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The relationship between diet self-monitoring and healthful dietary pattern changes in adolescents with elevated blood pressure

Blaut, Jessica A
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1367937841

Abstract Details

2013, MS, University of Cincinnati, Allied Health Sciences: Nutrition.
Objective: To examine the usefulness of dietary self-monitoring in promoting adherence to a diet (the DASH diet), which requires food pattern changes including increasing intake of fruits, vegetables and low fat dairy foods, in youth with pre-/hypertension following a clinic based intervention to lower blood pressure. Methods: Participants (n=41) completed a 24-week nutrition intervention including x 2 counseling sessions by a registered dietitian (RD) on the DASH diet; written material including a manual with DASH food serving and meal planning recommendations; 15 behavioral counseling phone calls; and biweekly mailings. Adolescents were asked to monitor their intake for 5 days/ week using a detailed record form or a simple tracking form and return completed records weekly to the RD. Degree of compliance to dietary self-monitoring was calculated as number of days of food recording/ total possible days x 100. Degree of compliance to recording at 68-100% = high; 34-67%= moderate; 0-33% = low. Compliance to the DASH diet was calculated as change in DASH Score measured by the DASH Diet Index based on 3-day diet recall data collected pre and post intervention. Results: Compliance to tracking using the detailed or simple form was 41 % high, 29% moderate, and 31% low and using the detailed form only was 22% high, 27% moderate, and 51% low. In multiple linear regression models, adjusted for age, race, gender, income, and BMI z score, a moderate or high level of self-monitoring compared to a low level was a positive predictor of change in overall DASH Score (p<0.01 detailed or simple tracking, p<.05 detailed tracking only). Conclusion/Application: Dietary self-monitoring for at least a third of intervention days was related to success in changing dietary patterns to be more DASH-like (higher in fruits, vegetables and low fat dairy foods). This skill may be an important adjunct to dietary intervention programs to manage blood pressure with lifestyle therapy among youth.
Sarah Couch, Ph.D. (Committee Chair)
Abigail Peairs, Ph.D. (Committee Member)
41 p.
Nutrition
Hypertension; DASH Diet; Adolescents; Self-Monitoring;

Recommended Citations

Citations

  • Blaut, J. A. (2013). The relationship between diet self-monitoring and healthful dietary pattern changes in adolescents with elevated blood pressure [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1367937841

    APA Style (7th edition)

  • Blaut, Jessica. The relationship between diet self-monitoring and healthful dietary pattern changes in adolescents with elevated blood pressure. 2013. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1367937841.

    MLA Style (8th edition)

  • Blaut, Jessica. "The relationship between diet self-monitoring and healthful dietary pattern changes in adolescents with elevated blood pressure." Master's thesis, University of Cincinnati, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1367937841

    Chicago Manual of Style (17th edition)

ucin1367937841
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© 2013, all rights reserved.
This open access ETD is published by University of Cincinnati and OhioLINK.