Abstract
Objective
To evaluate the effectiveness of nutrition counseling for patients with hypertension,
provided in a grocery store setting.
Design
Single-arm pretest–posttest design implementing a 12-week dietary intervention.
Setting
Grocery store.
Participants
Thirty adults with hypertension recruited from a primary care practice.
Intervention
Registered dietitian nutritionists provided counseling based on the Dietary Approaches
to Stop Hypertension diet.
Main Outcome Measures
Dietary intake patterns and Healthy Eating Index-2010 (HEI-2010) scores measured via
food-frequency questionnaire. Change in systolic blood pressure (SBP) was a secondary
outcome.
Analysis
Paired t tests were used to test for differences between HEI-2010 scores, intake of key food
pattern components, and SBP at baseline compared with follow-up. Statistical significance
was established at P ≤ .05.
Results
Eight HEI-2010 component scores increased significantly from baseline to follow-up
(a change toward a more desirable eating pattern): total fruit, whole fruit, greens
and beans, whole grains, fatty acids, refined grains, and empty calories. Sodium (P < .001), saturated fat (P < .001), discretionary solid fat (P < .001), added sugars (P = .01), and total fat (P < .001) all decreased significantly. The change in SBP was not significant.
Conclusions and Implications
Grocery store–based counseling for patients with hypertension may be an effective
strategy to provide lifestyle counseling that is not typically available within primary
care.
Key Words
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Article info
Publication history
Accepted:
November 19,
2018
Footnotes
Conflict of Interest Disclosure: The authors' conflict of interest disclosures can be found online with this article on www.jneb.org.
Identification
Copyright
© 2018 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.
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- National Heart Health MonthJournal of Nutrition Education and BehaviorVol. 51Issue 2
- PreviewI realize that all of JNEB's readership knows that February is National Heart Healthmonth. Most of us have taught programs on lower saturated fat, lower sodium, or higher fruit and vegetable eating patterns. In 2015, JNEB published a systematic review and meta-analysis on the effects of the Mediterranean Diet on hypertension, reporting that a positive, significant effect was found between the Mediterranean Diet and blood pressure although the effect was small.1 At that time only 6 trials were available.
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