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dc.contributor.authorMa, Yunsheng
dc.contributor.authorLi, Wenjun
dc.contributor.authorOlendzki, Barbara C.
dc.contributor.authorPagoto, Sherry L.
dc.contributor.authorMerriam, Philip A.
dc.contributor.authorChiriboga, David E.
dc.contributor.authorGriffith, Jennifer A.
dc.contributor.authorBodenlos, Jamie S.
dc.contributor.authorWang, Yanli
dc.contributor.authorOckene, Ira S.
dc.date2022-08-11T08:09:37.000
dc.date.accessioned2022-08-23T16:38:06Z
dc.date.available2022-08-23T16:38:06Z
dc.date.issued2008-02-02
dc.date.submitted2009-11-05
dc.identifier.citationJ Am Diet Assoc. 2008 Feb;108(2):240-6; discussion 246-7. <a href="http://dx.doi.org/10.1016/j.jada.2007.10.047">Link to article on publisher's site</a>
dc.identifier.issn0002-8223 (Print)
dc.identifier.doi10.1016/j.jada.2007.10.047
dc.identifier.pmid18237571
dc.identifier.urihttp://hdl.handle.net/20.500.14038/39171
dc.description.abstractOBJECTIVE: The purpose of this ancillary study is to determine the quality of diets in patients with documented coronary heart disease (CHD). DESIGN: Dietary data were originally collected using a 24-hour dietary recall in 555 patients with CHD, 1 year after a diagnostic coronary angiography. Data used for this investigation were collected between March 2001 and November 2003. SUBJECTS/SETTING: Patients were participants in a clinical trial to improve adherence to lipid-lowering medications. The Alternate Healthy Eating Index, an instrument designed to evaluate the degree to which a diet has the potential to prevent cardiovascular disease, measured dietary quality. MAIN OUTCOME MEASURES: Linear regression models were used to assess the association of dietary quality with patients' sociodemographic and clinical characteristics. RESULTS: Mean age of participants was 61 years, with an average body mass index of 30 (calculated as kg/m(2)). Sixty percent were men. Average daily caloric intake was 1,775 kcal, with 50% of calories derived from carbohydrates, 18% from protein, and 32% from total fat. Average Alternate Healthy Eating Index score was 30.8 out of a possible maximum score of 80. Only 12.4% of subjects met the recommended consumption of vegetables, 7.8% for fruit, 8% for cereal fiber, and 5.2% for trans-fat intake. Lower dietary quality was associated with lower total caloric intake, as well as with smoking, obesity, and lower educational level. CONCLUSIONS: A high proportion of patients reported poor dietary quality 1 year after experiencing a coronary event. Our data support continued efforts to enhance healthful dietary changes over time for secondary prevention of CHD. Dietary change should be emphasized with CHD patients who are less educated, smokers, or obese.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=18237571&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC2386950/pdf/nihms47961.pdf
dc.subjectAngiography
dc.subjectAntilipemic Agents
dc.subjectBody Mass Index
dc.subjectCholesterol, Dietary
dc.subjectCoronary Disease
dc.subjectDiet
dc.subjectDiet Surveys
dc.subject*Diet, Fat-Restricted
dc.subjectDietary Fats
dc.subjectDietary Fiber
dc.subjectEducational Status
dc.subjectEnergy Intake
dc.subjectFemale
dc.subjectHealth Knowledge, Attitudes, Practice
dc.subjectHumans
dc.subjectLinear Models
dc.subjectMale
dc.subjectMental Recall
dc.subjectMiddle Aged
dc.subjectObesity
dc.subjectPatient Compliance
dc.subjectPatient Education as Topic
dc.subjectQuestionnaires
dc.subjectRisk Factors
dc.subjectSmoking
dc.subjectCardiovascular Diseases
dc.subjectCommunity Health and Preventive Medicine
dc.subjectDietetics and Clinical Nutrition
dc.subjectLife Sciences
dc.subjectMedicine and Health Sciences
dc.titleDietary quality 1 year after diagnosis of coronary heart disease
dc.typeJournal Article
dc.source.journaltitleJournal of the American Dietetic Association
dc.source.volume108
dc.source.issue2
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/oapubs/1982
dc.identifier.contextkey1055713
html.description.abstract<p>OBJECTIVE: The purpose of this ancillary study is to determine the quality of diets in patients with documented coronary heart disease (CHD).</p> <p>DESIGN: Dietary data were originally collected using a 24-hour dietary recall in 555 patients with CHD, 1 year after a diagnostic coronary angiography. Data used for this investigation were collected between March 2001 and November 2003.</p> <p>SUBJECTS/SETTING: Patients were participants in a clinical trial to improve adherence to lipid-lowering medications. The Alternate Healthy Eating Index, an instrument designed to evaluate the degree to which a diet has the potential to prevent cardiovascular disease, measured dietary quality.</p> <p>MAIN OUTCOME MEASURES: Linear regression models were used to assess the association of dietary quality with patients' sociodemographic and clinical characteristics.</p> <p>RESULTS: Mean age of participants was 61 years, with an average body mass index of 30 (calculated as kg/m(2)). Sixty percent were men. Average daily caloric intake was 1,775 kcal, with 50% of calories derived from carbohydrates, 18% from protein, and 32% from total fat. Average Alternate Healthy Eating Index score was 30.8 out of a possible maximum score of 80. Only 12.4% of subjects met the recommended consumption of vegetables, 7.8% for fruit, 8% for cereal fiber, and 5.2% for trans-fat intake. Lower dietary quality was associated with lower total caloric intake, as well as with smoking, obesity, and lower educational level.</p> <p>CONCLUSIONS: A high proportion of patients reported poor dietary quality 1 year after experiencing a coronary event. Our data support continued efforts to enhance healthful dietary changes over time for secondary prevention of CHD. Dietary change should be emphasized with CHD patients who are less educated, smokers, or obese.</p>
dc.identifier.submissionpathoapubs/1982
dc.contributor.departmentDepart of Medicine, Division of Preventive and Behavioral Medicine
dc.source.pages240-6; discussion 246-7


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