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    Compliance with National Cholesterol Education Program dietary and lifestyle guidelines among older women with self-reported hypercholesterolemia. The Women's Health Initiative

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    Authors
    Hsia, Judith
    Rodabough, Rebecca
    Rosal, Milagros C.
    Cochrane, Barbara B.
    Howard, Barbara V.
    Snetselaar, Linda G.
    Frishman, William H.
    Stefanick, Marcia L.
    UMass Chan Affiliations
    Department of Medicine, Division of Preventive and Behavioral Medicine
    Document Type
    Journal Article
    Publication Date
    2002-10-29
    Keywords
    Age Factors
    Aged
    Cross-Sectional Studies
    Female
    Humans
    Hypercholesterolemia
    *Life Style
    Middle Aged
    Patient Compliance
    Patient Education as Topic
    Practice Guidelines as Topic
    Sex Factors
    Socioeconomic Factors
    United States
    Behavioral Disciplines and Activities
    Behavior and Behavior Mechanisms
    Community Health and Preventive Medicine
    Preventive Medicine
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    Link to Full Text
    http://www.amjmed.com/article/S0002-9343%2802%2901218-4/abstract
    Abstract
    PURPOSE: Dietary therapy remains the first line of treatment for patients with high blood cholesterol levels. Among free-living persons, compliance with National Cholesterol Education Program (NCEP) dietary recommendations is uncertain. SUBJECTS AND METHODS: We performed a cross-sectional, baseline analysis of 91,627 postmenopausal women enrolled in the Women's Health Initiative Observational Study. Among women with self-reported hypercholesterolemia, we ascertained factors associated with compliance with National Cholesterol Education Program dietary recommendations, defined for the Step II diet as RESULTS: Of the 13,777 participants who reported having high cholesterol levels requiring drug therapy, only 20% reported total fat, saturated fat, and dietary cholesterol consumption consistent with Step II dietary goals. Factors associated with Step II dietary compliance included having a college degree (odds ratio [OR] = 1.26; 95% confidence interval [CI]: 1.14 to 1.40), a prior cardiovascular event (OR = 1.48; 95% CI: 1.28 to 1.70), and consumption of five or more daily servings of fruits or vegetables (OR = 3.0; 95% CI: 2.7 to 3.3). Being married, smoking, a sedentary lifestyle, and a higher body mass index were all associated with reduced compliance (all P <0.0001). In the subsample in which plasma lipid levels were measured, dietary compliance was associated with higher levels of low-density lipoprotein cholesterol (P = 0.02). CONCLUSION: Since the inception of the NCEP in 1985, health care providers, public health programs, and patients have not successfully implemented the dietary recommendations.
    Source
    Am J Med. 2002 Oct 1;113(5):384-92.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/44969
    PubMed ID
    12401533
    Related Resources
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    Population and Quantitative Health Sciences Publications

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