Reid V, Mulcahy R
Cardiac Department, St Vincent's Hospital, Dublin, Ireland.
Hum Nutr Appl Nutr. 1987 Oct;41(5):311-8.
Changes in nutrient intakes which were recorded in the diets of cardiac patients at 1-year follow-up were maintained at 6-year follow-up, with the exception of fibre intake. Twenty-three patients, 60 per cent of the original study, were available for assessment at 6-year follow-up. The majority of these patients (74 per cent) had been classified as good compliers at 1-year follow-up. They had maintained the nutrient intakes observed at 1-year follow-up, except for fibre intake which had been reduced. Nutrient intakes of the small number of poor compliers (26 per cent) tended to deteriorate between 1- and 6-year follow-up. Body weight, which was reduced at 1-year follow-up, had increased to initial levels at 6-year follow-up for the total group. Poor compliers showed the greatest increase in weight. Serum cholesterol levels showed little change throughout the study for all patients. Compliance at 1-year follow-up appeared to determine compliance over the longer follow-up period for the study patients and especially for good compliers. More attention needs to be given to evaluating the factors which influence compliance, in particular dietary compliance.
在1年随访时记录的心脏病患者饮食中营养素摄入量的变化，在6年随访时仍保持不变，但膳食纤维摄入量除外。23名患者（占原研究的60%）可在6年随访时进行评估。这些患者中的大多数（74%）在1年随访时被归类为依从性良好。他们维持了在1年随访时观察到的营养素摄入量，但膳食纤维摄入量有所减少。少数依从性差的患者（26%）的营养素摄入量在1年至6年随访期间趋于恶化。总体而言，1年随访时体重减轻，6年随访时体重已增至初始水平。依从性差的患者体重增加最多。在整个研究过程中，所有患者的血清胆固醇水平变化不大。对于本研究患者，尤其是依从性良好的患者，1年随访时的依从性似乎决定了更长随访期的依从性。需要更加关注评估影响依从性的因素，特别是饮食依从性。
