- The homes of urban African Americans with uncontrolled hypertension were often lacking either foods or needed appliances required for meals consistent with the Dietary Approaches to Stop Hypertension (DASH) diet.
- While African Americans with uncontrolled hypertension often had discussions with their physicians about diet, few discussions were related to the DASH diet.
- Research that uncovered these dietary concerns will be presented at ASN Kidney Week 2015 November 3-8 at the San Diego Convention Center in San Diego, CA.
San Diego, CA (November 7, 2015) â€” Many African Americans with uncontrolled hypertension do not have recommended food categories in their homes and are not having adequate discussions with their doctors about diet. The findings come from two studies that will be presented at ASN Kidney Week 2015 November 3-8 at the San Diego Convention Center in San Diego, CA.
The Dietary Approaches to Stop Hypertension (DASH) diet is recommended for the treatment of hypertension, especially among African Americans. To assess barriers to following the diet, Deidra Crews, MD, ScM, FASN (Johns Hopkins University School of Medicine) and her colleagues conducted interviews and inspected the homes of 159 African Americans with uncontrolled hypertension residing in Baltimore, MD.
Among the major findings:
- 14.5 % of patients had 5 of the DASH food categories in their homes (fruits, vegetables, low fat dairy, whole grains, and plant proteins).
- More than 80% had full-sized ovens and refrigerators to allow for DASH meal preparation, but low health literacy was associated with a lower likelihood of having these full-sized appliances.
- Persons with chronic kidney disease were less likely to have fresh fruits than those with normal kidney function.
- Younger patients and those with lower annual incomes were less likely to have whole grains in their homes.
- Younger persons also were less likely to have plant proteins.
â€œThe homes of urban African Americans with risk factors for chronic kidney disease were often lacking either the foods or needed appliances for preparing DASH diet accordant meals,â€ said Dr. Crews. â€œInterventions to improve the dietary quality of this high-risk group should consider these factors.â€
In a second study, Dr. Crews and her colleagues looked at the frequency of diet discussions among African Americans with uncontrolled hypertension, who are at increased risk for chronic kidney disease, and their primary care physicians.
The investigators audio-recorded 127 patientsâ€™ routine visits with their primary care physicians at the first visit following study enrollment. Diet was discussed in 73% of visits, but only 12% of visits included discussion of the DASH diet, despite the DASH diet being shown to be particularly beneficial for African Americans with hypertension. Discussions about diet were more likely to occur when the visits were longer, were centered on patient priorities, and were attended by patients with higher incomes.
â€œImprovements in the content of diet discussions in the context of clinical care for African Americans at risk for chronic kidney disease may be needed, and could potentially lead to mitigation of racial disparities in kidney disease,â€ said Dr. Crews.
Studies: 1) â€œDASH Diet Accordant Foods in the Homes of Urban African Americans at Risk for CKDâ€ (Abstract SA-PO711). 2) â€œEngaging Urban African Americans at Risk for CKD in Discussions about their Dietâ€ (Abstract SA-PO715).
Disclosures: L. Ebony Boulware is a consultant for Healthways, Inc.
The authors acknowledge receiving funding from NHLBI and NIDDK.
ASN Kidney Week 2015, the largest nephrology meeting of its kind, will provide a forum for more than 13,000 professionals to discuss the latest findings in kidney health research and engage in educational sessions related to advances in the care of patients with kidney and related disorders. Kidney Week 2015 will take place November 3-8, 2015 in San Diego, CA.
The content of this article does not reflect the views or opinions of The American Society of Nephrology (ASN). Responsibility for the information and views expressed therein lies entirely with the author(s). ASN does not offer medical advice. All content in ASN publications is for informational purposes only, and is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse effects. This content should not be used during a medical emergency or for the diagnosis or treatment of any medical condition. Please consult your doctor or other qualified health care provider if you have any questions about a medical condition, or before taking any drug, changing your diet or commencing or discontinuing any course of treatment. Do not ignore or delay obtaining professional medical advice because of information accessed through ASN. Call 911 or your doctor for all medical emergencies.
Founded in 1966, and with nearly 16,000 members, the American Society of Nephrology (ASN) leads the fight against kidney disease by educating health professionals, sharing new knowledge, advancing research, and advocating the highest quality care for patients.