Králíková E, Sobra J, Ceska R, Toschnerová H, Traurig J
Ustav hygieny a epidemiologie 1. LF UK, Praha.
Cas Lek Cesk. 1996 Apr 3;135(7):220-4.
Our objective was to analyze dietary habits of patients with the IIb phenotype of familial combined hyperlipidaemia. These patients were instructed on the proper composition of their diet and they thought that they adhered to these recommendations.
The authors examined 41 patients with IIb phenotype of familial combined hyperlipidaemia. Based on their seven-day dietary records their daily intake was calculated and compared with recommended daily allowances as regards energy intake, intake of plant and animal proteins, fats, linoleic acid, carbohydrates, calcium, iron, potassium, fibre, vitamin A, thiamin, pyridoxine, vitamin C, E, cholesterol and NaCl (Progana programme). With the above results the total serum cholesterol, serum triglyceride, HDL and LDL serum cholesterol and nutritional status (body mass index, percentage of body fat and waist hip/ratio) were compared. When the energy intake was acceptable (99% of the recommended allowance), the fat intake was excessive (138%) as well as the intake of animal protein (148%), cholesterol (145%) and NaCl (159% of the recommended allowance), while the intake of plant proteins and fibre and some vitamins was inadequate. A statistically significant relationship was revealed only as regards the linoleic acid intake and total serum cholesterol (inverse relationship at the 95% probability level, r = 0.43), the other investigated relationships were insignificant. The body mass index values (in men and women 26) and the percentage of body fat (22% in men and 34% in women) are above the recommended range.
Dietary errors in the investigated group thus did not pertain, to the quantity of the diet but its composition. From the results ensures that doctors should pay great attention to explaining dietary principles to their patients.
我们的目的是分析家族性混合性高脂血症IIb表型患者的饮食习惯。这些患者已得到关于其饮食合理构成的指导，并且他们认为自己遵守了这些建议。
作者检查了41例家族性混合性高脂血症IIb表型患者。根据他们7天的饮食记录计算其每日摄入量，并与能量摄入、动植物蛋白、脂肪、亚油酸、碳水化合物、钙、铁、钾、纤维、维生素A、硫胺素、吡哆醇、维生素C、E、胆固醇和氯化钠的推荐每日摄入量（Progana程序）进行比较。根据上述结果，比较了总血清胆固醇、血清甘油三酯、高密度脂蛋白和低密度脂蛋白血清胆固醇以及营养状况（体重指数、体脂百分比和腰臀比）。当能量摄入可接受时（为推荐摄入量的99%），脂肪摄入量过高（为推荐摄入量的138%），动物蛋白（148%）、胆固醇（145%）和氯化钠（159%）的摄入量也过高，而植物蛋白、纤维和一些维生素的摄入量不足。仅发现亚油酸摄入量与总血清胆固醇之间存在统计学显著关系（在95%概率水平呈负相关，r = 0.43），其他研究的关系不显著。体重指数值（男性和女性均为26）和体脂百分比（男性为22%，女性为34%）高于推荐范围。
因此，被调查组的饮食错误不在于饮食量，而在于其构成。从结果可以确定，医生应高度重视向患者解释饮食原则。
