Maciel, Serafim, Araújo, Rocha, Pestana, Silvestre, Marques, Faria, Polonia and Calhau.Introduction: Empowerment lifestyle programs are needed to reduce the risk of hypertension. Our study compared the effectiveness of two empowerment-based approaches toward blood pressure (BP) reduction: salt reduction-specific program vs. healthy lifestyle general program. Methods: Three hundred and eleven adults (median age of 44 years, IQR 34–54 years) were randomly assigned to a salt reduction (n = 147) or a healthy lifestyle program (n = 164). The outcome measures were urinary sodium (Na+) and potassium (K+) excretion, systolic (SBP) and diastolic (DBP) blood pressure, weight, and waist circumference. Results: There were no significant differences in primary and secondary outcomes between the two program groups. When comparing each program to baseline, the program focused on salt reduction was effective in lowering BP following a 12-week intervention with a mean change of −2.5 mm Hg in SBP (95% CI, −4.1 to −0.8) and − 2.7 mm Hg in DBP (95% CI, −3.8 to −1.5) in the intention-to-treat (ITT) analysis. In the complete-case (CC) analysis, the mean change was −2.1 mm Hg in SBP (95% CI, −3.7 to −0.5) and − 2.3 mm Hg in DBP (95% CI, −3.4 to −1.1). This effect increases in subjects with high-normal BP or hypertension [SBP − 7.9 mm Hg (95% CI, −12.5 to −3.3); DBP − 7.3 mm Hg (95% CI, −10.2 to −4.4)]. The healthy lifestyle group also exhibited BP improvements after 12 weeks; however, the changes were less pronounced compared to the salt reduction group and were observed only for DBP [mean change of −1.5 mm Hg (95% CI, −2.6 to −0.4) in ITT analysis and − 1.4 mm Hg (95% CI, −2.4 to −0.3) in CC analysis, relative to baseline]. Overall, improvements in Na+/K+ ratio, weight, and Mediterranean diet adherence resulted in clinically significant SBP decreases. Importantly, BP reduction is attributed to improved dietary quality, rather than being solely linked to changes in the Na+/K+ ratio. Conclusion: Salt-focused programs are effective public health tools mainly in managing individuals at high risk of hypertension. Nevertheless, in general, empowerment-based approaches are important strategies for lowering BP, by promoting health literacy that culminates in adherence to the Mediterranean diet and weight reduction.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Centro de Investigação em Tecnologias e Serviços de Saúde (CINTESIS)Comprehensive Health Research Centre (CHRC) - pólo NMSRUNMoreira-Rosário, AndréIsmael, ShámilaBarreiros-Mota, InêsMorais, JulianaRodrigues, CatarinaCastela, InêsMendes, Inês CurveloSoares, Maria Inêsda Costa, Luís SoaresOliveira, Catarina BatistaHenriques, TiagoPinto, PatríciaPita, Déborade Oliveira, Catarina MarquesMaciel, JanaínaSerafim, ThainaAraújo, JoãoRocha, Júlio CésarPestana, DiogoSilvestre, Marta P.Marques, CláudiaFaria, AnaPolonia, JorgeCalhau, Conceição2023-12-12T22:51:38Z20232023-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/161170eng2296-2565PURE: 78181031https://doi.org/10.3389/fpubh.2023.1277355info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:43:59Zoai:run.unl.pt:10362/161170Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:58:24.164631Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Empowerment-based nutrition interventions on blood pressure a randomized comparative effectiveness trial |
| title |
Empowerment-based nutrition interventions on blood pressure |
| spellingShingle |
Empowerment-based nutrition interventions on blood pressure Moreira-Rosário, André blood pressure cardiovascular diseases hypertension mediterranean diet sodium/potassium ratio Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
| title_short |
Empowerment-based nutrition interventions on blood pressure |
| title_full |
Empowerment-based nutrition interventions on blood pressure |
| title_fullStr |
Empowerment-based nutrition interventions on blood pressure |
| title_full_unstemmed |
Empowerment-based nutrition interventions on blood pressure |
| title_sort |
Empowerment-based nutrition interventions on blood pressure |
| author |
Moreira-Rosário, André |
| author_facet |
Moreira-Rosário, André Ismael, Shámila Barreiros-Mota, Inês Morais, Juliana Rodrigues, Catarina Castela, Inês Mendes, Inês Curvelo Soares, Maria Inês da Costa, Luís Soares Oliveira, Catarina Batista Henriques, Tiago Pinto, Patrícia Pita, Débora de Oliveira, Catarina Marques Maciel, Janaína Serafim, Thaina Araújo, João Rocha, Júlio César Pestana, Diogo Silvestre, Marta P. Marques, Cláudia Faria, Ana Polonia, Jorge Calhau, Conceição |
| author_role |
author |
| author2 |
Ismael, Shámila Barreiros-Mota, Inês Morais, Juliana Rodrigues, Catarina Castela, Inês Mendes, Inês Curvelo Soares, Maria Inês da Costa, Luís Soares Oliveira, Catarina Batista Henriques, Tiago Pinto, Patrícia Pita, Débora de Oliveira, Catarina Marques Maciel, Janaína Serafim, Thaina Araújo, João Rocha, Júlio César Pestana, Diogo Silvestre, Marta P. Marques, Cláudia Faria, Ana Polonia, Jorge Calhau, Conceição |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Centro de Investigação em Tecnologias e Serviços de Saúde (CINTESIS) Comprehensive Health Research Centre (CHRC) - pólo NMS RUN |
| dc.contributor.author.fl_str_mv |
Moreira-Rosário, André Ismael, Shámila Barreiros-Mota, Inês Morais, Juliana Rodrigues, Catarina Castela, Inês Mendes, Inês Curvelo Soares, Maria Inês da Costa, Luís Soares Oliveira, Catarina Batista Henriques, Tiago Pinto, Patrícia Pita, Débora de Oliveira, Catarina Marques Maciel, Janaína Serafim, Thaina Araújo, João Rocha, Júlio César Pestana, Diogo Silvestre, Marta P. Marques, Cláudia Faria, Ana Polonia, Jorge Calhau, Conceição |
| dc.subject.por.fl_str_mv |
blood pressure cardiovascular diseases hypertension mediterranean diet sodium/potassium ratio Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
| topic |
blood pressure cardiovascular diseases hypertension mediterranean diet sodium/potassium ratio Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
| description |
Funding Information: The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was sponsored by CUF and Pingo Doce, as part of the Menos Sal Portugal project, and with support from the Centro de Medicina Laboratorial Germano de Sousa. The sponsors did not play a role in the study design or the interpretation of the results. The study was also promoted by the CINTESIS@RISE (UIDB/4255/2020 and UIDP/4255/2020), NOVA Medical School of Universidade NOVA de Lisboa and supported by national funds through FCT Fundação para a Ciência e a Tecnologia, I.P., within the scope of the project “RISE-LA/P/0053/2020”. Publisher Copyright: Copyright © 2023 Moreira-Rosário, Ismael, Barreiros-Mota, Morais, Rodrigues, Castela, Mendes, Soares, da Costa, Oliveira, Henriques, Pinto, Pita, de Oliveira, Maciel, Serafim, Araújo, Rocha, Pestana, Silvestre, Marques, Faria, Polonia and Calhau. |
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2023 |
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2023-12-12T22:51:38Z 2023 2023-01-01T00:00:00Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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http://hdl.handle.net/10362/161170 |
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eng |
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eng |
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2296-2565 PURE: 78181031 https://doi.org/10.3389/fpubh.2023.1277355 |
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