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冠心病患者饮食与社会经济地位的关系

Diet in relation to socioeconomic status in patients with coronary heart disease.

作者信息

Erkkilä A T, Sarkkinen E S, Lehto S, Pyörälä K, Uusitupa M I

机构信息

Department of Clinical Nutrition, University of Kuopio, Finland.

出版信息

Eur J Clin Nutr. 1999 Aug;53(8):662-8. doi: 10.1038/sj.ejcn.1600829.

DOI:10.1038/sj.ejcn.1600829
PMID:10477254
Abstract

OBJECTIVES

Nutrient intake, food consumption and fatty acid profile of serum cholesteryl esters (CE) were investigated in relation to education in patients with coronary heart disease (CHD).

DESIGN

A cross-sectional survey in CHD patients selected from hospital records at least six months after hospitalisation. Food record, a questionnaire on dietary fat and fatty acid profile of CE were used to examine diet composition. Years of education, divided into three categories, were used to indicate socioeconomic status.

SETTING

The district of Kuopio University Hospital in Finland.

SUBJECTS

One hundred and nine patients with coronary artery bypass surgery, 106 patients with coronary angioplasty, 101 patients with acute myocardial infarction and 99 patients with acute myocardial ischaemia aged 61 y (33-74 y) (mean (range)).

RESULTS

Men with a low level of schooling had a higher intake of total and saturated fat, a lower consumption of vegetables and fruits, more frequently used butter or butter based spread and less frequently used oil compared to the diets of men with middle or high education. Men with low or middle education had a lower intake of alcohol than men with a high level of education. Highly-educated women had a lower proportion of myristic acid in CE than low-educated women and a similar trend between myristic acid and educational level was found in men.

CONCLUSIONS

The educational level of men with CHD influenced their nutrient intake and food consumption, but in women with CHID its impact seemed to be weaker.

摘要

目的

研究冠心病(CHD)患者的营养摄入、食物消费以及血清胆固醇酯(CE)的脂肪酸谱与教育程度之间的关系。

设计

对从住院记录中选取的至少住院六个月后的冠心病患者进行横断面调查。采用食物记录、一份关于膳食脂肪和CE脂肪酸谱的问卷来检查饮食构成。将受教育年限分为三类,用以表明社会经济地位。

地点

芬兰库奥皮奥大学医院所在地区。

研究对象

109例行冠状动脉搭桥手术的患者、106例行冠状动脉成形术的患者、101例急性心肌梗死患者以及99例急性心肌缺血患者,年龄61岁(33 - 74岁)(均值(范围))。

结果

与中等或高等教育程度男性的饮食相比,受教育程度低的男性总脂肪和饱和脂肪摄入量更高,蔬菜和水果消费量更低,更频繁使用黄油或基于黄油的涂抹酱,更少使用油。受教育程度低或中等的男性酒精摄入量低于受教育程度高的男性。高学历女性CE中的肉豆蔻酸比例低于低学历女性,男性中肉豆蔻酸与教育程度之间也发现了类似趋势。

结论

冠心病男性的教育水平影响其营养摄入和食物消费,但对冠心病女性的影响似乎较弱。

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