학술논문
A dietary approach to control hypertension: reflections on adherence to and possible impacts on public health/ Abordagem dietetica para controle da hipertensao: reflexoes sobre adesao e possiveis impactos para a saude coletiva
Document Type
Academic Journal
Author
Source
Ciência & Saúde Coletiva. April, 2020, Vol. 25 Issue 4, p1421, 12 p.
Subject
Language
Spanish; Castilian
ISSN
1413-8123
Abstract
Introducao A dieta DASH (Dietary Approach to Stop Hypertension), inicialmente proposta para controlar a hipertensao arterial (HA), foi concebida na decada de 1990, logo apos o reconhecimento de que o [...]
The DASH (Dietary Approach to Stop Hypertension) diet is considered a healthy eating standard and has been recommended for the control of arterial hypertension. The scope of this article was to review the scientific literature regarding the DASH diet and to verify the adherence to this food standard by the Brazilian population. An integrative review of the literature in the Medline/ PubMed, SciELO and LILACS databases was conducted in English and Portuguese. The literature on the DASH diet is extensive. However, only four studies showing adherence to the DASH diet by the Brazilian population were found. Findings from this review show that the DASH diet represents a potentially accessible and applicable intervention, which could improve the health of the population. The studies differed in the methods of evaluation. The low adherence to the diet in the Brazilian population reveals the need for nutritional actions to deal with hypertension. Innovative strategies are called for to determine how best to minimize the barriers to dissemination and greater adherence to this healthy food standard. Food plans and flexible, non-restrictive, compatible guidelines with clear objectives directed towards gradual changes with frequent monitoring by a multiprofessional health team, are suggested. Key words DASH diet, Public health, Food consumption, Compliance, Patient adherence A dieta DASH (Dietary Approach to Stop Hypertension) e considerada um padrao alimentar saudavel, sendo preconizada para o controle da hipertensao arterial. O objetivo do artigo foi revisar a literatura sobre a dieta DASH e verificar sua adesao pela populacao brasileira. Realizou-se revisao integrativa nas bases Medline/ PubMed, SciELO e LILACS, nos idiomas ingles e portugues. A literatura sobre dieta DASH e extensa, entretanto quatro estudos mostrando a adesao pela populacao brasileira foram encontrados. A dieta DASH representa uma intervencao potencialmente acessivel e aplicavel que poderia melhorar a saude da populacao. Os estudos diferiram entre si nos metodos de avaliacao utilizados e a baixa adesao evidencia a necessidade de implementacao de acoes no ambito da atencao nutricional ao hipertenso. Estrategias inovadoras serao necessarias para determinar a melhor forma de minimizar as barreiras para disseminacao e adesao a esse padrao alimentar saudavel. Sugere-se planos alimentares e orientacoes flexiveis, pouco restritivas, compativeis, com objetivos claros, direcionados para mudancas graduais, com monitoramento frequente de equipe multiprofissional de saude. Palavras-chave Dieta DASH, Saude publica, Consumo alimentar, Conformidade, Adesao do paciente
The DASH (Dietary Approach to Stop Hypertension) diet is considered a healthy eating standard and has been recommended for the control of arterial hypertension. The scope of this article was to review the scientific literature regarding the DASH diet and to verify the adherence to this food standard by the Brazilian population. An integrative review of the literature in the Medline/ PubMed, SciELO and LILACS databases was conducted in English and Portuguese. The literature on the DASH diet is extensive. However, only four studies showing adherence to the DASH diet by the Brazilian population were found. Findings from this review show that the DASH diet represents a potentially accessible and applicable intervention, which could improve the health of the population. The studies differed in the methods of evaluation. The low adherence to the diet in the Brazilian population reveals the need for nutritional actions to deal with hypertension. Innovative strategies are called for to determine how best to minimize the barriers to dissemination and greater adherence to this healthy food standard. Food plans and flexible, non-restrictive, compatible guidelines with clear objectives directed towards gradual changes with frequent monitoring by a multiprofessional health team, are suggested. Key words DASH diet, Public health, Food consumption, Compliance, Patient adherence A dieta DASH (Dietary Approach to Stop Hypertension) e considerada um padrao alimentar saudavel, sendo preconizada para o controle da hipertensao arterial. O objetivo do artigo foi revisar a literatura sobre a dieta DASH e verificar sua adesao pela populacao brasileira. Realizou-se revisao integrativa nas bases Medline/ PubMed, SciELO e LILACS, nos idiomas ingles e portugues. A literatura sobre dieta DASH e extensa, entretanto quatro estudos mostrando a adesao pela populacao brasileira foram encontrados. A dieta DASH representa uma intervencao potencialmente acessivel e aplicavel que poderia melhorar a saude da populacao. Os estudos diferiram entre si nos metodos de avaliacao utilizados e a baixa adesao evidencia a necessidade de implementacao de acoes no ambito da atencao nutricional ao hipertenso. Estrategias inovadoras serao necessarias para determinar a melhor forma de minimizar as barreiras para disseminacao e adesao a esse padrao alimentar saudavel. Sugere-se planos alimentares e orientacoes flexiveis, pouco restritivas, compativeis, com objetivos claros, direcionados para mudancas graduais, com monitoramento frequente de equipe multiprofissional de saude. Palavras-chave Dieta DASH, Saude publica, Consumo alimentar, Conformidade, Adesao do paciente