Effectiveness of a two-component nutritional strategy for blood pressure control in individuals with hypertension users of a public health system: a randomized controlled clinical trial.

Autor:	Bersch-Ferreira AC; Hcor Teaching Institute, São Paulo.; Department of Research, BP - A Beneficência Portuguesa de São Paulo, São Paulo., Machado RHV; Hcor Research Institute, São Paulo., de Oliveira JS; Hcor Research Institute, São Paulo., Santos RHN; Hcor Research Institute, São Paulo., da Silva LR; Hcor Teaching Institute, São Paulo., Mota LGS; Division of Nutrition, Hcor, São Paulo., Pagano R; Department of Research, BP - A Beneficência Portuguesa de São Paulo, São Paulo., Sady ERR; Hcor Research Institute, São Paulo., Miyada DHK; Hcor Research Institute, São Paulo., Valeis N; Hcor Research Institute, São Paulo., Martins PN; School of Medicine, Universidade Federal de Juiz de Fora, Juiz de Fora., de Almeida JC; Department of Nutrition, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul.; Division of Nutrition and Dietetics, Hospital de Clínicas de Porto Alegre, Porto Alegre., Marchioni DML; Department of Nutrition, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo., Lara EMS; Hcor Teaching Institute, São Paulo., Gherardi-Donato ECS; Ribeirão Preto College of Nursing, Universidade de São Paulo, Ribeirão Preto., Quinhoneiro D; Ribeirão Preto College of Nursing, Universidade de São Paulo, Ribeirão Preto., Carvalho APPF; Research Improvement Group in Health and Nutrition, Hospital das Clínicas da Universidade Federal de Goiás, Goiânia., Machado MMA; Research Improvement Group in Health and Nutrition, Hospital das Clínicas da Universidade Federal de Goiás, Goiânia., Gedda LPF; Research Improvement Group in Health and Nutrition, Hospital das Clínicas da Universidade Federal de Goiás, Goiânia., Ferro CMB; Research Improvement Group in Health and Nutrition, Hospital das Clínicas da Universidade Federal de Goiás, Goiânia., Carvalho ACMS; Research Improvement Group in Health and Nutrition, Hospital das Clínicas da Universidade Federal de Goiás, Goiânia., Feoli AMP; Postgraduate Program in Psychology, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre., Walker MS; Postgraduate Program in Psychology, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre., Pinto SL; Nutrition Course, Universidade Federal do Tocantins, Palmas., Silva KC; Nutrition Course, Universidade Federal do Tocantins, Palmas., Bruscato NM; Instituto Moriguchi, Veranópolis., Moriguchi EH; Instituto Moriguchi, Veranópolis.; Internal Medicine Service, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre., Penafort AM; Nutrition Course, Universidade de Fortaleza, Fortaleza., Santiago RA; Nutrition Course, Universidade de Fortaleza, Fortaleza., Osório DRD; Multiprofessional Outpatient Systemic Arterial Hypertension, Instituto de Cardiologia/Fundação Universitária de Cardiologia do Rio Grande do Sul, Porto Alegre., Rower HB; Multiprofessional Outpatient Systemic Arterial Hypertension, Instituto de Cardiologia/Fundação Universitária de Cardiologia do Rio Grande do Sul, Porto Alegre., Barbosa MR; Nutrition Course, School of Medicine, Universidade Federal de Uberlândia, Uberlândia., da Silva JGST; Hcor Teaching Institute, São Paulo., Weber B; Department of Research, BP - A Beneficência Portuguesa de São Paulo, São Paulo., Cavalcanti AB; Hcor Teaching Institute, São Paulo.; Hcor Research Institute, São Paulo., Marcadenti A; Hcor Research Institute, São Paulo.; Graduate Program in Health Sciences (Cardiology), Instituto de Cardiologia/Fundação Universitária de Cardiologia do Rio Grande do Sul, Porto Alegre, Brazil.
Jazyk:	angličtina
Zdroj:	Journal of hypertension [J Hypertens] 2024 Jul 01; Vol. 42 (7), pp. 1173-1183. Date of Electronic Publication: 2024 Feb 23.
DOI:	10.1097/HJH.0000000000003703
Abstrakt:	Objective: To evaluate the effectiveness of a nutritional strategy based on two components and adapted for the public health system on blood pressure, cardiometabolic features, self-care, qualify of life and diet quality in individuals with hypertension. Methods: NUPRESS was an open-label, parallel-group, superiority randomized controlled clinical trial in which participants at least 21 years with hypertension and poorly controlled blood pressure were randomly assigned (1 : 1 allocation ratio) to either an individualized dietary prescription according to nutritional guidelines (control group, n  = 205); or a two-component nutrition strategy, including a goal-directed nutritional counseling and mindfulness techniques (NUPRESS [intervention] group, n  = 205). Primary outcomes were SBP (mmHg) after 24 weeks of follow up and blood pressure control, defined as either having SBP more than 140 mmHg at baseline and achieving 140 mmHg or less after follow-up or having SBP 140 mmHg or less at baseline and reducing the frequency of antihypertensive drugs in use after follow-up. Results: In total, 410 participants were randomized and submitted to an intention-to-treat analysis regarding primary outcomes. Both groups decreased blood pressure, but after adjusting for baseline values, there was no significant difference between them on SBP [intervention-control difference: -0.03 (-3.01; 2.94); P  = 0.98] nor blood pressure control [odds ratio 1.27 (0.82; 1.97); P  = 0.28]. No differences between groups were also detected regarding secondary and tertiary outcomes. Conclusion: There was no difference between a two-component nutritional strategy and an established dietary intervention on blood pressure in participants with hypertension. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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