Impact of a community-based lifestyle intervention program on blood pressure and salt intake of normotensive adult population in a developing country

Background: Data on the effect of lifestyle intervention programs on salt intake and blood pressure in developing countries are scarce. This study aimed to assess the impact of a healthy lifestyle community-based trial on salt intake and blood pressure among a representative sample of normotensive I...

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Main Authors: Alireza Khosravi, Roya Kelishadi, Nizal Sarrafzadegan, Maryam Boshtam, Fatemeh Nouri, Sonia Zarfeshani, Ahmad Esmaillzadeh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Journal of Research in Medical Sciences
Subjects:
Online Access:http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2012;volume=17;issue=3;spage=235;epage=241;aulast=Khosravi
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author Alireza Khosravi
Roya Kelishadi
Nizal Sarrafzadegan
Maryam Boshtam
Fatemeh Nouri
Sonia Zarfeshani
Ahmad Esmaillzadeh
author_facet Alireza Khosravi
Roya Kelishadi
Nizal Sarrafzadegan
Maryam Boshtam
Fatemeh Nouri
Sonia Zarfeshani
Ahmad Esmaillzadeh
author_sort Alireza Khosravi
collection DOAJ
description Background: Data on the effect of lifestyle intervention programs on salt intake and blood pressure in developing countries are scarce. This study aimed to assess the impact of a healthy lifestyle community-based trial on salt intake and blood pressure among a representative sample of normotensive Iranian adults. Materials and Methods: We compared the data for salt intake, urinary sodium levels and blood pressure from three cross-sectional surveys in time points of 1999, 2001-2002 (beginning of the community interventions), and 2007 (after the community trial) for normotensive adult population of Isfahan, Iran in the framework of Isfahan Healthy Heart Program. Using multi-stage cluster sampling method, one of the family members at each household was randomly selected with Iranian adult population as a target. Dietary salt intake was estimated based on 24 hour urinary sodium levels. Systolic and diastolic blood pressures were measured according to standard methods. Results: Dietary sodium intake and urinary sodium levels as well as systolic and diastolic blood pressure were significantly decreased during the 9-year study period. Unlike systolic and diastolic blood pressures that had a consistent decrement between 1999 and 2007, dietary sodium intake and urinary sodium levels were slightly raised from 1999 to 2000-2001 and then reduced between 2001-2 and 2007 evaluations. The same findings were reached when data were analyzed separately by gender or weight status. Conclusions: A lifestyle community trial was effective in controlling the escalating trend of blood pressure and salt intake in Iranian population. It can be considered as a model to be adopted in other developing countries.
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spelling doaj.art-bcd003f2f2e04a9ca0f5544c1eaaba0f2022-12-21T19:05:14ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362012-01-01173235241Impact of a community-based lifestyle intervention program on blood pressure and salt intake of normotensive adult population in a developing countryAlireza KhosraviRoya KelishadiNizal SarrafzadeganMaryam BoshtamFatemeh NouriSonia ZarfeshaniAhmad EsmaillzadehBackground: Data on the effect of lifestyle intervention programs on salt intake and blood pressure in developing countries are scarce. This study aimed to assess the impact of a healthy lifestyle community-based trial on salt intake and blood pressure among a representative sample of normotensive Iranian adults. Materials and Methods: We compared the data for salt intake, urinary sodium levels and blood pressure from three cross-sectional surveys in time points of 1999, 2001-2002 (beginning of the community interventions), and 2007 (after the community trial) for normotensive adult population of Isfahan, Iran in the framework of Isfahan Healthy Heart Program. Using multi-stage cluster sampling method, one of the family members at each household was randomly selected with Iranian adult population as a target. Dietary salt intake was estimated based on 24 hour urinary sodium levels. Systolic and diastolic blood pressures were measured according to standard methods. Results: Dietary sodium intake and urinary sodium levels as well as systolic and diastolic blood pressure were significantly decreased during the 9-year study period. Unlike systolic and diastolic blood pressures that had a consistent decrement between 1999 and 2007, dietary sodium intake and urinary sodium levels were slightly raised from 1999 to 2000-2001 and then reduced between 2001-2 and 2007 evaluations. The same findings were reached when data were analyzed separately by gender or weight status. Conclusions: A lifestyle community trial was effective in controlling the escalating trend of blood pressure and salt intake in Iranian population. It can be considered as a model to be adopted in other developing countries.http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2012;volume=17;issue=3;spage=235;epage=241;aulast=KhosraviBlood PressureSaltAdultUrineLifestyle
spellingShingle Alireza Khosravi
Roya Kelishadi
Nizal Sarrafzadegan
Maryam Boshtam
Fatemeh Nouri
Sonia Zarfeshani
Ahmad Esmaillzadeh
Impact of a community-based lifestyle intervention program on blood pressure and salt intake of normotensive adult population in a developing country
Journal of Research in Medical Sciences
Blood Pressure
Salt
Adult
Urine
Lifestyle
title Impact of a community-based lifestyle intervention program on blood pressure and salt intake of normotensive adult population in a developing country
title_full Impact of a community-based lifestyle intervention program on blood pressure and salt intake of normotensive adult population in a developing country
title_fullStr Impact of a community-based lifestyle intervention program on blood pressure and salt intake of normotensive adult population in a developing country
title_full_unstemmed Impact of a community-based lifestyle intervention program on blood pressure and salt intake of normotensive adult population in a developing country
title_short Impact of a community-based lifestyle intervention program on blood pressure and salt intake of normotensive adult population in a developing country
title_sort impact of a community based lifestyle intervention program on blood pressure and salt intake of normotensive adult population in a developing country
topic Blood Pressure
Salt
Adult
Urine
Lifestyle
url http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2012;volume=17;issue=3;spage=235;epage=241;aulast=Khosravi
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