Background: Cardiovascular diseases (CVDs) are a major cause of worldwide morbidity and mortality. Nutrition plays an important role in the primary, secondary, and tertiary prevention of CVDs. The present longitudinal study used the Health Action Process Approach (HAPA) to investigate changes in dietary behavior in coronary patients (CPs) affected by acute coronary syndrome and hypertensive patients (HPs) affected by essential arterial hypertension. Methods: CPs (N = 250) and HPs (N = 246) completed a questionnaire during three measurement points (baseline, 6-month follow-up, and 12-month follow-up). Statistical analyses included a repeated measures ANOVA and a multi-sample structural equation model. Results: HPs showed no changes in dietary behavior, whereas CPs improved their nutrition at 6 months and then maintained the healthier diet. The multi-sample analysis indicated equivalence of the HAPA model for both patient populations. Conclusions: These findings provide further evidence for the generalisability of the HAPA model, shedding light on dietary behavior among CVD patients and particularly on hypertensive patients which has received little attention. Moreover, the equivalence of the model suggests that the process of change is almost identical for individuals who are at high risk for a coronary event (i.e. HPs) and individuals who have already had the event (i.e. CPs).

Steca, P., Pancani, L., Cesana, F., Fattirolli, F., Giannattasio, C., Greco, A., et al. (2015). Changes in Dietary Behavior among Coronary and Hypertensive Patients: A Longitudinal Investigation Using the Health Action Process Approach. APPLIED PSYCHOLOGY. HEALTH AND WELL-BEING, 7(3), 316-339 [10.1111/aphw.12050].

Changes in Dietary Behavior among Coronary and Hypertensive Patients: A Longitudinal Investigation Using the Health Action Process Approach

STECA, PATRIZIA
Primo
;
PANCANI, LUCA
Secondo
;
CESANA, FRANCESCA;GIANNATTASIO, CRISTINA;GRECO, ANDREA;D'ADDARIO, MARCO;MAGRIN, MARIA ELENA;MIGLIORETTI, MASSIMO;SARINI, MARCELLO;SCRIGNARO, MARTA;VECCHIO, LUCA PIERO;
2015

Abstract

Background: Cardiovascular diseases (CVDs) are a major cause of worldwide morbidity and mortality. Nutrition plays an important role in the primary, secondary, and tertiary prevention of CVDs. The present longitudinal study used the Health Action Process Approach (HAPA) to investigate changes in dietary behavior in coronary patients (CPs) affected by acute coronary syndrome and hypertensive patients (HPs) affected by essential arterial hypertension. Methods: CPs (N = 250) and HPs (N = 246) completed a questionnaire during three measurement points (baseline, 6-month follow-up, and 12-month follow-up). Statistical analyses included a repeated measures ANOVA and a multi-sample structural equation model. Results: HPs showed no changes in dietary behavior, whereas CPs improved their nutrition at 6 months and then maintained the healthier diet. The multi-sample analysis indicated equivalence of the HAPA model for both patient populations. Conclusions: These findings provide further evidence for the generalisability of the HAPA model, shedding light on dietary behavior among CVD patients and particularly on hypertensive patients which has received little attention. Moreover, the equivalence of the model suggests that the process of change is almost identical for individuals who are at high risk for a coronary event (i.e. HPs) and individuals who have already had the event (i.e. CPs).
Articolo in rivista - Articolo scientifico
Acute coronary syndrome; Dietary change; Essential arterial hypertension; Health Action Process Approach;
Dietary change, Health Action Process Approach, Acute coronary syndrome, Essential arterial hypertension.
English
2015
7
3
316
339
reserved
Steca, P., Pancani, L., Cesana, F., Fattirolli, F., Giannattasio, C., Greco, A., et al. (2015). Changes in Dietary Behavior among Coronary and Hypertensive Patients: A Longitudinal Investigation Using the Health Action Process Approach. APPLIED PSYCHOLOGY. HEALTH AND WELL-BEING, 7(3), 316-339 [10.1111/aphw.12050].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/83592
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