Original Research

Factors associated with noncompliance of sodium restriction in hypertensive and heart failure patients at the National Hospital of Cotonou, Benin

Colette Sylvie Azandjeme, Charles-Jérome Sossa, Murielle E. Hounkponou, Yolaine Ahanhanzo-Glèlè, Basilia Sodabi, Carmelle Mizehoun, Aymeric Darboux, Martin Houenassi
Journal of Public Health in Africa | Vol 11, No 2 | a529 | DOI: https://doi.org/10.4081/jphia.2020.1138 | © 2024 Colette Sylvie Azandjeme, Charles-Jérome Sossa, Murielle E. Hounkponou, Yolaine Ahanhanzo-Glèlè, Basilia Sodabi, Carmelle Mizehoun, Aymeric Darboux, Martin Houenassi | This work is licensed under CC Attribution 4.0
Submitted: 23 April 2024 | Published: 31 December 2020

About the author(s)

Colette Sylvie Azandjeme, Regional Institute of Public Health, University of Abomey-Calavi, Benin
Charles-Jérome Sossa, Regional Institute of Public Health, University of Abomey-Calavi, Benin
Murielle E. Hounkponou, Faculty of Health Science, University of Abomey-Calavi, Benin
Yolaine Ahanhanzo-Glèlè, Regional Institute of Public Health, University of Abomey-Calavi, Benin
Basilia Sodabi, National and University Hospital Hubert Koutoukou Maga (CNHU-HKM) of Cotonou, Benin
Carmelle Mizehoun, National and University Hospital Hubert Koutoukou Maga (CNHU-HKM) of Cotonou, Benin
Aymeric Darboux, Regional Institute of Public Health, University of Abomey-Calavi, Benin
Martin Houenassi, Faculty of Health Science, University of Abomey-Calavi, Benin

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Abstract

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.


Keywords

compliance; sodium restriction; hypertension; heart failure; Benin

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