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dc.contributor.authorHsia, Judith
dc.contributor.authorRodabough, Rebecca
dc.contributor.authorRosal, Milagros C.
dc.contributor.authorCochrane, Barbara B.
dc.contributor.authorHoward, Barbara V.
dc.contributor.authorSnetselaar, Linda G.
dc.contributor.authorFrishman, William H.
dc.contributor.authorStefanick, Marcia L.
dc.date2022-08-11T08:10:22.000
dc.date.accessioned2022-08-23T17:05:55Z
dc.date.available2022-08-23T17:05:55Z
dc.date.issued2002-10-29
dc.date.submitted2010-03-19
dc.identifier.citationAm J Med. 2002 Oct 1;113(5):384-92.
dc.identifier.issn0002-9343 (Linking)
dc.identifier.pmid12401533
dc.identifier.urihttp://hdl.handle.net/20.500.14038/44969
dc.description.abstractPURPOSE: 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.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=12401533&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://www.amjmed.com/article/S0002-9343%2802%2901218-4/abstract
dc.subjectAge Factors
dc.subjectAged
dc.subjectCross-Sectional Studies
dc.subjectFemale
dc.subjectHumans
dc.subjectHypercholesterolemia
dc.subject*Life Style
dc.subjectMiddle Aged
dc.subjectPatient Compliance
dc.subjectPatient Education as Topic
dc.subjectPractice Guidelines as Topic
dc.subjectSex Factors
dc.subjectSocioeconomic Factors
dc.subjectUnited States
dc.subjectBehavioral Disciplines and Activities
dc.subjectBehavior and Behavior Mechanisms
dc.subjectCommunity Health and Preventive Medicine
dc.subjectPreventive Medicine
dc.titleCompliance with National Cholesterol Education Program dietary and lifestyle guidelines among older women with self-reported hypercholesterolemia. The Women's Health Initiative
dc.typeJournal Article
dc.source.journaltitleThe American journal of medicine
dc.source.volume113
dc.source.issue5
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/prevbeh_pp/80
dc.identifier.contextkey1234289
html.description.abstract<p>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.</p> <p>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 </p> <p>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).</p> <p>CONCLUSION: Since the inception of the NCEP in 1985, health care providers, public health programs, and patients have not successfully implemented the dietary recommendations.</p>
dc.identifier.submissionpathprevbeh_pp/80
dc.contributor.departmentDepartment of Medicine, Division of Preventive and Behavioral Medicine
dc.source.pages384-92


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