Practical aspects of dietary management of hypertension: compliance

Canadian Journal of Physiology and Pharmacology
J Dunbar

Abstract

This paper addresses compliance issues that arise in the implementation of weight loss and other therapeutic diets prescribed for the individual with hypertension. Dietary compliance poses a significant problem. Studies suggest that dropout rates in both self-help and other weight loss programs range from 50 to 70% within 1-2 years. Further, just 50% of persons can be expected to comply with diets for cardiovascular disease. Assessment of adherence is confounded by the lack of precise measures that reflect adherence over time. Measures in general use include daily diaries, urinary chloride dip sticks, multiple 24-h or overnight urinary sodium, analysis of food samples, as well as 24-h recall and food histories. When poor compliance has been identified, it has been associated with a variety of factors. These include multicomponent regimens, conflicting lifestyle habits, skill in identifying and (or) preparing appropriate foods, the cost:benefit ratio of compliance, and social support. Limited investigation has been undertaken to directly improve compliance to diet. However, such strategies as tailoring, goal setting, self-monitoring, stimulus control, social support, cognitive restructuring, and a consistent approach between the...Continue Reading

Citations

Jan 5, 2002·Journal of Health Economics·M M Byrne, P Thompson
Dec 1, 1992·Journal of Clinical Pharmacy and Therapeutics·M M Rumore
Jan 7, 2014·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Jennifer P FriedbergSundar Natarajan
Aug 28, 1997·The New England Journal of Medicine·L B CannistraA G Bauman
Aug 1, 1997·Drug Metabolism Reviews·K D LawsonC D Hassall

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiovascular Disease Pathophysiology

Cardiovascular disease involves several different processes that contribute to the pathological mechanism, including hyperglycemia, inflammation, atherosclerosis, hypertension and more. Vasculature stability plays a critical role in the development of the disease. Discover the latest research on cardiovascular disease pathophysiology here.