Factors associated with noncompliance of sodium restriction in hypertensive and heart failure patients at the National Hospital of Cotonou, Benin
Introduction: Nutritional therapy in the treatment of high blood pressure and heart failure is a real challenge in terms of compliance of sodium restriction for success of the treatment. The study aims to assess the level of patient compliance with the sodium restriction by salt consumption, prescribed by care providers and the associated factors.
Materials and Methods: Total daily salt intake was estimated in a cross-sectional study of 166 hypertensive and heart failure subjects monitored in the cardiology department of the “Centre Hospitalier Universitaire - Hubert Koutoukou Maga” (CNHU-HKM), using two 24-hour recalls combined with a food frequency questionnaire for salt-providing foods.
Results: Out of the study, 83.7% of patients had a daily intake above recommendations. Factors associated with the non-compliance of salt restriction were the lack of knowledge of palliative spices and herbs of salty taste (p=0.009) and the consumption of salty snack foods and salty peanuts (p=0.032).
Conclusion: Nutritional education and support activities should be carried out to improve the salt reduction compliance for these patients.
Nosreddine L, Aki C, Al-Shaar L, Almedawar M, Ismaël H. Consumer knowledge, attitudes and salt-relatedbehavior in the middle-east : the case of Lebanon. Nutrients 2014;6:5079-102 .
Uzan A, Delaveau P. The salt content of food: a public health problem. Ann Pharma Franc 2009;67:291-94.
Mizehoun C, Desport F.C, Houehanou C, Chianea J, Bovet P, Dalmau F et al Food consumption of sodium (Na) and potassium (K) in urban and rural population in Benin. Rev Epi San 2015;63:73.
Yessito C, Houehanou N, Lacroix Philippe, Mizehoun C, Preux P-M, Marin B et al. Ampleur des facteurs de risque cardiovasculaires dans les régions rurales et urbaines au Bénin: résultats d’une enquête nationale.2015 doit:10.1371/Journal pone 0126441
Cuculi F, Zuber M, Pfister O, Evne P. Salt and cardiovascular disease or salt and heart failure: a question of measurement. Swiss Med Forum 2014;14:143-5.
Levesque S, Delisle H, Agueh V. Contribution to the development of a food guide in Benin: linear programming for the optimization of local diets. Public Health Nutr 2015;18:622-631.
World Health Organization, New WHO Guidance on Salt and Potassium in Food. 2013
Takahashi N, Tanabe K, Adachi T, Nakashima R, Sugamori T, Endo A, et al. Awareness of salt restriction is not reflected in the actual salt intake in Japanese hypertensive patients. Clin Exp Hypertens 2015;37:388-92.
Ohta Y, Ohta K, Ishizuka A, Hayashi S, Kishida M, Iwashima Y, et al. Awareness of salt restriction and actual salt intake in hypertensive patients at a hypertension clinic and general clinic. Exp Hypertens Clin 2015;37:172-5.
Colin-Ramirez E, Espinosa-Cuevas Á, Miranda-Alatriste PV, Tovar-Villegas VI, Arcand J, Correa-Rotter R. Food sources of sodium intake in an adult Mexican population: a sub- analysis of the SALMEX study. Nutrients 2017;9:810.
- Abstract views: 326
- PDF: 129
- HTML: 0
Copyright (c) 2020 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.