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Testing a Model of Sodium Reduction in Hypertensive Older Thai Adults
Pratsani Srikan1, Bonnie Callen2, Kenneth Phillips2
1a Boromarajonani College of Nursing , Phayao , Thailand.
Journal of Nutrition in Gerontology and Geriatrics
|January 21, 2017
Summary
Understanding factors for sodium reduction in hypertensive older adults is key. Self-care agency, knowledge, and behavior significantly predict urinary sodium excretion, aiding health management.
Area of Science:
- Gerontology
- Cardiovascular Health
- Public Health Nutrition
Background:
- Hypertension is a significant health concern in older adults.
- Effective sodium reduction strategies are crucial for managing blood pressure and reducing associated health risks.
- Understanding the predictors of sodium excretion is vital for developing targeted interventions.
Purpose of the Study:
- To explore the predictors of urinary sodium excretion in hypertensive older Thai adults.
- To identify factors influencing self-care behaviors related to sodium reduction.
- To inform the development of effective health programs for sodium management.
Main Methods:
- Cross-sectional, correlational study involving 312 hypertensive older Thai adults.
- Utilized questionnaires assessing knowledge, self-care agency, and self-care behavior for sodium reduction.
- Employed 24-hour urinary sodium analysis and structural equation modeling (Analysis of Moment Structures).
Main Results:
- Self-care agency, knowledge, and self-care behavior were identified as primary predictors of urinary sodium excretion.
- These factors, along with rural/urban location and education, accounted for 61% of the variance in urinary sodium excretion.
- A significant correlation was observed between self-care agency, knowledge, behavior, and sodium excretion levels.
Conclusions:
- Enhancing knowledge and self-care agency is crucial for promoting effective sodium reduction behaviors in hypertensive older adults.
- Supportive, educative programs focusing on these factors are recommended to improve sodium management.
- Further longitudinal studies are needed to assess the impact of interventions on self-care behavior and urinary sodium excretion over time.
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