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dc.contributor.authorKhalesi, Saman
dc.contributor.authorIrwin, Christopher
dc.contributor.authorSun, Jing
dc.date.accessioned2018-03-01T12:31:07Z
dc.date.available2018-03-01T12:31:07Z
dc.date.issued2017
dc.identifier.issn1120-9879
dc.identifier.doi10.1007/s40292-017-0229-9
dc.identifier.urihttp://hdl.handle.net/10072/346296
dc.description.abstractIntroduction: Poor anti-hypertension medication (AHT) adherence can increase disease costs and adverse outcomes. Hypertensive individuals who have a better nutrition knowledge may lead a healthier lifestyle, have a better health-related quality of life (HRQoL) and greater confidence to change behaviour. On this basis, they may have better treatment adherence. Aim: To explore the association between the above-mentioned variables and AHT adherence in a group of Australian adults with high blood pressure (BP) in a cross-sectional clinical and community-based study. Methods: Adults with high BP (n = 270) completed a questionnaire including: food frequency questionnaire (FFQ), nutrition knowledge, HRQoL, self-efficacy of diet and exercise, lifestyle and AHT adherence sections. Bivariate analysis and hierarchical logistic regression were used to explore the data. Results: Three dietary patterns were identified from the FFQ, using factor and cluster analyses (Western, Snack and Alcohol, and Balanced). We observed that following a Western dietary pattern, having lower exercise self-efficacy and shorter sleep duration were more dominant in the poor AHT adherence individuals compared to their counterparts. A positive association was observed between self-efficacy and sleep duration with AHT adherence. A Western dietary pattern was prevalent in high BP participants which slightly reduced the likelihood of good adherence. Conclusion: A healthier dietary pattern, better exercise self-efficacy and adequate sleep (more than six hours a night) may increase the likelihood of AHT adherence in individuals with high BP. Interventions focusing on improving these variables are required to confirm the findings of this study.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherADIS International Ltd.
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto10
dc.relation.ispartofjournalHigh Blood Pressure & Cardiovascular Prevention
dc.subject.fieldofresearchNutrition and dietetics
dc.subject.fieldofresearchClinical nutrition
dc.subject.fieldofresearchCardiovascular medicine and haematology not elsewhere classified
dc.subject.fieldofresearchCardiovascular medicine and haematology
dc.subject.fieldofresearchcode3210
dc.subject.fieldofresearchcode321001
dc.subject.fieldofresearchcode320199
dc.subject.fieldofresearchcode3201
dc.titleDietary Patterns, Nutrition Knowledge, Lifestyle, and Health-Related Quality of Life: Associations with Anti-Hypertension Medication Adherence in a Sample of Australian Adults
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionAccepted Manuscript (AM)
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version.
gro.rights.copyright© 2017 Springer. This is an electronic version of an article published in High Blood Pressure & Cardiovascular Prevention, 2017. High Blood Pressure & Cardiovascular Prevention is available online at: http://link.springer.com/ with the open URL of your article.
gro.hasfulltextFull Text
gro.griffith.authorIrwin, Chris G.


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