Gender differences in adherence to sodium-restricted diet patients with heart failure.

Chung, Misook, Moser, Debra K., Lennie, Terry A., Worrall-Carter, Linda, Bentley, Brooke, Trupp, Robin and Armentano, Deborah S. 2006, Gender differences in adherence to sodium-restricted diet patients with heart failure., Journal of cardiac failure, vol. 12, no. 8, pp. 628-633, doi: 10.1016/j.cardfail.2006.07.007.

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Title Gender differences in adherence to sodium-restricted diet patients with heart failure.
Author(s) Chung, Misook
Moser, Debra K.
Lennie, Terry A.
Worrall-Carter, Linda
Bentley, Brooke
Trupp, Robin
Armentano, Deborah S.
Journal name Journal of cardiac failure
Volume number 12
Issue number 8
Start page 628
End page 633
Publisher Churchill Livingstone
Place of publication Philadelphia, Pa.
Publication date 2006-10
ISSN 1071-9164
Keyword(s) women
Summary Background

Despite the importance of the sodium-restricted diet (SRD) to heart failure (HF) management, patient adherence is poor. Little is known about gender differences in adherence or factors that affect patients' ability to follow SRD recommendations. The purposes of this study were to determine whether there were gender differences in (1) adherence to the SRD; (2) knowledge about SRD and HF self-care; and (3) perceived barriers to following the SRD.
Methods and Results

Forty-one men and 27 women completed the Heart Failure Attitudes and Barriers questionnaire that measured HF self-care, knowledge, and perceived barriers to follow an SRD. Diet adherence was measured by 24-hour urinary sodium excretion (UNa). Women were more adherent to the SRD than men as reflected by 24-hour urine excretion (2713 versus 3859 mg UNa, P = .01). Women recognized signs of excess sodium intake such as fluid buildup (P = .001) and edema (P = .01) more often than men and had better understanding of appropriate actions to take related to following an SRD. There were no gender differences in perceived barriers to follow an SRD.

Although men and women perceived similar barriers, women were more adherent to the SRD and had greater knowledge about following an SRD. Further investigation of this phenomenon is warranted to determine if better adherence contributes to improved outcomes in women.
Notes Available online 10 October 2006.
Language eng
DOI 10.1016/j.cardfail.2006.07.007
Field of Research 110201 Cardiology (incl Cardiovascular Diseases)
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2006, Elsevier Inc.
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Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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