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Behavioral beliefs of reducing salt intake from the perspective of people at risk of hypertension: An exploratory study

Document Type : Original Article(s)

Authors

1 Professor, Department of Ageing Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

2 Assistant Professor, Nutrition and Food Security Research Center AND Department of Nutrition, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

3 Professor, Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

4 PhD Candidate, Department of Health Education and Health Promotion, International Campus, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Abstract

BACKGROUND: The average salt intake in Iran is 12 g per day and it is reported to be about 10 g per day in Yazd City, Iran. This study was conducted to explain the behavioral beliefs toward salt intake reduction in people at risk of hypertension (HTN) based on Theory of Planned Behavior (TPB) guideline.METHODS: This study was a TPB-based exploratory research. The participants were 25 married individuals at risk of developing HTN, with a mean age of 42.9 ± 7.2 years. They were selected by purposive maximum variation sampling continued until data saturation. The data collection method was a semi-structured interview. Study lasted from January 2017 to April 2017.RESULTS: Concerning the advantages and disadvantages of reducing daily salt intake, data analysis yielded 52 primary codes, 19 subcategories, and 5 categories. Advantages in two categories included disease prevention and misconceptions about the benefits, and disadvantages in three categories included physical health disorder, difficulty following a low-salt diet, and false beliefs about the disadvantages of salt intake reduction.CONCLUSION: According to the findings of this study, prevention of high blood pressure and cardiovascular diseases (CVDs) was among the most important advantages of reducing salt intake, and undesirable taste of low-salt foods and family members' disagreement were among the most important disadvantages of reducing salt intake. The misconceptions of our participants included blood lipids reduction and creation of difficulty contracting the muscles. It is recommended to correct misconceptions and strengthen behavioral beliefs to promote salt intake reduction behavior in educational interventions.

Keywords

References
  1. Cappuccio FP. Cardiovascular and other effects of salt consumption. Kidney Int Suppl (2011) 2013; 3(4): 312-5.
  2. He FJ, Li J, Macgregor GA. Effect of longer term modest salt reduction on blood pressure: Cochrane systematic review and meta-analysis of randomised trials. BMJ 2013; 346: f1325.
  3. Powles J, Fahimi S, Micha R, Khatibzadeh S, Shi P, Ezzati M, 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.
  4. Takian AH. Objective and implication of a decade of action on food and nutrition policies in Iran. Proceedings of the WHO Global Conference on NCDs; 2017 Oct.18-20; Montevideo, Uruguay.
  5. Motlagh Z, Mazloomy S, Mozaffari Khosravi H, Morowatisharifabad M, Askarshahi M. Salt intake among women refer to medical health centers, Yazd, Iran, 2011. J Shaheed Sadoughi Univ Med Sci 2011; 19(4): 550-60. [In Persian].
  6. Ajzen I. Perceived behavioral control, self? Efficacy, locus of control, and the theory of planned behavior. J Appl Soc Psychol 2002; 32(4): 665-83.
  7. Sutton S, French DP, Hennings SJ, Mitchell J, Wareham NJ, Griffin S, et al. Eliciting salient beliefs in research on the theory of planned behaviour: The effect of question wording. Curr Psychol 2003; 22(3): 234-51.
  8. Glanz K, Rimer BK, Viswanath K. Health behavior and health education: Theory, research, and practice. Hoboken, NJ: John Wiley & Sons; 2008.
  9. Zhang J, Wu T, Chu H, Feng X, Shi J, Zhang R, et al. Salt intake belief, knowledge, and behavior: A cross-sectional study of older rural Chinese adults. Medicine (Baltimore) 2016; 95(31): e4404.
  10. Basharpoor S, NasriNasrabadi B, Heidari F, Molavi P. The role of health beliefs and illness perceptions in predicting health-promoting behaviors in cancer patients. Iran J Health Educ Health Promot 2018; 6(2): 102-13.
  11. Downs DS, Hausenblas HA. Elicitation studies and the theory of planned behavior: A systematic review of exercise beliefs. Psychol Sport Exerc 2005; 6(1): 1-31.
  12. Sun G, Acheampong RA, Lin H, Pun VC. Understanding walking behavior among university students using theory of planned behavior. Int J Environ Res Public Health 2015; 12(11): 13794-806.
  13. Rahnama P, Mohammadi K. Behavioral beliefs about cesarean section according to the theory of planned behavior in pregnant women. J Mazandaran Univ Med Sci 2015; 24(122): 169-78.
  14. Gray KL, Petersen KS, Clifton PM, Keogh JB. Attitudes and beliefs of health risks associated with sodium intake in diabetes. Appetite 2014; 83: 97-103.
  15. Ditisheim A, Muradbegovic E, Bochud M, Burnier M, Pechere-Bertschi A. Impact of salt intake on health: Beliefs of the Swiss population. Rev Med Suisse 2013; 9(397): 1613-6.
  16. Polychronopoulos E, Georgousopoulou EN, Vassilakou T, Pitsavos C, Chrysohoou C, Athyros V, et al. Health attitudes and beliefs among hypertensive subjects: A study of the hellenic atherosclerosis society. Hypertension J 2014; 6: 12-7.
  17. Sarmugam R, Worsley A. Current levels of salt knowledge: A review of the literature. Nutrients 2014; 6(12): 5534-59.
  18. Naghibi SA, Yahyazadeh R, Yazdani Cherati J. Knowledge, attitude referred to health centers on salt intake. J Mazandaran Univ Med Sci 2012; 22(95): 99-104. [In Persian].
  19. Xie J, Ding S, Liu L, Liu Z, Zhang Q, Duan Y, et al. Health beliefs of salt intake among patients undergoing haemodialysis. J Ren Care 2017; 43(4): 235-41.
  20. Heredia-Blonval K, Pacheco-Guier M, Prinus-Alfaro D, Campos M, Fatjo-Barboza A, Blanco-Metzler A. Perceptions and knowledge about salt, sodium and health in middle-class adults living in San Jose, Costa Rica. Arch Latinoam Nutr 2014; 64(4): 258-63.
  21. Jensen PN, Bao TQ, Huong TTT, Heckbert SR, Fitzpatrick AL, LoGerfo JP, et al. The association of estimated salt intake with blood pressure in a Viet Nam national survey. PLoS One 2018; 13(1): e0191437.
  22. Agondi Rde F, Gallani MC, Rodrigues RC, Cornelio ME. Relationship between beliefs regarding a low salt diet in chronic renal failure patients on dialysis. J Ren Nutr 2011; 21(2): 160-8.
  23. Menyanu E, Charlton KE, Ware LJ, Russell J, Biritwum R, Kowal P. Salt use behaviours of Ghanaians and South Africans: A Comparative Study of Knowledge, Attitudes and Practices. Nutrients 2017; 9(9).
  24. Sanchez G, Pena L, Varea S, Mogrovejo P, Goetschel ML, Montero-Campos Mde L, et al. Knowledge, perceptions, and behavior related to salt consumption, health, and nutritional labeling in Argentina, Costa Rica, and Ecuador. Rev Panam Salud Publica 2012; 32(4): 259-64.
  25. Francis J, Johnston M, Eccles M, Walker A, Grimshaw JM, Foy R, et al. Constructing questionnaires based on the theory of planned behaviour: A manual for Health Services Researchers. Quality of life and management of living resources; Centre for Health Services Research 2004.
  26. Dworkin SL. Sample size policy for qualitative studies using in-depth interviews. Arch Sex Behav 2012; 41(6): 1319-20.
  27. Rezaei L, Khazaie H. Barriers to the treatment of insomnia from patients' perspectives: A qualitative study. Sci J Kurdistan Univ Med Sci 2016; 21(5): 91-100. [In Persian].
  28. He FJ, Macgregor GA. A comprehensive review on salt and health and current experience of worldwide salt reduction programmes. J Hum Hypertens 2009; 23(6): 363-84.
  29. Veromann S, Sunter A, Tasa G, Juronen E, Panov A, Pastak M, et al. Dietary sugar and salt represent real risk factors for cataract development. Ophthalmologica 2003; 217(4): 302-7.
  30. Aburto NJ, Ziolkovska A, Hooper L, Elliott P, Cappuccio FP, Meerpohl JJ. Effect of lower sodium intake on health: Systematic review and meta-analyses. BMJ 2013; 346: f1326.
  31. Zhang J, Xu AQ, Ma JX, Shi XM, Guo XL, Engelgau M, et al. Dietary sodium intake: Knowledge, attitudes and practices in Shandong Province, China, 2011. PLoS One 2013; 8(3): e58973.
  32. Newson RS, Elmadfa I, Biro G, Cheng Y, Prakash V, Rust P, et al. Barriers for progress in salt reduction in the general population. An international study. Appetite 2013; 71: 22-31.
  33. Keshani P, Farvid MS. Perceived benefits and barriers regarding high fiber food intake in type 2 diabetes patients-a qualitative study. Iran J Nutr Sci Food Technol 2012; 7(1): 11-22. [In Persian].
  34. Sheahan SL, Fields B. Sodium dietary restriction,
  35. knowledge, beliefs, and decision-making behavior of older females. J Am Acad Nurse Pract 2008; 20(4): 217-24.
  36. O'Connell Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth's textbook of medical-surgical nursing. Philadelphia, PA: Lippincott Williams & Wilkins; 2010.
  37. World Health Organization. Guideline 1: Sodium intake for adults and children. Geneva, Switzerland: WHO; 2012.
ARYA Atherosclerosis Journal
Volume 15, Issue 2 - Serial Number 2
March and April 2019
Pages 59-66
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