A significant decrease in blood pressure through a family-based nutrition health education programme among community residents in Taiwan

Public Health Nutrition

Yi-Chen Hsieh¹  Fang-I Hsieh¹  Hou-Chang Chiu¹  Wei-Hong Chen¹  Ching-Ying Yeh¹  Chyi-Huey Bai¹  Chung Y Hsu¹  Hung-Yi Chiou¹  Chi-Tzong Hung¹  Yi-Hua Chen¹  Li-Ming Lien¹ 

关键词: Blood pressure;    Intervention;    Nutrition health education;    Family;    Community;   

DOI  :  10.1017/S1368980008002875

学科分类：卫生学

来源: Cambridge University Press

【 摘 要 】

ObjectiveTo evaluate the effect on decrease in blood pressure of modifying risk factors for stroke, such as blood lipid profiles, diet habits and indices of body weight, through a family-based nutrition health education programme among hypertensive patients and pre-hypertensive subjects without taking any antihypertensive drugs.Design and settingThis was a community-based prospective study. The study population was randomly selected from communities in Taipei; potential subjects were invited by telephone to participate.SubjectsAfter excluding subjects whose blood pressure was normal and those using antihypertensive drugs, there were 390 participants included in the study. Subjects in the intervention group (n 293) received nutrition health education on blood pressure control and stroke-related risk factor modification at each visit. Non-intervention subjects (n 97) only acquired a general education sheet available in clinics. The blood pressure of study subjects was measured at baseline and 6-month follow-up to evaluate the intervention’s effect on decrease in blood pressure.ResultsSignificant decreases of 2·0 mmHg and 5·9 mmHg in systolic blood pressure were observed both in pre-hypertensive and hypertensive subjects in the intervention group. Additionally, intervention subjects with improvement of total cholesterol and LDL cholesterol, decrease in indices of body weight and increase in consumption of fruit and vegetables also had significant lowering of blood pressure.ConclusionsThe present study provided evidence that the blood pressure of pre-hypertensive and hypertensive subjects could decrease significantly, without taking antihypertensive drugs, after modifying blood lipid profiles and waist by dietary habits changed through a family-based nutrition heath education programme, resulting in a significant effect on stroke risk reduction.

【 授权许可】

Unknown