A descriptive study to assess the knowledge, attitude and practice regarding heart smart diet among hypertensive patients from selected rural community in central part of India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20261408Keywords:
Knowledge, Attitude, Practice, Heart-smart diet, Hypertensive patients, Rural community, Central IndiaAbstract
Background: Cardiovascular diseases (CVDs) are the leading cause of death globally, with hypertension as a major contributor. Dietary modification plays a vital role in controlling hypertension and preventing related complications. Assessing the knowledge, attitude, and practice (KAP) regarding a heart-smart diet among hypertensive patients in rural areas helps identify gaps and guide effective health interventions.
Methods: A descriptive, quantitative study was conducted among 114 hypertensive patients from a selected rural community in central India using purposive sampling. Data were collected from 20 January to 2 February 2025 using a structured questionnaire covering KAP toward a heart-smart diet. Descriptive and inferential statistics, including chi-square tests, were used to analyze associations between demographic variables and KAP scores.
Results: Of 114 participants, 45.6% had average knowledge and 43.0% had poor knowledge. Regarding attitude, 45.6% were neutral, and for practice, 57.9% needed improvement.
Conclusions: A clear gap exists between KAP related to heart-smart diet among hypertensive patients. Although some awareness and a positive outlook were observed, poor dietary practices persist, increasing the risk of complications. Urgent, context-specific health education, counseling, and community-based interventions are essential to improve dietary adherence and reduce the burden of hypertension in rural populations.
References
Fuchs FD, Whelton PK. High Blood Pressure and Cardiovascular Disease. Hypertension. 2020;75(2):285-92.
Matsumoto C. Nutrition and Hypertension Researches in 2023: focus on salt intake and blood pressure. Hypertens Res. 2025;48(4):1471-6.
Bhise MD, Patra S. Prevalence and correlates of hypertension in Maharashtra, India: A multilevel analysis. Subramanian SK, editor. PLOS ONE. 2018;13(2):e0191948.
Pandey M, Al Qassab O, Kanthajan T, Parikh A, Francis AJ, Sreenivasan C, et al. Effectiveness of High-Fiber, Plant-Based Diets in Reducing Cardiovascular Risk Factors Among Middle-Aged and Older Adults: A Systematic Review.
Cureus. 2024;16(8):e67660.
Diab A, Dastmalchi LN, Gulati M, Michos ED. A Heart-Healthy Diet for Cardiovascular Disease Prevention: Where Are We Now? Vasc Health Risk Manag. 2023;19:237-53.
Marques FZ, Mackay CR, Kaye DM. Beyond gut feelings: how the gut microbiota regulates blood pressure. Nat Rev Cardiol. 2018;15(1):20-32.
Nawale AY, Shiroor G, Khemnar A. An exploratory study to assess the knowledge and attitude regarding the dietary practices in prevention and management of Hypertension among the homemakers. Kanpur Philosophers. 2022;9(5):84-94.
Kataria N, Kalyani VC, Gulia S Knowledge Regarding Hypertension and Amount of Diet Consumption Among Adults From Uttarakhand: A Comparative Survey. Cureus. 2023;15(5):e39065.
Abera B, Yazew T, Legesse E, Kuyu CG. Dietary adherence and associated factors among hypertensive patients in governmental hospitals of Guji zone, Oromia, Ethiopia. J Health Popul Nutr. 2024;43(1):108.
Kana’’An H, Saadeh R, Zruqait A, Alenezi M. Knowledge, Attitude, and Practice of Healthy Eating among Public School Teachers in Kuwait. J Public Health Res. 2022;11(2):jphr.2021.2223.
Ngai JM, Moriasi NA, Nthiga I, Mburu W, Mpungu S. Nutrition knowledge, attitude, and practices among hypertensive patients attending medical outpatient clinic at Chuka County Referral Hospital, Tharaka Nithi County, Kenya. Int J Health Sci Res. 2019;9(10):204.