Impact of two nutritional education programs on cardiovascular risk in overweight hypertensive patients

Detalhes bibliográficos
Autor(a) principal: Souza ALVAREZ, Tatiana
Data de Publicação: 2023
Outros Autores: ZANELLA, Maria Teresa
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Nutrição
Texto Completo: https://periodicos.puc-campinas.edu.br/nutricao/article/view/9457
Resumo: ObjectiveTo evaluate and compare the effects of two study protocols with a program of educational nutrition intervention on CARDIOVACULAR risk in overweight hypertensive patients maintained on their usual medication. Patients were followed at Hypertension and Metabology Division of Federal University of São Paulo. MethodsSixty tree overweight [body mass index u27 e <39kg/m2] hypertensive patients, age M=55,7 (Standard deviation - SD=6,1) years old, 12 men and 51 women, were divided into two groups according to visit intervals, either every five weeks (G35 n=25) or every two weeks (G14 n=38), during twenty weeks. The two groups were submitted to an educational program aiming to improve the quality of their diet and to promote changes in their alimentary habits. Before and at the end of the study period, all patients were submitted to blood pressure determinations, to anthopometric measurements and to laboratorial evaluation for the calculation of Framingham coronary risk. ResultsAt the end of the study significant and similar changes in body mass index, waist circumference (102,9, SD=9,7 vs 101,8, SD=7,6 NS), systolic blood pressure (139,7, SD=12,4 vs 134,8, SD=8,2 NS), total cholesterol (192,9, SD=35,7 vs 195,2, SD=37,8 NS), energy intake (1759,5, SD=385,8 vs 1858,7, SD=452,8 NS) and Framingham coronary risk (11,1, SD=6,1 vs 9,4, SD=3,5 NS) we observed in G14 and G35 groups respectively. ConclusionA short program of nutritional intervention was shown to be useful to reduce coronary risk in overweight hypertensive patients despite a very small change in body weight. A higher frequency of visits did not achieve better results, with a monthly visit being enough for positive changes although with a higher rate of drop outs.
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spelling Impact of two nutritional education programs on cardiovascular risk in overweight hypertensive patientsImpacto de dois programas de educação nutricional sobre o risco cardiovascular em pacientes hipertensos e com excesso de pesoCardiovascular diseaseNutrition educationFactors riskHypertensionDoenças cardiovascularesEducação nutricionalFatores de riscoHipertensãoObjectiveTo evaluate and compare the effects of two study protocols with a program of educational nutrition intervention on CARDIOVACULAR risk in overweight hypertensive patients maintained on their usual medication. Patients were followed at Hypertension and Metabology Division of Federal University of São Paulo. MethodsSixty tree overweight [body mass index u27 e <39kg/m2] hypertensive patients, age M=55,7 (Standard deviation - SD=6,1) years old, 12 men and 51 women, were divided into two groups according to visit intervals, either every five weeks (G35 n=25) or every two weeks (G14 n=38), during twenty weeks. The two groups were submitted to an educational program aiming to improve the quality of their diet and to promote changes in their alimentary habits. Before and at the end of the study period, all patients were submitted to blood pressure determinations, to anthopometric measurements and to laboratorial evaluation for the calculation of Framingham coronary risk. ResultsAt the end of the study significant and similar changes in body mass index, waist circumference (102,9, SD=9,7 vs 101,8, SD=7,6 NS), systolic blood pressure (139,7, SD=12,4 vs 134,8, SD=8,2 NS), total cholesterol (192,9, SD=35,7 vs 195,2, SD=37,8 NS), energy intake (1759,5, SD=385,8 vs 1858,7, SD=452,8 NS) and Framingham coronary risk (11,1, SD=6,1 vs 9,4, SD=3,5 NS) we observed in G14 and G35 groups respectively. ConclusionA short program of nutritional intervention was shown to be useful to reduce coronary risk in overweight hypertensive patients despite a very small change in body weight. A higher frequency of visits did not achieve better results, with a monthly visit being enough for positive changes although with a higher rate of drop outs.ObjetivoComparar os efeitos de dois protocolos de um programa de intervenção nutricional sob o risco cardiovascular em pacientes hipertensos e com excesso de peso em uso de medicamentos usual. Os pacientes foram acompanhados no Ambulatório de Hipertensão e Metabologia Cardiovascular, Universidade Federal de São Paulo. MétodosA população do estudo foi constituída por 63 pacientes hipertensos e com excesso de peso [índice de massa corporal u27 e <39kg/m2], com a média de idade de M=55,7, DP=6,1 anos; 12 homens e 51 mulheres, divididos em dois grupos de acordo com a freqüência das visitas, a cada cinco semanas (G35 n=25) ou a cada duas semanas (G14 n=38), durante 20 semanas. Os dois grupos foram submetidos a um programa de intervenção nutricional que englobou atendimentos em grupos, nos quais foram abordados conceitos de alimentação saudável. No início e no término do período do estudo, todos os pacientes foram submetidos a medidas de pressão arterial, avaliação antropométrica e avaliação laboratorial para cálculo do Risco Coronariano de Framingham. ResultadosAo término do estudo, foi observada redução no índice de massa corporal, na circunferência da cintura (M=102,9, DP=9,7cm vs M=101,8, DP=7,6cm NS), na pressão arterial sistólica (M=139,7, DP=12,4mmHg vs M=134,8, DP=8,2mmHg NS), no colesterol total sérico (M=192,9, DP=35,7mg/dL vs M=195,2, DP=37,8mg/dL NS), no consumo energético referido (M=1759,5, DP=385,8Kcal vs M=1858,7, DP=452,8kcak NS) e no RCF (M=11,1, DP=6,1 vs M=9,4, DP=3,5 NS). ConclusãoA intervenção nutricional educativa de curto prazo, se mostrou eficaz para redução do risco cardiovascular em pacientes hipertensos e com excesso de peso. Em relação a freqüência das visitas, pôde-se verificar que a visita mensal já produz resultados positivos no sentido de modificar os hábitos alimentares e reduzir o risco cardiovascular.Núcleo de Editoração – PUC-Campinas2023-08-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/9457Brazilian Journal of Nutrition; Vol. 22 No. 1 (2009): Revista de NutriçãoRevista de Nutrição; Vol. 22 Núm. 1 (2009): Revista de NutriçãoRevista de Nutrição; v. 22 n. 1 (2009): Revista de Nutrição1678-9865reponame:Revista de Nutriçãoinstname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)instacron:PUC_CAMPporhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/9457/6827Copyright (c) 2023 Tatiana Souza ALVAREZ, Maria Teresa ZANELLAhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSouza ALVAREZ, Tatiana ZANELLA, Maria Teresa 2023-12-05T14:58:53Zoai:ojs.periodicos.puc-campinas.edu.br:article/9457Revistahttp://www.scielo.br/rnPRIhttps://periodicos.puc-campinas.edu.br/nutricao/oai||sbi.submissionrn@puc-campinas.edu.br1678-98651415-5273opendoar:2023-12-05T14:58:53Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)false
dc.title.none.fl_str_mv Impact of two nutritional education programs on cardiovascular risk in overweight hypertensive patients
Impacto de dois programas de educação nutricional sobre o risco cardiovascular em pacientes hipertensos e com excesso de peso
title Impact of two nutritional education programs on cardiovascular risk in overweight hypertensive patients
spellingShingle Impact of two nutritional education programs on cardiovascular risk in overweight hypertensive patients
Souza ALVAREZ, Tatiana
Cardiovascular disease
Nutrition education
Factors risk
Hypertension
Doenças cardiovasculares
Educação nutricional
Fatores de risco
Hipertensão
title_short Impact of two nutritional education programs on cardiovascular risk in overweight hypertensive patients
title_full Impact of two nutritional education programs on cardiovascular risk in overweight hypertensive patients
title_fullStr Impact of two nutritional education programs on cardiovascular risk in overweight hypertensive patients
title_full_unstemmed Impact of two nutritional education programs on cardiovascular risk in overweight hypertensive patients
title_sort Impact of two nutritional education programs on cardiovascular risk in overweight hypertensive patients
author Souza ALVAREZ, Tatiana
author_facet Souza ALVAREZ, Tatiana
ZANELLA, Maria Teresa
author_role author
author2 ZANELLA, Maria Teresa
author2_role author
dc.contributor.author.fl_str_mv Souza ALVAREZ, Tatiana
ZANELLA, Maria Teresa
dc.subject.por.fl_str_mv Cardiovascular disease
Nutrition education
Factors risk
Hypertension
Doenças cardiovasculares
Educação nutricional
Fatores de risco
Hipertensão
topic Cardiovascular disease
Nutrition education
Factors risk
Hypertension
Doenças cardiovasculares
Educação nutricional
Fatores de risco
Hipertensão
description ObjectiveTo evaluate and compare the effects of two study protocols with a program of educational nutrition intervention on CARDIOVACULAR risk in overweight hypertensive patients maintained on their usual medication. Patients were followed at Hypertension and Metabology Division of Federal University of São Paulo. MethodsSixty tree overweight [body mass index u27 e <39kg/m2] hypertensive patients, age M=55,7 (Standard deviation - SD=6,1) years old, 12 men and 51 women, were divided into two groups according to visit intervals, either every five weeks (G35 n=25) or every two weeks (G14 n=38), during twenty weeks. The two groups were submitted to an educational program aiming to improve the quality of their diet and to promote changes in their alimentary habits. Before and at the end of the study period, all patients were submitted to blood pressure determinations, to anthopometric measurements and to laboratorial evaluation for the calculation of Framingham coronary risk. ResultsAt the end of the study significant and similar changes in body mass index, waist circumference (102,9, SD=9,7 vs 101,8, SD=7,6 NS), systolic blood pressure (139,7, SD=12,4 vs 134,8, SD=8,2 NS), total cholesterol (192,9, SD=35,7 vs 195,2, SD=37,8 NS), energy intake (1759,5, SD=385,8 vs 1858,7, SD=452,8 NS) and Framingham coronary risk (11,1, SD=6,1 vs 9,4, SD=3,5 NS) we observed in G14 and G35 groups respectively. ConclusionA short program of nutritional intervention was shown to be useful to reduce coronary risk in overweight hypertensive patients despite a very small change in body weight. A higher frequency of visits did not achieve better results, with a monthly visit being enough for positive changes although with a higher rate of drop outs.
publishDate 2023
dc.date.none.fl_str_mv 2023-08-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.puc-campinas.edu.br/nutricao/article/view/9457
url https://periodicos.puc-campinas.edu.br/nutricao/article/view/9457
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.puc-campinas.edu.br/nutricao/article/view/9457/6827
dc.rights.driver.fl_str_mv Copyright (c) 2023 Tatiana Souza ALVAREZ, Maria Teresa ZANELLA
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Tatiana Souza ALVAREZ, Maria Teresa ZANELLA
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Núcleo de Editoração – PUC-Campinas
publisher.none.fl_str_mv Núcleo de Editoração – PUC-Campinas
dc.source.none.fl_str_mv Brazilian Journal of Nutrition; Vol. 22 No. 1 (2009): Revista de Nutrição
Revista de Nutrição; Vol. 22 Núm. 1 (2009): Revista de Nutrição
Revista de Nutrição; v. 22 n. 1 (2009): Revista de Nutrição
1678-9865
reponame:Revista de Nutrição
instname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)
instacron:PUC_CAMP
instname_str Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)
instacron_str PUC_CAMP
institution PUC_CAMP
reponame_str Revista de Nutrição
collection Revista de Nutrição
repository.name.fl_str_mv Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)
repository.mail.fl_str_mv ||sbi.submissionrn@puc-campinas.edu.br
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