Nutritional, Metabolic, Endocrine Cardiology
Conditions
Interventions
Education
No education control
Sponsors
Heart and Stroke Foundation South Africa
Durban University of Technology
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Adults aged 18 years and above residing in the selected study communities. Individuals with hypertension, defined as a clinical history of hypertension, current use of antihypertensive medication, or measured blood pressure =140/90 mmHg. Individuals with pre-hypertension, defined as systolic blood pressure 120–139 mmHg and/or diastolic blood pressure 80–89 mmHg according to the Joint National Committee VII classification. Individuals with normal blood pressure (neither hypertensive nor pre-hypertensive), allowing evaluation of prevention as well as control outcomes. Individuals capable of providing informed consent and willing to participate in the study assessments. Residents of the selected communities who are available for baseline, post-intervention, and follow-up assessments.
Exclusion criteria
Exclusion criteria: Individuals with a history of stroke. Individuals with terminal illnesses, such as advanced cancer or congestive heart failure. Individuals unable to provide informed consent, including those with severe cognitive impairment. Individuals with severe sensory limitations that prevent participation in study procedures (e.g., severe visual or hearing impairment that would make participation in assessments impossible). Individuals unwilling to provide informed consent or participate in the study assessments.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in mean systolic and diastolic blood pressure (SBP and DBP) between the intervention and control communities at the end of the trial. | — |
Secondary
| Measure | Time frame |
|---|---|
| Hypertension knowledge and perception Assessed using the Hypertension Knowledge-Level Scale (HK-LS). Body Mass Index (BMI) Measured from height and weight to assess changes in body composition. Alcohol consumption Self-reported alcohol use patterns. Smoking behaviour Smoking status and changes in tobacco use. Dietary behaviour Assessed using the Diet History Questionnaire (DHQ-III) to evaluate dietary patterns including salt and fat intake. Cardiometabolic biomarkers HbA1c Lipid profile Homocysteine Cardiac function Assessed using electrocardiography (ECG). Psychosocial factors Evaluated using the INTERSTROKE psychosocial scale. Cognitive function Measured using the Montreal Cognitive Assessment (MoCA). | — |
Countries
South Africa
Contacts
Public ContactBloodless Dzwairo
Grant office Durban University of Technology
Outcome results
None listed