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心血管疾病(CVD)患者遵循营养指南作为二级预防措施。

Adherence to nutrition guidelines in patients with cardiovascular diseases (CVD) as a secondary prevention.

作者信息

Woźniak Agnieszka, Krótki Monika, Anyżewska Anna, Górnicka Magdalena, Wawrzyniak Agata

机构信息

Department of Human Nutrition, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences (SGGW - WULS), Warsaw, Poland

出版信息

Rocz Panstw Zakl Hig. 2017;68(4):401-407.

Abstract

BACKGROUND

The appropriate nutrition is an important component of the secondary prevention of cardiovascular diseases (CVD)

OBJECTIVES

The aim of the study was to investigate if the patients with cardiovascular disease were informed of the role of appropriate nutrition in prevention or received nutrition guidelines and to assess the dietary intake compared to recommendations for patients with cardiovascular disease who received or not nutrition guidelines

MATERIAL AND METHODS

The study was conducted among patients with cardiovascular disease (n = 127) of cardiological hospital clinic, aged 62 ± 11. The questionnaire was used to obtain personal and anthropometric details, information if patients had received nutrition guidelines. The method of 3-day food records was used for dietary assessment

RESULTS

20% of subjects had not received nutrition guidelines and almost 40% of subjects did not recognize the nutrition effect on cardiovascular disease development. Compared to the diets of the subjects who had not received nutrition guidelines, the diets of those who had received them were of significantly lower intake of: energy from saturated fatty acids (15%, p = 0.006), cholesterol (21%, p = 0.012) and higher intake (14-26%) of potassium (p = 0,003), sodium (p = 0.013), phosphorus (p = 0.044), magnesium (p = 0.003), iron (p = 0.005), copper (p = 0.001), zinc (p = 0.046). Among the patients who had received nutrition guidelines, percentage of the subjects whose intake of nutrients was consistent with recommendations was higher

CONCLUSIONS

Not all subjects had received nutrition guidelines. Diets of those who had received them were more balanced, but in neither group nutrition guidelines were complied with

摘要

背景

合理营养是心血管疾病(CVD)二级预防的重要组成部分。

目的

本研究旨在调查心血管疾病患者是否了解合理营养在预防中的作用或是否接受了营养指南,并评估与接受或未接受营养指南的心血管疾病患者的推荐摄入量相比,其饮食摄入量情况。

材料与方法

该研究在心脏病医院门诊的心血管疾病患者(n = 127)中进行,患者年龄为62±11岁。使用问卷获取个人和人体测量细节,以及患者是否接受营养指南的信息。采用3天食物记录法进行饮食评估。

结果

20%的受试者未接受营养指南,近40%的受试者未认识到营养对心血管疾病发展的影响。与未接受营养指南受试者的饮食相比,接受营养指南受试者的饮食中,饱和脂肪酸提供的能量摄入量显著降低(15%,p = 0.006),胆固醇摄入量降低(21%,p = 0.012),而钾(p = 0.003)、钠(p = 0.013)、磷(p = 0.044)、镁(p = 0.003)、铁(p = 0.005)、铜(p = 0.001)、锌(p = 0.046)的摄入量较高(14 - 26%)。在接受营养指南的患者中,营养素摄入量符合推荐的受试者比例更高。

结论

并非所有受试者都接受了营养指南。接受营养指南者的饮食更均衡,但两组中均未完全遵守营养指南。

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