Effects of Program Promoting Food Consumption for Sodium Reduction on Knowledge, Sodium Consumption Behaviors, and Urinary Sodium in Nursing Students: A Multi-Setting Study

Main Article Content

Noppawan Piaseu

Abstract

OBJECTIVES: High sodium intake has been associated with a limited knowledge of sodium and inappropriate food consumption behaviors. This study aimed to examine effects of a program promoting sodium intake reduction on knowledge of sodium consumption, sodium consumption behaviors, and urinary sodium in nursing students.


MATERIAL AND METHODS: Quasi-experimental design with one-group self-control was used. The participants were 173 Thai nursing students of three higher education institutions, who participated in a 4-week program promoting sodium intake reduction that employed four strategies for behavioral modification. Data were analysed using One-way ANOVA with repeated measures, multiple comparison, and Paired t-test.


RESULT: After the program, knowledge was significantly higher while urinary sodium was lower than before the program and baseline. Sodium consumption behaviors were lower after the program than baseline.


CONCLUSION: It is suggested that health teams apply this program to promote sodium intake reduction in nursing students and extend to other populations.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Piaseu N. Effects of Program Promoting Food Consumption for Sodium Reduction on Knowledge, Sodium Consumption Behaviors, and Urinary Sodium in Nursing Students: A Multi-Setting Study. BKK Med J [Internet]. 2020Feb.25 [cited 2020Apr.4];16(1):44. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/239978
Section
Original Article

References

1. He FJ, Li J, MacGregor GA. Effect of longer term modest salt reduction on blood pressure: Cochrane systematic re- view and meta-analysis of randomised trials. BMJ 2013;346:f1325.
2. Powles J, Fahimi S, Micha R, et al. Global, regional and national sodium intakes in 1990 and 2010: a systematic analysis of 24 h urinary sodium excretion and dietary surveys worldwide. BMJ open 2013;3(12):e003733. doi: 10.1136/ bmjopen-2013-003733.
3. Liu L, Mizushima S, Ikeda K, et al. Comparative studies of diet-related factors and blood pressure among Chinese and Japanese: results from the China-Japan cooperative research of the WHO-CARDIAC study. Cardiovascular disease and alimentary comparison. Hypertension Res 2000;23(5):413-20.
4. Liu L, Ikeda K, Yamori Y, et al. Inverse relationship between urinary markers of animal protein intake and blood pressure in Chinese: results from the WHO cardiovascular diseases and alimentary comparison (CARDIAC) Study. Int J Epidemiol 2002;31(1):227-33.
5. World Health Organization. Sodium intake for adults and children. Geneva: World Health Organization 2012; Available from: https://apps.who.int/iris/bitstream/han-dle/10665/77985/9789241504836_eng.pdf?sequence=1&isAllowed=y.
6. World Health Organization. Sodium intake for adults and children. 2011. (Accessed December 18, 2015 at: file:///F:/9789241504836_eng.pdf
7. Aekplakorn W. Thai national health examination survey V. Nonthaburi: Health Systems Research Institute 2016.
8. Piaseu N, Tatsanachantatanee D, Kittipoom S, et al. Nutritional knowledge, attitude toward food, food behavior, and nutritional status among nursing students. Rama Nurs J 2019;15(1):48-59. (In Thai)
9. Leyvraz M, Chatelan A, da Costa BR, et al. Sodium intake and blood pressure in children and adolescents: a systematic review and meta-analysis of experimental and observational studies. Int J Epidemiol 2018;47(6):1796-1810. doi: 10.1093/ije/dyy121.
10. Bromfield S, Muntner P. High blood pressure: the leading global burden of disease risk factor and the need for worldwide prevention programs. Curr Hypertens Rep 2013;15(3):134-6. doi: 10.1007/s11906-013-0340-9.
11. Boonsiri C, Piaseu N, Putwatana P, et al. Effects of program promoting food consumption for sodium reduction on knowledge and urinary sodium in nursing students. Thai J Nurs Council 2017;32(3):104-19. (In Thai)
12. Thaothong N, Piaseu N, Maruo SJ, et al. Effects of program for blood pressure control using community participation on health behaviors and blood pressure in community dwellers with hypertension. Songkla J Nurs 2015;35(3):15-34. (In Thai)
13. Wang M, Moran AE, Liu J, et al. Effect of dietary salt reduction on blood pressure in Chinese adults: a meta-analysis. Global Heart 2015;10(4):291-9. doi:10.1016/j. gheart.2014.10.009
14. Puttavichaidit B, Piaseu N. Effect of a program promoting nutrition label reading on knowledge, attitude, and behavior of nutrition label reading in students Grade 5-6. Rama Nurs J 2012;18(3):298-310. (In Thai)
15. Stevens JP. Applied Multivariate Statistic for the Social Science (4th ed.). New Jersey: Lawrence Erlbaum. 2002. 16. He FJ, Brinsden HC, MacGregor GA. Salt reduction in the United Kingdom: a successful experiment in public health.
16. He FJ, Brinsden HC, MacGregor GA. Salt reduction in the United Kingdom: a successful experiment in public health. J Hum Hypertens 2014;28:345-52. doi:10.1038/jhh.2013.105
17. Bureau of Non-Communicable Disease, Department of Disease Control, Ministry of Public Health. Report on prevention of non-communicable disease in lifestyle by reducing salt intake 2013. Bangkok: Printing Workshops. Veterans Affairs under the Patronage. 2013.
18. Mill JG, Silva ABT, Baldo MP, et al. Correlationbetween sodium and potassium excretion in 24- and 12-h urine samples. Braz J Med Bioll Res 2012;45(9):799-805.
19. World Health Organization. The SHAKE technical package for salt reduction. Geneva, Switzerland. 2016.
20. The potential development of Thai people project and Bureau of Nutrition, Ministry of Public Health. Manual for nutrition and health project in community 2016. Bangkok: Golden Point Printing. 2016.
21. Piaseu N, Niumngurn S, Sirichakavarn P, et al. Guide for nutrition label read of processed food and condiment (4th ed.). Bangkok; Golden Point Printing: 2013. (In Thai)
22. Piaseu N, Sirichakavarn P, Komindr S. Guide for nutrition value of dish foods (4th ed.). Bangkok; Golden Point Printing: 2013. (In Thai)
23. Piaseu N, Puttavichaidit B, Sirichakavarn P, et al. Guide for nutrition label read of snacks and beverages (4th ed.). Bangkok; Golden Point Printing: 2013. (In Thai)
24. Thai Health Survey Office Health Systems Research Institute. Report of the Food Consumption Survey of the Thai People Thai Health Survey by Physical Examination, 2008-2009. Nonthaburi; The Grafico Systems: 2011. (In Thai)
25. Carley AG, Karen JC, Lynn JR, et al. Is socioeconomic status associated with dietary sodium intake in Australian children? A cross-sectional study. British Med J 2013;3(2):1136-46.
26. Chonsin P, Kaveevivitchai C, Neelapaichit N, et al. Impact of a Blood PressureRegulating Programme on Health Beliefs, Health Behaviour, Amount of Sodium Intake and Hypertension Levels in Community Members with Hypertension. Thai J Nurs Council 2016;31(4):63-75.
27. Srisiri S. Application of self-efficacy program for changing health behaviors among elderly people with hypertension, Health center 19 Wongsawang, Bangkok Metropolitan. J Physical Educat 2012:15(Suppl):308-15.