Influence of food intake and eating habits on hypertension control among outpatients at a government health clinic in the Klang Valley, Malaysia

Suzana Shahar, A. Azlinda, S. L. Hin, W. H. Khor, Z. Zahara, J. Sa'ida Munira, M. Norliza

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Introduction: In Malaysia, hypertension prevalence has increased from 13% in 1996 to 43% in 2006 based on the Third National Health and Morbidity Survey. Methodology: Recognising the importance of hypertension control to prevent cardiovascular morbidity and mortality, a cross-sectional study was carried out to assess factors influencing blood pressure among 74 hypertensive adults (22 men, 52 women, mean age 61.1 ± 8.8 years old) attending an outpatient clinic of a government health clinic in Klang Valley. Subjects were interviewed to obtain information on social and health, physical activity level and food intake using Diet History Questionnaire (DHQ) and Food Frequency Questionnaire (FFQ). Anthropometric measurements including weight, height, waist circumference and percentage of body fat were also conducted. Results: The majority of the subjects (71.6%) had poor hypertension control as determined using blood pressure. Women aged 30-59 years old had a higher mean diastolic blood pressure (87.3 ± 11.6 mmHg) than women aged ≥ 60 years old (78.5 ± 9.5 mmHg) (p<0.05). Most of the men (36.4%) achieved three out of six Medical Nutrition Therapy (MNT) for Hypertension Recommendations as outlined by the Malaysian Dietitians' Association. About one-third (30.8%) of the women achieved two out of six of the guidelines. High sodium intake (adjusted OR 3.501, 95% CI 1.116-10.985, p< 0.05), daily consumption of coffee (adjusted OR 0.302, 95% CI 0.093-0.983, p< 0.05) and less intake of milk (adjusted OR 3.328, 95% CI 1.055-10.493, p< 0.05) were associated with uncontrolled hypertension. Conclusion: Three quarters of the subjects had unsatisfactory hypertensive control and was related to food intake and eating habits including high salt diet, coffee consumption and inadequate milk intake were unsatisfactory. There is a need to implement a nutrition intervention programme based on MNT to achieve good hypertensive control among subjects.

Original languageEnglish
Pages (from-to)163-173
Number of pages11
JournalMalaysian Journal of Nutrition
Volume17
Issue number2
Publication statusPublished - 2011

Fingerprint

Malaysia
Feeding Behavior
eating habits
hypertension
food intake
Outpatients
valleys
Eating
Hypertension
Nutrition Therapy
Health
Blood Pressure
diet therapy
milk consumption
Coffee
blood pressure
morbidity
Milk
Diet
Morbidity

Keywords

  • Blood pressure
  • Food intake
  • Health clinic
  • Hypertensive
  • Risk factors

ASJC Scopus subject areas

  • Nutrition and Dietetics
  • Food Science

Cite this

Influence of food intake and eating habits on hypertension control among outpatients at a government health clinic in the Klang Valley, Malaysia. / Shahar, Suzana; Azlinda, A.; Hin, S. L.; Khor, W. H.; Zahara, Z.; Sa'ida Munira, J.; Norliza, M.

In: Malaysian Journal of Nutrition, Vol. 17, No. 2, 2011, p. 163-173.

Research output: Contribution to journalArticle

Shahar, Suzana ; Azlinda, A. ; Hin, S. L. ; Khor, W. H. ; Zahara, Z. ; Sa'ida Munira, J. ; Norliza, M. / Influence of food intake and eating habits on hypertension control among outpatients at a government health clinic in the Klang Valley, Malaysia. In: Malaysian Journal of Nutrition. 2011 ; Vol. 17, No. 2. pp. 163-173.
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abstract = "Introduction: In Malaysia, hypertension prevalence has increased from 13{\%} in 1996 to 43{\%} in 2006 based on the Third National Health and Morbidity Survey. Methodology: Recognising the importance of hypertension control to prevent cardiovascular morbidity and mortality, a cross-sectional study was carried out to assess factors influencing blood pressure among 74 hypertensive adults (22 men, 52 women, mean age 61.1 ± 8.8 years old) attending an outpatient clinic of a government health clinic in Klang Valley. Subjects were interviewed to obtain information on social and health, physical activity level and food intake using Diet History Questionnaire (DHQ) and Food Frequency Questionnaire (FFQ). Anthropometric measurements including weight, height, waist circumference and percentage of body fat were also conducted. Results: The majority of the subjects (71.6{\%}) had poor hypertension control as determined using blood pressure. Women aged 30-59 years old had a higher mean diastolic blood pressure (87.3 ± 11.6 mmHg) than women aged ≥ 60 years old (78.5 ± 9.5 mmHg) (p<0.05). Most of the men (36.4{\%}) achieved three out of six Medical Nutrition Therapy (MNT) for Hypertension Recommendations as outlined by the Malaysian Dietitians' Association. About one-third (30.8{\%}) of the women achieved two out of six of the guidelines. High sodium intake (adjusted OR 3.501, 95{\%} CI 1.116-10.985, p< 0.05), daily consumption of coffee (adjusted OR 0.302, 95{\%} CI 0.093-0.983, p< 0.05) and less intake of milk (adjusted OR 3.328, 95{\%} CI 1.055-10.493, p< 0.05) were associated with uncontrolled hypertension. Conclusion: Three quarters of the subjects had unsatisfactory hypertensive control and was related to food intake and eating habits including high salt diet, coffee consumption and inadequate milk intake were unsatisfactory. There is a need to implement a nutrition intervention programme based on MNT to achieve good hypertensive control among subjects.",
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AU - Azlinda, A.

AU - Hin, S. L.

AU - Khor, W. H.

AU - Zahara, Z.

AU - Sa'ida Munira, J.

AU - Norliza, M.

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N2 - Introduction: In Malaysia, hypertension prevalence has increased from 13% in 1996 to 43% in 2006 based on the Third National Health and Morbidity Survey. Methodology: Recognising the importance of hypertension control to prevent cardiovascular morbidity and mortality, a cross-sectional study was carried out to assess factors influencing blood pressure among 74 hypertensive adults (22 men, 52 women, mean age 61.1 ± 8.8 years old) attending an outpatient clinic of a government health clinic in Klang Valley. Subjects were interviewed to obtain information on social and health, physical activity level and food intake using Diet History Questionnaire (DHQ) and Food Frequency Questionnaire (FFQ). Anthropometric measurements including weight, height, waist circumference and percentage of body fat were also conducted. Results: The majority of the subjects (71.6%) had poor hypertension control as determined using blood pressure. Women aged 30-59 years old had a higher mean diastolic blood pressure (87.3 ± 11.6 mmHg) than women aged ≥ 60 years old (78.5 ± 9.5 mmHg) (p<0.05). Most of the men (36.4%) achieved three out of six Medical Nutrition Therapy (MNT) for Hypertension Recommendations as outlined by the Malaysian Dietitians' Association. About one-third (30.8%) of the women achieved two out of six of the guidelines. High sodium intake (adjusted OR 3.501, 95% CI 1.116-10.985, p< 0.05), daily consumption of coffee (adjusted OR 0.302, 95% CI 0.093-0.983, p< 0.05) and less intake of milk (adjusted OR 3.328, 95% CI 1.055-10.493, p< 0.05) were associated with uncontrolled hypertension. Conclusion: Three quarters of the subjects had unsatisfactory hypertensive control and was related to food intake and eating habits including high salt diet, coffee consumption and inadequate milk intake were unsatisfactory. There is a need to implement a nutrition intervention programme based on MNT to achieve good hypertensive control among subjects.

AB - Introduction: In Malaysia, hypertension prevalence has increased from 13% in 1996 to 43% in 2006 based on the Third National Health and Morbidity Survey. Methodology: Recognising the importance of hypertension control to prevent cardiovascular morbidity and mortality, a cross-sectional study was carried out to assess factors influencing blood pressure among 74 hypertensive adults (22 men, 52 women, mean age 61.1 ± 8.8 years old) attending an outpatient clinic of a government health clinic in Klang Valley. Subjects were interviewed to obtain information on social and health, physical activity level and food intake using Diet History Questionnaire (DHQ) and Food Frequency Questionnaire (FFQ). Anthropometric measurements including weight, height, waist circumference and percentage of body fat were also conducted. Results: The majority of the subjects (71.6%) had poor hypertension control as determined using blood pressure. Women aged 30-59 years old had a higher mean diastolic blood pressure (87.3 ± 11.6 mmHg) than women aged ≥ 60 years old (78.5 ± 9.5 mmHg) (p<0.05). Most of the men (36.4%) achieved three out of six Medical Nutrition Therapy (MNT) for Hypertension Recommendations as outlined by the Malaysian Dietitians' Association. About one-third (30.8%) of the women achieved two out of six of the guidelines. High sodium intake (adjusted OR 3.501, 95% CI 1.116-10.985, p< 0.05), daily consumption of coffee (adjusted OR 0.302, 95% CI 0.093-0.983, p< 0.05) and less intake of milk (adjusted OR 3.328, 95% CI 1.055-10.493, p< 0.05) were associated with uncontrolled hypertension. Conclusion: Three quarters of the subjects had unsatisfactory hypertensive control and was related to food intake and eating habits including high salt diet, coffee consumption and inadequate milk intake were unsatisfactory. There is a need to implement a nutrition intervention programme based on MNT to achieve good hypertensive control among subjects.

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KW - Food intake

KW - Health clinic

KW - Hypertensive

KW - Risk factors

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