Knowledge and Practice of Dietary Recommendations among Cardiovascular Disease Patients Attending Ngaoundere Regional Hospital, Adamawa Region, Cameroon

Authors

  • Olivier M. Pancha Department of Biomedical Sciences, Faculty of Science, University of Ngaoundere, PO Box 454, Ngaoundere, Cameroon
  • Marcel T. Tamanji Clinical Laboratory Service, Ngaoundere Regional Hospital, PO Box 45, Ngaoundere, Cameroon
  • Josep Mtsavara Clinical Laboratory Service, Ngaoundere Regional Hospital, PO Box 45, Ngaoundere, Cameroon
  • Laure S.B. Bouagni Department of Biomedical Sciences, Faculty of Science, University of Ngaoundere, PO Box 454, Ngaoundere, Cameroon
  • Jacques O. Ngoufack Department of Biomedical Sciences, Faculty of Science, University of Ngaoundere, PO Box 454, Ngaoundere, Cameroon
  • Clergé Tchiegang Laboratory of Bio-processes, Research Unit of Biochemistry, Food Technology and Nutrition, University of Ngaoundere, PO Box 454, Ngaoundere, Cameroon

DOI:

https://doi.org/10.6000/1929-5634.2017.06.02.2

Keywords:

Cameroon, Ngaoundere Regional Hospital, Cardiovascular diseases, Diet, Knowledge, Practice

Abstract

Objective: To assess the level of awareness and adherence of patients to dietary recommendations in the management of Cardiovascular Diseases (CVDs).

Methods: This cross-sectional study included CVD patients on medical visits at the cardiology unit of Ngaoundere Regional Hospital. Well informed and consenting participants filled a pre-tested questionnaire on dietary knowledge and practice.

Results: 129 patients were retained in this study out of 151 enrolled. 58.9% of participants knew that the consumption of vegetables is beneficial for their status. Fruit consumption recorded the same level of awareness. All other dietary variables studied revealed less than 50% level of awareness among participants. Concerning recommended dietary practices, 73.64% of participants consumed oils rich in saturated fatty acids. Meat and fish consumption were recorded at 62.01% and 65.12% respectively, with a 94.57% preference to red meat consumption. Almost 19.38% of the study population consumed eggs more than 3 times per week, 31.78% and 41.09% consumed vegetables and fruits at least thrice and twice a week respectively. The overall mean adherence to the studied cardiovascular disease dietary recommendations was 38.31%, with only fish, vegetable and tea/coffee recommendations recording adherences of 50% and above.

Conclusion: The findings demonstrate a low level of awareness and adherence to dietary recommendations in the management of CVDs, thus the need for the strengthening of health promotion programs and improvement of the nutritional advices in our context.

References

WHO, Cardiovascular diseases. Fact sheet. Reviewed September 2016. Available at http://www.who.int/ mediacentre/factsheets/fs317/en/

Mendis S, Armstrong T, Bettcher D, Branca F, Chisholm D, Ezzati M, et al. Global Status Report on Noncommunicable Diseases 2014, WHO Library Cataloguing-in-Publication Data, Geneva, Switzerland, 2014.

WHO, Global Atlas on Cardiovascular Disease Prevention and Control, World Health Organization, Geneva, Switzerland, 2011.

WHO, Noncommunicable Diseases Country Profiles 2014, WHO Library Cataloguing-in Publication Data, Geneva, Switzerland, 2014.

Mbouemboue OP, Tsougmo JON, Koona KA, Maha F, Kingue S. Place et profil évolutif des maladies cardiovasculaires en milieu hospitalier nord camerounais : le cas de l’hôpital régional de Ngaounderé. Health Sciences and Diseases 2015; 16: 1-7.

Epaka EM, Mandengue SH, Ahmadou G, Moumbe TS, Dzudie A, Luma HN. Dépistage des maladies cardiovasculaires et facteurs de risque dans une cohorte de 270 camerounais: effets de l’activité physique et sportive. Médecine des Maladies Métaboliques 2011; 5: 655-658. https://doi.org/10.1016/S1957-2557(11)70342-X DOI: https://doi.org/10.1016/S1957-2557(11)70342-X

Violene P, Fol J, Fedora T. Immersion en milieu communautaire à Yaoundé, Cameroun 2012; www.medecine.unige.ch/.../immersion/archives/...2012/.

Mbouemboue OP, Derew D, Tsougmo JON, and Tamanji MT. A Community-Based Assessment of Hypertension and Some Other Cardiovascular Disease Risk Factors in Ngaoundéré, Cameroon. International Journal of Hypertension. Article ID 4754636.

Carsin M, Mahe G. Pourquoi devons-nous évaluer l’alimentation des sujets à risques vasculaires? Journal des Maladies Vasculaires 2010; 35: 17-22. https://doi.org/10.1016/j.jmv.2009.11.003 DOI: https://doi.org/10.1016/j.jmv.2009.11.003

Mbouemboue OP, Milamem NA, Tamanji MT, Atanga MB. Educational Needs of Hypertensive Patients in Buea Hospital Setting (Cameroon). Health Sciences and Diseases, 2015: Available at www.hsd-fmsb.org

Neba A. Modern Geography of the Republic of Cameroon, 3rd ed. Bamenda: Neba Publishers, 1999.

Cochran WG. Sampling Techniques, 2nd Ed., NewYork: John Wiley and Sons, Inc., 1999.

Capital Health-Food and Nutrition service. Heart healthy eating tips. Dalhousie University Print Centre; 2013. Available at www.cdha.nshealth.ca

Avira P, Sabin C. Medical statistics at a Glance. Edition: Black Well Science Ltd., Paris (France), 2000.

PNUD-Cameroun (Programme des Nations Unies pour le Développement). (2010). Rapport régional de progrès des objectifs du millénaire pour le développement région de l’Adamaoua, 2010. www.statistics-cameroon.org/downloads/ OMD/OMD_AD_2010.pdf

Dana W. Le traitement diététique de la dyslipidémie: Une approche oubliée et sous-estimée. Endocrinologie Conférences scientifiques 2006; 5: 1-6.

Willett WC. Dietary fats and coronary heart disease. Journal of International Medicine 2012; 272: 13-24. https://doi.org/10.1111/j.1365-2796.2012.02553.x DOI: https://doi.org/10.1111/j.1365-2796.2012.02553.x

Boustani F. Les nouvelles recommandations Européennes sur la prévention des maladies cardiovasculaires en pratique clinique. Available at http://www.cardiologie-francophone. com/PDF/recommandations/recommandations-2012-introduction.pdf

Morozova S, Suc-royer I, Auwerx J. Modulateurs du métabolisme du cholestérol et avenir du traitement de l’athérosclérose. Medecine/Sciences 2004; 20: 685-690. https://doi.org/10.1051/medsci/2004206-7685 DOI: https://doi.org/10.1051/medsci/2004206-7685

Sang MK, Seung-Kwon M, Young JL, Hong GS. Efficacy of Omega-3 Fatty Acid Supplements (Eicosapentaenoic Acid and Docosahexaenoic Acid) in the Secondary Prevention of Cardiovascular Disease: A Meta-analysis of Randomized, Double-blind, Placebo-Controlled Trials. Archive of Internal Medicine 2012; 179: 686-694. DOI: https://doi.org/10.1001/archinternmed.2012.262

Cesar TB, Oliveira MR, Mesquita CH, Maranhão RC. High cholesterol intake modifies chylomicron metabolism in normolipidemic young men. Journal of Nutrition 2006; 136: 971-976. DOI: https://doi.org/10.1093/jn/136.4.971

Vanhoutte EL. Prise en charge nutritionnelle du patient hypertendu. Thèse en science pharmaceutique, Université Joseph Fourier (France) 2013; Available at https://dumas.ccsd.cnrs.fr/dumas-00798577/document

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Published

2017-07-19

How to Cite

M. Pancha, O., T. Tamanji, M., Mtsavara, J., S.B. Bouagni, L., O. Ngoufack, J., & Tchiegang, C. (2017). Knowledge and Practice of Dietary Recommendations among Cardiovascular Disease Patients Attending Ngaoundere Regional Hospital, Adamawa Region, Cameroon. Journal of Nutritional Therapeutics, 6(2), 51–58. https://doi.org/10.6000/1929-5634.2017.06.02.2

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