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The relationship between family history of disease and adherence to a DASH dietary pattern by adolescents with high blood pressure

Ash, Kathleen
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1377873666

Abstract Details

2013, MS, University of Cincinnati, Allied Health Sciences: Nutrition.
Purpose: To investigate the relationship between family history of cardiovascular disease (inclusive of heart disease, high blood pressure and stroke) and adherence to a Dietary Approaches to Stop Hypertension (DASH) type dietary pattern by adolescents with high blood pressure. Subjects: 111 adolescents ages 11- 18 diagnosed with either pre-hypertension or stage I hypertension, who voluntarily participated in a nutrition intervention program promoting a DASH type dietary plan were included in this study. Methods: All participants were recruited from Cincinnati Children's Hypertension Center (CCHC) located at Cincinnati Children's Hospital Medical Center (CCHMC). Subjects were randomly selected to be in one of two groups: the DASH-4-Teens intervention group or usual care group. Both groups received dietary counseling focusing on the development of a DASH type dietary pattern, rich in fruits, vegetables, and low fat dairy products and low in sodium and fat. Only those participants who completed both the baseline and 6 month follow up visit were included in these analyses. Multiple regression mixed models were used to evaluate the association between family history of diseases and change in DASH score which represented adherence. Statistical significance was defined as P<0.05. Data analysis was conducted using SAS version 9.2 (SAS Inc., Daly, NC, USA). Results: A family history of heart attack was significantly associated with a positive change in DASH score, and change in DASH fruit component score. There were no significant relationships between family history of high blood pressure and stroke and change in DASH score or independent DASH component scores. Conclusion: Based on these findings, family history of heart attack predicted a positive change in adolescent DASH score and DASH fruit score. Additional research is needed to confirm these relationships and determine why these relationships exist. If family history of heart disease proves to be a predictor of adolescent adherence to a therapeutic diet to lower blood pressure, it may be useful to emphasize the familial relationships between high blood pressure and heart disease to positively influence adherence to the DASH dietary pattern.
Abigail Peairs, Ph.D. (Committee Chair)
Sarah Couch, Ph.D. (Committee Member)
34 p.
Nutrition
adolescents; hypertension; adherence; DASH diet; family history

Recommended Citations

Citations

  • Ash, K. (2013). The relationship between family history of disease and adherence to a DASH dietary pattern by adolescents with high blood pressure [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1377873666

    APA Style (7th edition)

  • Ash, Kathleen. The relationship between family history of disease and adherence to a DASH dietary pattern by adolescents with high blood pressure. 2013. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1377873666.

    MLA Style (8th edition)

  • Ash, Kathleen. "The relationship between family history of disease and adherence to a DASH dietary pattern by adolescents with high blood pressure." Master's thesis, University of Cincinnati, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1377873666

    Chicago Manual of Style (17th edition)

ucin1377873666
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This open access ETD is published by University of Cincinnati and OhioLINK.