Nutritional Strategy
BehavioralCounseling based on dietary goals and mindfulness techniques.
NCT Number: NCT03793881
Adherence to a healthy dietary pattern is part of the self-care of patients with hypertension, and may contribute substantially to therapeutic target goals as well as to a better quality of life. However, not all nutritional recommendations aimed at these patients are easily applicable in clinical practice. The primary objective of the study is to evaluate the effectiveness of a nutritional strategy for blood pressure control in patients with hypertension users of a Public Health System after 6 months of follow-up. As secondary objectives, we will evaluate the impact of the proposed strategy on self-care and on the quality of life of the patients. In this multicenter open-label randomized trial, 408 patients ≥21 years old with hypertension, systolic blood pressure (SBP) ≥140mmHg at the moment of the screening and who have not received or received nutritional counseling for at least 06 months will be enrolled. Patients allocated to the control group will receive individualized dietary prescription according to the guidelines of the Brazilian Society of Cardiology. Nutritional counseling in the intervention group will be performed based on the quality of the diet, the Food Guide for the Brazilian Population and concepts of mindfulness and mindful eating; all dietary guidance will be based on feasible goals built together (patient and nutritionist), and no diet will be prescribed for intervention group. In both groups, patients will receive automatic monitors for residential self-monitoring blood pressure. On-site follow-up visits will be carried out at 30, 60, 90, and 180 days (final consultation). At 120 and 150 days, participants in the intervention group will receive motivational messages via e-mail or SMS (for these patients, consultation of 30 days will be a group meeting). Laboratory tests (lipid and glycemic profile, serum creatinine, serum sodium, urinary sodium, serum potassium, urinary potassium and albuminuria) will be performed at baseline and 180 days; anthropometric indexes and diastolic blood pressure (DBP) will be also evaluated.
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Notify Me21 year and older
All sexes
Interventional
Not applicable
Universidade de Fortaleza, Fortaleza, Brazil
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
≥21 years old with medical diagnosis of hypertension, systolic blood pressure (SBP) ≥140 mmHg at the moment of the screening and who have not received or received nutritional counseling for at least 06 months.
Exclusion criteria
Counseling based on dietary goals and mindfulness techniques.
Dietary prescription according to guidelines.
Time frame: 6 months
Systolic blood pressure, in mmHg
Time frame: 6 months
Blood pressure control, defined as either having systolic blood pressure (SBP) > 140 mmHg at baseline and achieving SBP ≤ 140 mmHg after follow-up or having SBP ≤ 140 mmHg at baseline and reducing anti-hypertensive drugs after follow-up.
Time frame: 6 months
Diastolic blood pressure, in mmHg
Time frame: 6 months
Glycated hemoglobin, in %
Time frame: 6 months
Fasting glucose, in mg/dL
Time frame: 6 months
Body weight, in kg
Time frame: 6 months
Waist circumference, in cm
Time frame: 6 months
Body mass index, in kg/m2; it will be defined according to the mathematical formula (BW/height*height)
Time frame: 6 months
Total cholesterol, in mg/dL
Time frame: 6 months
LDL cholesterol, in mg/dL; it will be defined according to the Martin´s mathematical formula
Time frame: 6 months
HDL cholesterol, in mg/dL
Time frame: 6 months
Serum triglycerides, in mg/dL
Time frame: 6 months
VLDL cholesterol, in mg/dL; it will be obtained according to the mathematical formula TG/5
Time frame: 6 months
Non-HDL cholesterol, in mg/dL; it will be obtained according to the mathematical formula TC-HDL-c
Time frame: 6 months
Castelli Index I, in mg/dL; it will be obtained according to the mathematical formula TC/HDL-c
Time frame: 6 months
Castelli Index II, in mg/dL; it will be obtained according to the mathematical formula LDL-c/HDL-c
Time frame: 6 months
Creatinine, in mg/dL
Time frame: 6 months
Glomerular filtration rate, in ml/min/1.73m2
Time frame: 6 months
Serum sodium, in mEq/L
Time frame: 6 months
Urinary sodium, in mEq/L
Time frame: 6 months
Serum potassium, in mEq/L
Time frame: 6 months
Urinary potassium, in mEq/L
Time frame: 6 months
Albuminuria, in mg/g
Time frame: 6 months
Diet quality, assessed by the modified Alternative Healthy Eating Index (mAHEI)
Time frame: 6 months
Quality of life evaluated by the Brazilian version of the Mini-cuestionario de calidad de vida en la hipertensión arterial. In this tool, ten items are related to the "mental status" domain and six items to "somatic manifestations". Questions refer to the past seven days. The score scale is a likert-type scale with four possible answers (0=absolutely no; 1=yes, a little; 2=yes, fairly; 3=yes, a lot). The points range from 0 (best health level) to 30 (worst health level) for the "mental status" dimension, and from 0 (best health level) to 18 (worst health level) for the "somatic manifestations" dimension.
Time frame: 6 months
Self-care evaluated by the Brazilian version of the Self-care of Hypertension Inventory Questionaire. This tool includes 23 items divided across 3 scales: Self-care Maintenance (11 items), Self-care Management (6 items), and Self-care Confidence (6 items). Items in the instrument are scored on a Likert-type scale. In the Self-care Maintenance domain, scores range from 1 to 5 (''never'' to ''always''). In the Self-care Management domain, 2 items range from 0 to 5 to capture a fully negative response, and other item options are scored 1 to 5. The remaining items are scored from 1 to 5 (''not likely'' to ''very likely''). In the self-care confidence scale, items are scored from 1 to 5. Scores are calculated for each scale individually. Each scale is standardized to range from 0 to 100. Self-care is considered adequate if the score is 70 or greater.
Time frame: 6 months
Therapeutic targets, defined as the proportion of participants who reached the following therapeutic targets: SBP/DBP < 140/90 mmHg; fasting glucose <100 mg/dL; LDL-c <100 mg/dL; BMI < 25 kg/m2 or weight loss > 5%
Time frame: 6 months
Anti-hypertensive drugs, defined as the type and proportion of anti-hypertensive drugs used
Hospital do Coracao
Other
Effectiveness of a Nutritional Strategy for Blood Pressure Control in Patients With Hypertension Users of a Public Health System: NUPRESS Study
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