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Dietary quality 1 year after diagnosis of coronary heart disease
Open Access Articles
  • Yunsheng Ma, University of Massachusetts Medical School
  • Wenjun Li, University of Massachusetts Medical School
  • Barbara C. Olendzki, University of Massachusetts Medical School
  • Sherry L. Pagoto, University of Massachusetts Medical School
  • Philip A. Merriam, University of Massachusetts Medical School
  • David E. Chiriboga, University of Massachusetts Medical School
  • Jennifer A. Griffith, University of Massachusetts Medical School
  • Jamie S. Bodenlos, University of Massachusetts Medical School
  • Yanli Wang, University of Massachusetts Medical School
  • Ira S. Ockene, University of Massachusetts Medical School
UMMS Affiliation
Depart of Medicine, Division of Preventive and Behavioral Medicine
Date
2-2-2008
Document Type
Article
Subjects
Angiography; Antilipemic Agents; Body Mass Index; Cholesterol, Dietary; Coronary Disease; Diet; Diet Surveys; *Diet, Fat-Restricted; Dietary Fats; Dietary Fiber; Educational Status; Energy Intake; Female; Health Knowledge, Attitudes, Practice; Humans; Linear Models; Male; Mental Recall; Middle Aged; Obesity; Patient Compliance; Patient Education as Topic; Questionnaires; Risk Factors; Smoking
Abstract

OBJECTIVE: 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.

Rights and Permissions
Citation: J Am Diet Assoc. 2008 Feb;108(2):240-6; discussion 246-7. Link to article on publisher's site
DOI of Published Version
10.1016/j.jada.2007.10.047
Related Resources
Link to Article in PubMed
PubMed ID
18237571
Citation Information
Yunsheng Ma, Wenjun Li, Barbara C. Olendzki, Sherry L. Pagoto, et al.. "Dietary quality 1 year after diagnosis of coronary heart disease" Vol. 108 Iss. 2 (2008) ISSN: 0002-8223 (Print)
Available at: http://works.bepress.com/sherry_pagoto/30/