Feasibility and Acceptability of a Dietary Intervention to Reduce Salt Intake and Increase High-Nitrate Vegetable Consumption in Malaysian Middle-Aged and Older Adults with Elevated Blood Pressure: Findings from the DePEC-Nutrition Trial.

Autor: Lee SS; Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 47500, Malaysia., McGrattan A; School of Biomedical, Nutritional and Sports Sciences, Newcastle University, Newcastle upon Tyne NE2 4HH, UK., Soh YC; Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 47500, Malaysia.; South East Asia Community Observatory (SEACO), Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 45700, Malaysia., Alawad M; Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 47500, Malaysia.; South East Asia Community Observatory (SEACO), Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 45700, Malaysia., Su TT; Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 47500, Malaysia.; South East Asia Community Observatory (SEACO), Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 45700, Malaysia., Palanisamy UD; Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 47500, Malaysia., Hussin AM; Institute of Medical Science Technology, Universiti Kuala Lumpur, Kajang 43000, Malaysia., Kassim ZB; District Health Office, Pejabat Kesihatan Daerah (PKD) Segamat, Segamat 85000, Malaysia., Mohd Ghazali ANB; District Health Office, Pejabat Kesihatan Daerah (PKD) Segamat, Segamat 85000, Malaysia., Christa Maree Stephan B; Institute of Mental Health, School of Medicine, University of Nottingham, Nottingham NG7 2TU, UK., Allotey P; International Institute for Global Health, United Nations University, Kuala Lumpur 56000, Malaysia., Reidpath DD; South East Asia Community Observatory (SEACO), Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 45700, Malaysia.; International Centre for Diarrhoeal Disease Research, ICDDR, B, Dhaka 1212, Bangladesh., Robinson L; Population Health Science Institute, Newcastle University, Newcastle upon Tyne NE4 5PL, UK., Mohan D; Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway 47500, Malaysia., Siervo M; School of Life Sciences, University of Nottingham Medical School, Nottingham NG7 2UH, UK.
Jazyk: angličtina
Zdroj: Nutrients [Nutrients] 2022 Jan 19; Vol. 14 (3). Date of Electronic Publication: 2022 Jan 19.
DOI: 10.3390/nu14030430
Abstrakt: The DePEC-Nutrition trial is a complex dietary and behavioural intervention of salt intake reduction combined with increased high-nitrate vegetable consumption among Malaysian middle-aged and older adults with elevated blood pressure. This study aimed to assess the feasibility and acceptability of the trial. Participants were recruited from the South East Asia Community Observatory (SEACO) database and randomised into one of four groups: (1) low salt; (2) high-nitrate vegetable; (3) combined high-nitrate vegetable and low salt; and (4) control. The intervention included a combination of group counselling sessions, information booklets, reinforcement videos and text messages to modify dietary behaviour. The primary outcomes evaluated were the measures of feasibility and acceptability of (1) recruitment, follow-up attendance and retention; (2) data collection procedures and clinical outcome measures; and (3) individual and combined multi-modal dietary interventions. A total of 74 participants were recruited, and the 10-month retention rate was 73%. Data collection procedures were acceptable with minimal missing data. All intervention strategies were feasible and acceptable, with group counselling being the most acceptable strategy. This study provides important insights into improving the screening process of participants, facilitating their access to the research facilities and refining the measurement protocols and dietary recommendations, which are instrumental in formulating the design of a full-scale definitive DePEC-Nutrition trial.
Databáze: MEDLINE