Mehrabani Sepideh, Mohammadifard Noushin, Mehrabani Sanaz, Sadeghi Masoumeh, Sajjadi Firouzeh, Maghroun Maryam, Maracy Mohammad Reza, Safavi Seyyed Morteza
Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran; Department of clinical Nutrition, School of Nutrition and Food Science, Isfahan, Iran.
Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Prev Med. 2016 Nov 4;7:121. doi: 10.4103/2008-7802.193464. eCollection 2016.
Dietary diversity score (DDS) measurement was used to assessment of diet quality in different disease like cardiovascular disease. One way to improve the cardiovascular patient's ability is cardiac rehabilitation program that include exercise training, nutrition consultation and psychological treatment. No study was designed to compare the DDS before and after dietary consultation among cardiac rehabilitation patients, so this study was designed to examine this purpose.
Subjects were participated in the 2-month cardiac rehabilitation program. All patients that completed the cardiac rehabilitation program and 2 dietary records (before and after nutritional counseling in cardiac rehabilitation program) enrolled in study. Kant method was used for scoring dietary diversity. Data were analyzed using the statistical package for social sciences (SPSS version 20). Wilcoxon test were used to compare DDS score for each subgroup and pair sample T test was used to compare total DDS after and before nutrition counseling. < 0.05 was considered as statistically significant.
The differences between DDS of grain, fruit, vegetable and meat before and after nutrition counseling were not significant ( = 0.635, = 0.423, = 0.826, = 0.207 respectively), but differences of DDS for dairy and total DDS before and after nutrition counseling were significant ( = 0, = 0.001).
Dietary diversity was increased after nutrition counseling among patients with cardiac disease.
饮食多样性评分（DDS）测量用于评估不同疾病（如心血管疾病）中的饮食质量。改善心血管疾病患者能力的一种方法是心脏康复计划，该计划包括运动训练、营养咨询和心理治疗。此前尚无研究比较心脏康复患者饮食咨询前后的饮食多样性评分，因此本研究旨在探讨这一问题。
研究对象参与为期2个月的心脏康复计划。所有完成心脏康复计划并提供2份饮食记录（心脏康复计划营养咨询前后各一份）的患者纳入研究。采用康德方法对饮食多样性进行评分。使用社会科学统计软件包（SPSS 20版）进行数据分析。采用Wilcoxon检验比较各亚组的饮食多样性评分，采用配对样本T检验比较营养咨询前后的总饮食多样性评分。P<0.05被认为具有统计学意义。
营养咨询前后谷物、水果、蔬菜和肉类的饮食多样性评分差异无统计学意义（分别为P = 0.635、P = 0.423、P = 0.826、P = 0.207），但营养咨询前后乳制品的饮食多样性评分及总饮食多样性评分差异有统计学意义（分别为P = 0、P = 0.001）。
心脏病患者营养咨询后饮食多样性增加。
