Abstract 21064: Comparison of Optimal Eating Pattern to Mono-Nutrition Therapy Plan for Hypertension management.
Purpose: The strongest evidence of hypertension management lies with a poly-therapeutic nutrition approach. Limited data is captured for practical application of such guidelines with patients in a program setting, especially post-program. In the Community Cardiovascular Hearts in Motion (CCHIM) program, it is expected that the patients following an optimal poly-therapeutic nutrition plan will have better hypertension management compared to those making only a single nutrient change.
Methods: Primary and Secondary prevention patients with hypertension are included in the CCHIM three month multi-disciplinary program. Patients are assessed by the dietitian, take part in group nutrition education, and set personal nutrition goals with behavior change enhancement strategies. Food records, a Food Score questionnaire, anthropometric measures, and clinical data are completed at program start and at 3 months. There were three nutrition categories; Poly-Nutrition Therapy Group (Group 1), Single Nutrition Therapy Group (Group 2) and a No-nutrition change Group (Group 3).
Results: 692 patients completed the CCHIM program and fell into one of the three Groups. There were significant changes in Group 1 (n= 242) with; a decreased sodium intake to less than 2000 mg/day (p= 0.00001), dietary fat intake to less than 25% of total calories (p=0.0001), a 40% increase in fibre intake (p=0.0001), an improved fruit intake with an average increase of 45% (p=0.0001) ,a 33% increase in vegetable servings (p=0.0001) and optimal calories for weight management (p=0.001). The poly-nutrition therapy patients in Group 1 making all recommended nutrient changes had subsequent significant lowering in both diastolic and systolic blood pressure (p=0.0000). The patients in Group 2 (n=342) also had improvements in hypertension management, but a single nutrient change such as decreased sodium to <2000mg /day, was not statistically significant . Blood pressure levels were unchanged in Group 3 (n=108).
Conclusions: Enhancing nutrition intervention and helping patients achieve and sustain the optimal nutrition pattern leads to improved hypertension management with overall improved health and decreased risk for vascular events.
- © 2010 by American Heart Association, Inc.