Document Type

Article

Publication Date

2023

Abstract

The leading cause of death worldwide is cardiovascular disease. Diet is the most influential, modifiable factor related to the development and progression of cardiovascular disease. For a patient to be able to optimize their cardiovascular health through diet, they must understand the barriers to incorporating the most appropriate diet. The American Heart Association developed a diet which delivers standardized guidelines for diet. Therefore, identifying the most significant factors that hinder the effectiveness of the diet was necessary. These hinderances can be categorized as physical, psychosocial, and socioeconomic barriers. Demographic differences can also impact dietary choices. A survey was developed to identify and account for the most common dietary barriers. The Barriers to Healthy Eating scale addressed different circumstances which impact diet. By using this scale, providers can understand the individualized barriers for each patient. After meeting the inclusion criteria, 152 research participants completed the scale. Once the surveys were completed, a factor analysis was conducted to identify trends in barriers which allows for more effective education and interventions related to diet. Psychosocial factors, including motivation and environmental circumstances, were determined to be the most significant reported barriers to adopting the American Heart Association diet. This study emphasized the understanding that everyone must deal with unique life circumstances, and they directly impact their diet. With improvements to the quality of diet for patients, cardiovascular deterioration can be reduced.

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