Abstract
Dietary habits are widely reported to play a primary role in the occurrence of coronary artery disease (CAD). Cardiac rehabilitation is a multidisciplinary intervention that includes nutritional education. Proper nutrition plays an important role in cardiovascular health outcomes and in decreasing morbidity and mortality of cardiovascular diseases (CVD) as highlighted in the literature. The aim of this study was to assess the efficacy of an educational program to improve the diet of cardiac rehabilitation patients compared to usual treatment. 160 patients with CAD, (124 M, 36 F) were randomized into two groups. Data analysis was conducted on 133 patients (11 % dropped out). All enrolled patients attended two educational seminars about proper nutrition and cardiovascular prevention, and completed a questionnaire about dietary habits (before CAD). The Body Mass Index (BMI) was calculated, and basal glycaemia and plasma lipids were assessed at the beginning and at the end of the study (12 months after hospital discharge). The intervention group patients underwent a mid-term evaluation of nutrient intakes, BMI, and received a personalized educational reinforcement by a dietitian. At the end of the study, the intervention group was shown to have significantly reduced their daily caloric intake (reduction of total proteins, total fat, carbohydrate, alcohol), and showed a significant reduction of weight and BMI compared to the control group. Individual nutritional counseling session as a reinforcement of a standard educational program is effective in reducing caloric intake and BMI, which may reduce cardiovascular risk factors in cardiovascular patients.
| Original language | English |
|---|---|
| Pages (from-to) | 671-676 |
| Number of pages | 6 |
| Journal | Internal and Emergency Medicine |
| Volume | 10 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Sep 1 2015 |
Fingerprint
Keywords
- Cardiovascular follow-up
- Cardiovascular prevention
- Cardiovascular risk factors
- Dietary habits
- Multidisciplinary cardiac rehabilitation
- Nutrition education
ASJC Scopus subject areas
- Emergency Medicine
- Internal Medicine
Cite this
Efficacy of a nutritional education program to improve diet in patients attending a cardiac rehabilitation program : outcomes of a one-year follow-up. / Luisi, Maria Luisa Eliana; Biffi, Barbara; Gheri, Chiara Francesca; Sarli, Ennio; Rafanelli, Elena; Graziano, Emanuela; Vidali, Sofia; Fattirolli, Francesco; Gensini, Gian Franco; Macchi, Claudio.
In: Internal and Emergency Medicine, Vol. 10, No. 6, 01.09.2015, p. 671-676.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Efficacy of a nutritional education program to improve diet in patients attending a cardiac rehabilitation program
T2 - outcomes of a one-year follow-up
AU - Luisi, Maria Luisa Eliana
AU - Biffi, Barbara
AU - Gheri, Chiara Francesca
AU - Sarli, Ennio
AU - Rafanelli, Elena
AU - Graziano, Emanuela
AU - Vidali, Sofia
AU - Fattirolli, Francesco
AU - Gensini, Gian Franco
AU - Macchi, Claudio
PY - 2015/9/1
Y1 - 2015/9/1
N2 - Dietary habits are widely reported to play a primary role in the occurrence of coronary artery disease (CAD). Cardiac rehabilitation is a multidisciplinary intervention that includes nutritional education. Proper nutrition plays an important role in cardiovascular health outcomes and in decreasing morbidity and mortality of cardiovascular diseases (CVD) as highlighted in the literature. The aim of this study was to assess the efficacy of an educational program to improve the diet of cardiac rehabilitation patients compared to usual treatment. 160 patients with CAD, (124 M, 36 F) were randomized into two groups. Data analysis was conducted on 133 patients (11 % dropped out). All enrolled patients attended two educational seminars about proper nutrition and cardiovascular prevention, and completed a questionnaire about dietary habits (before CAD). The Body Mass Index (BMI) was calculated, and basal glycaemia and plasma lipids were assessed at the beginning and at the end of the study (12 months after hospital discharge). The intervention group patients underwent a mid-term evaluation of nutrient intakes, BMI, and received a personalized educational reinforcement by a dietitian. At the end of the study, the intervention group was shown to have significantly reduced their daily caloric intake (reduction of total proteins, total fat, carbohydrate, alcohol), and showed a significant reduction of weight and BMI compared to the control group. Individual nutritional counseling session as a reinforcement of a standard educational program is effective in reducing caloric intake and BMI, which may reduce cardiovascular risk factors in cardiovascular patients.
AB - Dietary habits are widely reported to play a primary role in the occurrence of coronary artery disease (CAD). Cardiac rehabilitation is a multidisciplinary intervention that includes nutritional education. Proper nutrition plays an important role in cardiovascular health outcomes and in decreasing morbidity and mortality of cardiovascular diseases (CVD) as highlighted in the literature. The aim of this study was to assess the efficacy of an educational program to improve the diet of cardiac rehabilitation patients compared to usual treatment. 160 patients with CAD, (124 M, 36 F) were randomized into two groups. Data analysis was conducted on 133 patients (11 % dropped out). All enrolled patients attended two educational seminars about proper nutrition and cardiovascular prevention, and completed a questionnaire about dietary habits (before CAD). The Body Mass Index (BMI) was calculated, and basal glycaemia and plasma lipids were assessed at the beginning and at the end of the study (12 months after hospital discharge). The intervention group patients underwent a mid-term evaluation of nutrient intakes, BMI, and received a personalized educational reinforcement by a dietitian. At the end of the study, the intervention group was shown to have significantly reduced their daily caloric intake (reduction of total proteins, total fat, carbohydrate, alcohol), and showed a significant reduction of weight and BMI compared to the control group. Individual nutritional counseling session as a reinforcement of a standard educational program is effective in reducing caloric intake and BMI, which may reduce cardiovascular risk factors in cardiovascular patients.
KW - Cardiovascular follow-up
KW - Cardiovascular prevention
KW - Cardiovascular risk factors
KW - Dietary habits
KW - Multidisciplinary cardiac rehabilitation
KW - Nutrition education
UR - http://www.scopus.com/inward/record.url?scp=84940721910&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84940721910&partnerID=8YFLogxK
U2 - 10.1007/s11739-015-1211-y
DO - 10.1007/s11739-015-1211-y
M3 - Article
AN - SCOPUS:84940721910
VL - 10
SP - 671
EP - 676
JO - Internal and Emergency Medicine
JF - Internal and Emergency Medicine
SN - 1828-0447
IS - 6
ER -