Meals served to hypertensive and cardiac inpatients in Jordan:comparison with WHO and NIH dietary guidelines

لقد هدفت هذه الدراسه الى تقييم الالتزام في الوجبات اليوميه التي تقدم لمرضى ارتفاع ضغط الدم ومرضى القلب المنومين في المستشفيات الاردنيه بالدلائل الارشادية لمنظمة الصحه العالميه وبخطط النظام الغذائي الواردة في التغيرات العلاجيه لنمط الحياة وفي النهج الغذائي الهادف الى وقف ارتفاع ضغط الدم ولقد اجري تحليل لقوائم الطعام الدوريه الاسبوعيه التي اخذت من اقسام خدمات الطعام في المستشفيات الكبرى في الاردن ( ع=16)وذلك باستخدام برنامج معالج الطعام إيشا ESHA للحصول على بيانات عن محتواها من المغذيات كبيره المقدار والمغذيات زهيدة المقدار وعن مجموعات الاغذيه الممثله فيها فأظهرت النتائج ان كميات العديد من المغذيات الواردة في القوائم المقدمة ليست ملائمه الى جانب عدم الالتزام - عموما - بخطط النظام الغذائي الواردة في النهج الغذائي الهادف الى وقف ارتفاع ضغط الدم وفي التغييرات العلاجيه لنمط الحياه بالدلائل الارشاديه لمنظمة الصحه العالميه فكان محتوى الوجبات من الصوديم اعلى من الموصى به الى جانب انخفاض محتواها من البوتاسيوم وكانت كميه الاحماض الدهنيه في الغالب خارج المجالات الموصى بها فالوجبات التى تقدم لمرضى القلب في مستشفيات الاردن بحاجة الى مراجعة كي تلبي الدلائل الارشاديه التي وضعت خصيصا لتناسب الظروف الصحيه لهؤلاء المرضى

This study aimed to evaluate the compliance of daily meals served to hypertensive and cardiac inpatients in Jordan according to WHO guidelines and the Therapeutic Lifestyle Changes (TLC) and Dietary Approach to Stop Hypertension (DASH) diets plans. Weekly cycle menus from the food service department of major hospitals in Jordan (n = 16) were analysed using ESHA Food Processor software to obtain data about macroand micronutrient contents and food groups represented. The results showed inappropriate amounts of several nutrients in the menus provided, along with a general noncompliance with the DASH, TLC and WHO guidelines.Meals had higher than recommended sodium content coupled with low potassium content. Fatty acid profiles were often outside the recommended ranges. Meals provided to cardiac inpatients in Jordan need to be revised to meet the guidelines specified for the health conditions of these patients.

La présente étude visait à évaluer dans quelle mesure les repas quotidiens servis aux patients hospitalisés atteints d’hypertension ou de cardiopathie en Jordanie respectaient les recommendations de l'Organisation mondiale de la Santé (OMS) et les régimes alimentaires Therapeutic Lifestyle Changes (TLC) et Dietary Approach toStop Hypertension (DASH). Les cycles hebdomadaires de menus du service de restauration des grands hôpitaux en Jordanie (n = 16) ont été analysés à l’aide du logiciel ESHA Food Processor pour obtenir des données sur la composition en macronutriments et en micronutriments ainsi que sur les groupes d’aliments représentés. Les résultats ont révélé des quantités inadaptées de plusieurs nutriments dans les menus servis, ainsi qu’un non-respect général des recommandations DASH, TLC et de l’OMS. Les repas avaient une composition en sodium trop élevée et un taux de potassium trop faible par rapport aux recommandations. Les profils des acides gras étaient souvent hors des plages recommandées. Les repas fournis aux patients hospitalisés atteints de cardiopathie en Jordanie doivent être revus pour répondre aux recommandations visant leurs pathologies.

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