Elsahoryi Nour Amin, Subih Hadil Shafee, Hammouh Fadwa, Hammad Fwziah Jammal
Department of Nutrition, Faculty of Pharmacy and Medical Sciences, The University of Petra, Jordan.
Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, Irbid Jordan.
Patient Prefer Adherence. 2024 Aug 14;18:1691-1711. doi: 10.2147/PPA.S442291. eCollection 2024.
This study aimed to determine the current stage of change (SOG) toward seven healthy eating behaviors and two healthy lifestyle behaviors related to blood pressure (BP) control. The lifestyle behaviors included smoking Behavior and practicing regular exercise, while the dietary behaviors included the DASH diet guidelines.
A total of 1109 outpatients participated in this cross-sectional study that was conducted between 2021 and 2022 in Jordan. A staging algorithm assessed SOG for several BP control-related behaviors for diagnosed hypertension patients. Data were collected by a structured interview-based questionnaire.
There was a high degree of maintenance toward consuming diets with high grains, fruit, vegetables, meat, and poultry, less saturated fat, and more low-fat dairy products. More than half of the participants were in the pre-action stage for quitting smoking, practicing physical exercise, and consuming sweets and added sugars. Significant associations were observed between the degree of maintenance for several behaviors (p < 0.01). Age, income, education level, disease duration, and nutrition consultation availability were the most related factors to the SOG of the studied behaviors (p < 0.01).
Patients with hypertension in Jordan are still in the pre-action stages for quitting smoking, practicing physical exercise, and consuming 5 servings of refined sweets and added sugars weekly. The current outcome suggests a need for nutritional counseling, education, and interventions to raise awareness of lifestyle factors influencing BP among hypertension patients.
本研究旨在确定与血压（BP）控制相关的七种健康饮食行为和两种健康生活方式行为的当前改变阶段（SOG）。生活方式行为包括吸烟行为和定期锻炼，而饮食行为包括得舒饮食（DASH）指南。
共有1109名门诊患者参与了这项于2021年至2022年在约旦进行的横断面研究。一种分期算法评估了确诊高血压患者几种与血压控制相关行为的改变阶段。数据通过基于结构化访谈的问卷收集。
对于食用富含谷物、水果、蔬菜、肉类和家禽、较少饱和脂肪以及较多低脂乳制品的饮食，维持程度较高。超过一半的参与者在戒烟、进行体育锻炼以及食用甜食和添加糖方面处于行动前阶段。观察到几种行为的维持程度之间存在显著关联（p < 0.01）。年龄、收入、教育水平、病程和营养咨询可及性是与所研究行为的改变阶段最相关的因素（p < 0.01）。
约旦的高血压患者在戒烟、进行体育锻炼以及每周食用5份精制甜食和添加糖方面仍处于行动前阶段。当前结果表明需要进行营养咨询、教育和干预，以提高高血压患者对影响血压的生活方式因素的认识。
