Lessons learned? Changes in dietary behavior after a coronary event.

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Version: Author's accepted manuscript
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Serval ID
serval:BIB_CE52AAABE94C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Lessons learned? Changes in dietary behavior after a coronary event.
Journal
Clinical nutrition ESPEN
Author(s)
Marques-Vidal P., Quinteiros Fidalgo A.S., Schneid Schuh D., Voortman T., Guessous I., Franco O.H.
ISSN
2405-4577 (Electronic)
ISSN-L
2405-4577
Publication state
Published
Issued date
02/2019
Peer-reviewed
Oui
Volume
29
Pages
112-118
Language
english
Notes
Publication types: Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
A healthy diet is recommended for the prevention of coronary artery disease (CAD), but whereas patients with CAD adhere to a healthy diet is unclear. We aimed to assess the impact of a CAD event on dietary intake.
Prospective, population-based, observational study conducted between 2009 and 2017. Dietary intake was assessed using a validated food frequency questionnaire. Three comparisons were performed: 1) between participants with history of CAD and gender- and age-matched controls; 2) before and after the occurrence of a CAD event, and 3) between participants with an incident CAD event and gender- and age-matched controls.
In analysis 1), after multivariable adjustment, participants with history of CAD had a lower total energy intake than controls (adjusted mean ± standard error: 1833 ± 36 vs. 1940 ± 26 kcal/day, p = 0.022), while no difference was found for all other dietary markers. In analysis 2) (n = 87) total energy intake increased (1927 ± 593 vs. 2100 ± 700 kcal/day before and after the event, respectively, p = 0.029) and prevalence of low fat diet decreased (35.6% vs. 21.8%, p = 0.036), while no difference was found for all other dietary markers. In analysis 3), participants with incident CAD had higher vegetable protein intake (adjusted mean ± standard error 4.8 ± 0.1 vs. 4.5 ± 0.1% of total energy intake, p = 0.028), AHEI score (34 ± 1 vs. 31 ± 1, p = 0.032), and complied more frequently with vegetables guidelines [odds ratio and 95% confidence interval; 7.64 (1.06-55.2)] than controls, while no differences were found for all other dietary markers CONCLUSIONS: In Switzerland, secondary prevention of CAD by diet is seldom implemented.
Keywords
Aged, Coronary Artery Disease/prevention & control, Diet, Fat-Restricted, Diet, Healthy, Energy Intake, Feeding Behavior, Female, Follow-Up Studies, Humans, Male, Middle Aged, Nutrition Policy, Odds Ratio, Prospective Studies, Risk Factors, Surveys and Questionnaires, Switzerland, Vegetables, Coronary artery disease, Diet, Dietary guidelines, Prospective study, Secondary prevention
Pubmed
Web of science
Open Access
Yes
Create date
24/01/2019 14:25
Last modification date
27/04/2020 6:20
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