Reid V, Graham I, Hickey N, Mulcahy R
Hum Nutr Appl Nutr. 1984 Aug;38(4):279-87.
Nutrient intake was altered favourably in the diets of 38 cardiac patients who were followed up for 1 year as part of a rehabilitation programme. Total energy intake was reduced from 3540 kcal (14.9 MJ) to 2484 kcal (10.4 MJ). Fat intake was reduced from 41 to 37 per cent of energy intake with an accompanying increase in P : S ratio from 0.18 to 0.60. Cholesterol intake was reduced from 564 to 332 mg. Carbohydrate was increased from 38 to 41 per cent of energy intake with an increase in fibre intake from 18 to 24 g. The energy contributed by alcohol was reduced from 6 to 5 per cent. Patients varied in their compliance but all patients made some changes in their dietary intake. Changes in body weight, serum cholesterol levels, cigarette-smoking status and levels of physical activity tended to correspond with the recorded changes in nutrient intake. A low level of education, low socio-economic group, lack of understanding of the illness by the patient and inadequate communication were associated with reduced compliance. Initial motivation and anxiety levels in hospital had less effect on compliance.
作为康复计划的一部分，对38名心脏病患者的饮食进行了为期1年的随访，结果显示他们的营养摄入得到了有利改变。总能量摄入从3540千卡（14.9兆焦耳）降至2484千卡（10.4兆焦耳）。脂肪摄入量从能量摄入的41%降至37%，同时磷硫比从0.18增至0.60。胆固醇摄入量从564毫克降至332毫克。碳水化合物占能量摄入的比例从38%增至41%，膳食纤维摄入量从18克增至24克。酒精提供的能量占比从6%降至5%。患者的依从性各不相同，但所有患者的饮食摄入都有一些变化。体重、血清胆固醇水平、吸烟状况和身体活动水平的变化往往与记录的营养摄入变化相对应。低教育水平、低社会经济群体、患者对疾病缺乏了解以及沟通不足与依从性降低有关。住院时的初始动机和焦虑水平对依从性的影响较小。
