Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
권호 표지

The Effect of the Dietary Approaches to Stop Hypertension (DASH) Diet Education Program on Bone Mineral Density in the Middle-aged Women: A Pilot Study

DASH 식이 교육 프로그램이 중년 여성의 골밀도에 미치는 효과: 예비 조사 결과

  • Kim, Jung-Ha (Department of Aeromedical Center, Korean Air) ;
  • ChoiKwon, S-Mi (College of Nursing, Seoul National University) ;
  • Park, Yeon-Hwan (College of Nursing, Seoul National University) ;
  • Park, Kyung-Ae (Department of Hotel Culinary Arts and Nutrition, Kaya University) ;
  • Suh, Min-Hee (School of Nursing, University of North Carolina) ;
  • Lee, Sun-Ock (Department of Nursing, Korean National Open University)
  • 김정하 (대한항공 항공의료센터) ;
  • 최스미 (서울대학교 간호대학) ;
  • 박연환 (서울대학교 간호대학) ;
  • 박경애 (가야대학교 호텔조리영양학과) ;
  • 서민희 (노스캐롤라이나 주립대학교 간호학과) ;
  • 이선옥 (한국방송통신대학교 간호학과)
  • Received : 2010.11.15
  • Accepted : 2010.12.15
  • Published : 2010.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to develop the dietary approaches to stop hypertension (DASH) diet education program tailored to Korean adults and to examine the effect of the DASH diet education program on bone mineral density in middle aged women. Methods: The subjects of this study were 26 middle aged women, pre and post menopause, who attend a church located in Kyung-In district. The DASH group I (n=13) was provided with the DASH diet education program only, while the DASH group II (n=13) was provided with DASH diet education program along with calcium supplements (1 g/day). The DASH diet education program included one lecture on DASH diet, one face to face counseling, and five telephone counseling sessions during the 8 weeks period. Results: The knowledge and subjective compliance level of DASH diet increased significantly in both groups, at 4 and 8 weeks after the intervention. The level of objective compliance of DASH diet in both groups increased over the study period, but it was not significant as compared to those of the baseline. Bone mineral density of both groups decreased at 8weeks as compared to the baseline after the intervention. Conclusion: Although 8weeks of DASH diet education program increased the knowledge and compliance of DASH diet, it was not effective to bring the changes in bone mineral density among the middle aged women.

Keywords

References

  1. Appel, L. J., Brands, M. W., Daniels, S. R., Karanha, N., Elmer, P. J., & Sacks, F. M. (2006). Dietary approaches to prevent and treat hypertension: A scientific statement from the American heart association. Hypertension, 47, 296-308. https://doi.org/10.1161/01.HYP.0000202568.01167.B6
  2. Bae, Y. J., Choi, M. K., Kim, M. H., Kim, E. Y., Lee, J. Y., & Sung, C. J. (2006). The relation between net rate of endogenous noncarbonic acid production from diet potassium and protein intakes and bone mineral density in Korean women. Journal of the Korean Society of Food Science and Nutrition, 35, 1200-1206. https://doi.org/10.3746/jkfn.2006.35.9.1200
  3. Baek, K. H., & Kang, M. I. (2005). Official Positions of the international society for clinical densitometry. Journal of Korean Society of Endocrinology, 20, 1-7. https://doi.org/10.3803/jkes.2005.20.1.1
  4. Baran, D., Sorensen, A., Grimes, J., Lew, R., Karellas, A., Johnson, B., et al. (1990). Dietary modification with dairy products for preventing vertebral bone loss in premenopausal women: A three year prospectivie study. Journal of clinical endocrinology & metabolism, 70, 264-270. https://doi.org/10.1210/jcem-70-1-264
  5. Bucher, H. C., Cook, R. J., Guyatt, G. H., Long, J. P., Cook, D. J., Hatala, R., et al. (1996). Effects of dietary calcium supplementation on blood pressure: A meta-analysis of randomized controlled trials. The Journal of the American Medical Association, 275, 1016-1022. https://doi.org/10.1001/jama.275.13.1016
  6. Byun, Y. S., & Kim, O. S. (2000). Development of the education program and it effect of osteoporosis and life style among women. Journal of Nurses Academic Society, 30, 764-775.
  7. Chang, Y. K., Seo, H. J., Jin, Y. W., Jeong, M. S., Sung, S. H., Park, D. Y., et al. (2006). The prevalence and risk factors of osteopenia and osteoporosis in 40-59 year-old male workers. The Korean Journal of Occupational and Environmental Medicine, 18, 130-137.
  8. Choi, H. J., & Lee, D. J. (2003). Age-related change of spinal bone mineral density and accumulated bone loss rate in women. The Journal of the Korean Society of Menopause, 9, 171-176.
  9. Deborah, A. S. (2007). Calcium supplementation in clinical practice: A review of forms, doses, and indications. Nutrition in clinical practice, 22, 286-296. https://doi.org/10.1177/0115426507022003286
  10. Dwyer, J. H., Dwyer, K. M., Scribner, R. A., Sun, P., Li, L., Nicholson, L. M., et al. (1998). Dietary calcium, calcium supplementation and blood pressure in African American adolescents. American Journal of Clinical Nutrition, 68, 648-655. https://doi.org/10.1093/ajcn/68.3.648
  11. Helen, M. M., Susan, A. A., William, D, F., Marion, K. C., & David, M. R. (2005). Low dietary potassium intakes and high dietary estimates of net endogenous acid production are associated with low bone mineral density in premenopausal women and increased markers of bone resorption in postmenopausal women. American Journal of clinical nutrition, 81, 923-933. https://doi.org/10.1093/ajcn/81.4.923
  12. Jang, J. Y., Chung, H. Y., Hwang, Y. C., Jeong, I. K., Ahn, K. J,. Kwon, M. K., et al. (2008). Dietary calcium intake and bone metabolism in Korean postmenopausal women. Korean Journal of Bone Metabolism, 15, 143-149.
  13. Jeong, E. J. (2008). The effect of salt reduction education program combined with DASH (Dietary Approaches to Stop Hypertension) on blood pressure and salt intake of adults. Catholic University Master's degree paper, Seoul.
  14. Jeong, T. H., Jeon, T. H., Kim, M. C., Kim, Y. I., Jeon, D. J., Yang, S. O., et al. (2000). The effect of audiovisual instruction that influences hormone replacement therapy uptake and changes of lifestyle behaviors related to osteoporosis in perimenopausal women. Journal of Korean Academy Family of Medicine, 21, 1406-1414.
  15. Jeong, Y. J., Kim, N. J., Seo, J. H., & Kim, G. E. (2004). Effects of liquefied calcium supplement on bone mineral density in middleaged women. Journal of the Korean Society of Food Science and Nutrition, 33, 995-999. https://doi.org/10.3746/jkfn.2004.33.6.995
  16. Jo, H. S., Shim, J. H., Jeong, H. J., Hwang, M. S., Lee, H. J., & Kim, M. H. (2006). Effects of dietary approaches to stop hypertension program on blood pressure among the pre-hypertension group in the community. The Journal of Agricultural Medicine & Community Health, 31, 237-244.
  17. Kim, Y. S., & Pail, H. Y. (1987). Measurement of Na intake in Korean adult females. The Korean Journal of Nutrition, 20, 341-349.
  18. Korea Center for Disease Control and Prevention. (2009). The fourth Korea National Health and Nutrition Examination Survey (KNHANES IV). Seoul, Korea.
  19. Kwak, E. H., Lee, S. L., Lee, H. S., & Kwun, I. S. (2003). Relation dietary and urinary Na, K, and Ca level to blood pressure in elderly people in rural area. The Korean Journal of Nutrition, 36, 75-82.
  20. Lauren, E. G., Gordon, H. G., Richard, J. C., Heiner, C. B., & Deborah, J. C. (1999). The influence of dietary and nondietary calcium supplementation on blood pressure: An updated meta analysis of randomized controlled trials. American Journal of Hypertension, 12, 84-92.
  21. Lee, M. S. (2000). The study on health behavior and influence factor among middle-aged women. The Journal of Korean Academic Society of Adult Nursing, 12, 584-594.
  22. Lee, S. M., Chung, H. K., Kang, J. H., Yoon, Y. W., & Kim, H. S. (2004). Effects of modified DASH diet education program on Korean middle-aged and elderly cardiovascular disease patients. Korean Journal of Clinical Geriatrics, 5, 199-207.
  23. Lin, P. H., Aickin, M., Champagne, C., Craddick, S., Sacks, F. M., Mccarron, P., et al. (2003). Food group sources of nutrients in the dietary patterns of the DASH-Sodium trial. Journal of American dietetic association, 130, 488-496.
  24. Lin, P. H., Ginty, F., Appel, L. J., Aickin, M., Bohannon, A., Garnero, P., et al. (2003). The DASH diet and sodium reduction improve markers of bone turnover and calcium metabolism in adults. The journal of nutrition, 133, 3130-3136. https://doi.org/10.1093/jn/133.10.3130
  25. Mikhail, M. B., Flaster, E., & Aloia, F. (1999). Stiffness in discrimination of patients with vertebral fractures. Osteoporosis international, 9(24), 24-28. https://doi.org/10.1007/s001980050112
  26. Miquel, S., Alejandro, D. R. S., Antonio, C., Esteban, P., Vicent G., & Alvaro, U. M. (1997). Oral calcium supplementation reduces intraplatelet free calcium concentration and insulin resistance in essential hypertensive patients. Hypertension, 29, 531-536. https://doi.org/10.1161/01.HYP.29.1.531
  27. National Heart, Lung, and Blood Institute. (1998). Your guide to lowering your blood pressure with DASH.
  28. Park, H. S., Rho, H. K., Lee, E. S., & Park, H. M. (2008). Can the denstometric measurement of arms reflect axial bone in postmenopausal women? Korean Journal of Bone Metabolism, 15, 33-39.
  29. Research Institute for Healthcare Policy Korean Medical Association. (2004). A study on Korean diet and health.
  30. Shin, M. H., Kweon, S. S., Park, S. K. S., Heo, H., Kim, S. J., Nam, H. S., et al. (2005). Quantitative ultrasound of the calcaneus in a Korean population: reference data and relationship to bone mineral density determined by peripheral dual X-ray absoptiometry. Journal of Korean Medical Science, 20, 1011-1016. https://doi.org/10.3346/jkms.2005.20.6.1011
  31. Son, S. M., Park, Y. S., Lim, W, J., Kim, S. B., & Jeong, Y. S. (2007). Development and evaluation of validity of short dish frequency questionnaire (DFQ) for estimation of habitual sodium intake for Korean adults. Korean Journal of Community Nutriotion, 12, 838-853.
  32. Strazzullo, P., Siani, A., Gugliemi, S., Carlo, A. D., Galletti, F., Cirillo, M., et al. (1986). Controlled trial of long-term oral calcium supplementation in essential hypertension. Hypertension, 8, 1084-1088. https://doi.org/10.1161/01.HYP.8.11.1084
  33. The Korean Society of Bone Metabolism. (2006). Osteoporosis, Seoul.