已确定的心血管疾病患者的饮食习惯和遵守饮食指南
Nadia E Bonekamp1, Johanna M Geleijnse2, Yvonne T van der Schouw3
1Department of Vascular Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
European journal of clinical nutrition
|May 27, 2024
概括
患有已确定的心血管疾病 (CVD) 的患者通常具有不理想的饮食习惯. 坚持健康饮食指导方针显著降低了中风风险,强调了心血管疾病患者饮食咨询的重要性.
科学领域:
- 心脏病学 心脏病学
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 不健康的饮食习惯是心血管疾病 (CVD) 的主要危险因素.
- 饮食指南是心血管疾病预防策略的核心.
- 这项研究考察了已确诊心血管疾病的患者的饮食习惯和遵守指导方针.
研究的目的:
- 评估已确定的心血管疾病患者的饮食习惯.
- 为了评估这个人群对饮食指南的遵守.
- 确定遵守指南与复发性心血管事件风险之间的关系.
主要方法:
- 从UCC-SMART队列研究中分析了2656名患有已确定的心血管疾病的患者.
- 通过160项食物频率调查问卷收集的饮食摄入数据.
- 使用荷兰健康饮食2015 (DHD-15) 指数测量合规性;用Cox模型分析事件风险.
主要成果:
- 中位数DDH-15指数为81.7,表明符合指南的最佳水平.
- 豆类和鱼类的高合规性,全谷物,红肉,加工肉和乳制品的低合规性.
- 较高的DHD-15分数与中风风险降低相关 (HR0.78),但不是心肌梗塞.
结论:
- 患有已确定的心血管疾病的患者表现出对饮食指南的不理想遵守.
- 增加对饮食指导方针的坚持与明显降低中风风险有关.
- 饮食咨询对于管理心血管疾病患者和减轻复发事件风险至关重要.
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