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March 15, 2020Clinical HypertensionOpen Access

Higher self-efficacy was significantly associated with good adherence to dietary guidelines among Korean adults with hypertension (OR 4.06).

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Why the study?

Dietary modification is recommended for prevention and treatment of hypertension, but little is known about which factors are associated with adherence to dietary guidelines.

Population

497 middle-aged (34-69 years) adults participating in the CMERC cohort study

Comparison

Adults with hypertension vs adults without hypertension

Design

Cohort follow-up cross-sectional study

Key result

Higher self-efficacy was significantly associated with good adherence to dietary guidelines among Korean adults with hypertension (OR 4.06).

Authors

JSJee‐Seon ShimJHJi Eun HeoHKHyeon Chang Kim

Discussion

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Overview

Higher self-efficacy and fewer barriers were associated with dietary adherence; leaves open whether targeting these improves outcomes in hypertension.

Study Design

Type

Cross-Sectional (n=497)

Multicenter

No

Structured PICO

P
Population
497 middle-aged Korean adults (69.6% female, mean age 56.9 years) with and without hypertension who participated in a follow-up examination of a community-based cohort.
O
Outcome
Factors associated with dietary adherence and dietary managementpatient reported

Main Result

Odds Ratio: 4.06 (95% CI 1.28–12.9)

p-value: p=<0.05

Factors influencing dietary adherence differ between normotensive and hypertensive individuals, highlighting the need for targeted educational approaches to improve blood pressure control.

Limitations

  • Study subjects do not represent the general Korean adult population, limiting generalizability.
  • Relatively small sample size.
  • Unable to analyze adults previously diagnosed with hypertension and those with newly developed hypertension separately.
  • Dietary management behaviors and adherence to guidelines were assessed using self-reported measures, which may be overestimated.

Cite This Study

Shim et al. (2020) conducted a cross-sectional in Hypertension (n=497). Self-efficacy for following dietary guidelines vs. Lower self-efficacy was evaluated on Good dietary adherence among hypertensive adults (OR 4.06, 95% CI 1.28-12.9, p=<0.05). Higher self-efficacy was significantly associated with good adherence to dietary guidelines among Korean adults with hypertension (OR 4.06).

synapsesocial.com/papers/6a93e992235a0bf22c92c847https://doi.org/10.1186/s40885-020-00138-y
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