The Association Between Food and Nutrition Literacy and Health Outcomes in Hypertension Older Adults at Khung Taphao sub-district Mueang Uttaradit District Uttaradit Province.
Keywords:Food and Nutrition Literacy, Health Behavior, Health Outcomes, Elderly, Hypertension
This research aimed to study the relationship between food and nutrition literacy and their health outcomes in elderly patients with high blood pressure. The research was designed as a descriptive study, utilizing food and nutrition literacy as a framework, and the study was conducted in the Khung Taphao Subdistrict of Mueang District in Uttaradit Province in Thailand. The sample participants, selected through systematic random sampling, consisted of 103 elderly individuals with hypertension. Data collection employed the use of body composition scans and questionnaires. The collected data were analyzed using descriptive and inferential statistical methods. The findings showed that a significant proportion (68%) of the participants demonstrated poor food and nutrition literacy, while the majority (89.3%) had inadequate sodium intake behavior. Overall and subcutaneous nutrition literacy was found to be related to positive sodium intake behaviors (p < .01). Furthermore, the analysis revealed a significant relationship between overall nutrition literacy and a positive body mass index (p < .05).
Hence, healthcare professionals should promote optimal health outcomes and delay the onset of chronic complications, it is recommended that the elderly with hypertension undergo periodic monitoring of measurement of body composition and nutrition literacy. This will encourage them to recognize and prioritize the significance of nutritional self-care, ultimately enabling them to achieve their treatment goals.
Aekplakorn, W., Puckcharern, H., & Satheannoppakao ,W. (2021). Health status: Hypertension. In Wichai Aekplakorn (Eds.), Report of the 6th Thai Health Survey by Physical Examination, 2019-2020. Health Systems Research Institute (HSRI) (pp. 167-244). Aksorn Graphic and Design Publishing Ltd. Retrieved from https://www.hsri.or.th/ media/printed-matter/detail/13443. [In Thai]
Boonsatean, W., & Reantippayasakul, O. (2020). Health literacy: Situation and impacts on health status of the older adults. APHEIT Journal of Nursing and Health, 2(1), 1-19. [In Thai]
Chongmontri, K., Malarat, A., & Chankhaw, S. (2020). Food literacy among Thai elderly. Thai Red Cross Nursing Journal, 13(2), 159-180. [In Thai]
Cunningham, CT., Sykes, LL., Metcalfe, A., Cheng, A., Riaz, M., Lin, K., …. Quan, H. (2014). Ethnicity and health literacy: A survey on hypertension knowledge among Canadian ethnic populations. Ethnicity & disease. 24(3), 276-282.
Darvishpour, J., Omidi, S., & Farmanbar, R. (2016). The relationship between health literacy and hypertension treatment control and follow-up. Caspian Journal of Health Research, 2(1), 1-8. https://doi.org/10.18869/acadpub.cjhr.2.1.1.
De Keyzer, W., Tilleman, K., Ampe, J., De Henauw, S., & Huybrechts, I. (2015). Effect of sodium restriction on blood pressure of unstable or uncontrolled hypertensive patients in primary care. Nutrition Research and Practice, 9(2), 180-185.
Ginggeaw, S., & Prasertsri, N. (2015). The relationship between health literacy and health behaviors among older adults who have multi-morbidity. Nursing Journal of The Ministry of Public Health, 25(3), 43-54. [In Thai]
Health Education Division. (2021). Report on the results of the development of knowledge on health and health behavior, year 2021. Health Education Division, 4th floor Department of Health Support and Services building, Nonthaburi, Ministry of Public Health. [In Thai]
Jaidee, N., Ramang, R., Kawinwanich, N., & Phorawat, R. (2019). Health literacy of the elderly in Mueang district, Kamphaeng phet province. Proceedings of the 6th KPRU National Conference, 6(1), 1312-1323. https://research.kpru.ac.th/ research2/pages/filere/16292020-01-10.pdf. [In Thai]
Kaeodumkoeng, K., & Tripetchsriurai, N. (2011). Health literacy. Health education division ministry of public health. [In Thai]
Khung Taphao Health Promoting Hospital. (2022). Health service system for the elderly in the Khung Subdistrict Tapao. Uttaradit: Khung Taphao Subdistrict Health Promoting Hospital. [In Thai]
Kitpreedasutsut, B. (2010). Statistical analysis for research: a step-by-step approach. Bangkok: Ruenkaew Printing. [In Thai]
Nutbeam, D. (2008). The evolving concept of health literacy. Social Science & Medicine, 67(12), 2072–2078. doi: 10.1016/j.socscimed.2008.09.050
Regional Health Promotion Center. (2020). Results of the analysis of desirable health behaviors of the elderly (aged over 60 years). Retrieved March 16, 2023, from https://hpc2service.anamai.moph.go.th/ltcdata/behavior.php?fbclid= IwAR3GOFTxqO7mRyDthiBhM6LwnwS8xYZOUceEeoZbrXX_Wg9dy6H8TNkXbj0. [In Thai]
Roma, W., Thanasukarn, C., Tipayamongkolkul, M., Amyong, N., Neelapaijit, N., Kloiiam, S., … Samnuanklang, M. (2018). National Health Literacy survey report for Thai people aged 15 years and above (phase 1). Department of Health: Ministry of Public Health. [In Thai]
Shi, D., Li, J., Wang, Y., Wang, S., Liu, K., Shi, R., … Chen, X. (2017). Association between
health literacy and hypertension management in a Chinese community: a retrospective cohort study. Internal and Emergency Medicine, 12(6), 765-76. https://doi.org/10.1007/s11739-017-1651-7
Sriyasak, A., Sarakshetrin, A., Tongphet, J., Ket-in, V., Utaitum, N., Mookui, S.,Meesub, T. (2021). The development of health literacy for health management of older persons with diabetes and hypertension in primary care cluster context: Case study in Phetchaburi province. Nursing Journal of the Ministry of Public Health, 15(2), 155-173. [In Thai]
Tachavijitjaru, C. (2018). Health literacy: A key indicator towards good health behavior and health outcomes. Journal of The Royal Thai Army Nurses. 12(Supplement), 1-11. [In Thai]
Thai Hypertension Society. (2019). 2019 Thai Guidelines on The Treatment of Hypertension. Bangkok: Thai Hypertension Society. [In Thai]
Unger, T., Borghi, C., Charchar, F., Khan, N. A., Poulter, N. R., Prabhakaran, D., … Schutte, A. E. (2020). 2020 international society of hypertension global hypertension practice guidelines. Hypertension, 75(6), 1334–1357. https://doi.org/10.1161/ HYPERTENSIONAHA.120.15026
United Nations. (2015). Sustainable development goals. Retrieved 5 December 2022 from: https://www.un.org/ sustainable development/sustainable-development-goals/
Uttaradit Provincial Public Health Office. (2022). Documents for government inspections and supervision, Ministry of Public Health in 2020 at Uttaradit province. Uttaradit: Uttaradit provincial public health office. [In Thai].
How to Cite
Copyright (c) 2023 Journal of Nursing and Health Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.