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The Effects of Nutritional Habits On Blood Lipid Levels In Patients With Coronary Artery Disease

Year 2020, Issue: 2, 321 - 329, 01.06.2020

Abstract

Aim: This study was conducted to determine the effects of nutritional habits on blood lipid levels in patients with coronary artery disease. Study Design: This cross-sectional descriptive study was conducted on patients who were treated in a cardiology clinic of a training and research hospital between 1 March and 30 May 2016. The G*Power 3.1.5 package program was used to calculate the sample size. The sample size was 105 patients, with a 95% confidence interval and 80% ability to represent the universe. The data were collected using the questionnaire form prepared by the researchers, containing the demographic characteristics and nutritional habits of the patients. Descriptive statistics and chi-square test were used in the data analysis. Results: The mean age of the patients was 66.66±10.77 and 58.1% of the patients were male. The mean total cholesterol, LDL cholesterol, HDL cholesterol and triglyceride values of the participants in the study were found as 175.83±42.68, 113.48±30.41, 44.53±17.95, and 139.76±60.93, respectively. There was a statistically significant difference between regular snack consumption and increased triglycerides in the patients p

References

  • Sipido KR, Van de Werf F. The growing burden of cardiovascular disease. Eur Heart J 2012;33:1540–1.
  • Vermond RA, Geelhoed B, Verweij N, Tieleman RG, Van der Harst P, Hillege HL, et al. Incidence of atrial fibrillation and relationship with cardiovascular events, heart failure, and mortality: a community- based study from the Netherlands. J Am Coll Cardiol 2015;66:1000– 7. [CrossRef]
  • Laslett LJ, Alagona Jr P, Clark III BA, Drozda JP, Saldivar F, Wilson SR, et al. The worldwide environment of cardiovascular disease: prevalence, diagnosis, therapy, and policy issues: a report from the American College of Cardiology. J Am Coll Cardiol 2012;60:S1–49. [CrossRef]
  • Türkiye kalp ve damar hastalıklarını önleme ve kontrol programı, risk faktörlerine yönelik stratejik plan ve eylem planı. Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü. Ankara: 2008; Sağlık Bakanlığı Yayın No: 743. Erişim: https://sbu.saglik.gov.tr/ Ekutuphane/kitaplar/t14.pdf
  • Hoyert DL, Xu J. Deaths: preliminary data for 2011. Natl Vital Stat Rep 2012;61:1–7.
  • Labarthe DR, Dunbar SB. Global cardiovascular health promotion and diseases prevention 2011 and beyond. Circulation 2012;125:2667– 76. [CrossRef]
  • Akhuemonkhan E, Lazo M. Association between family history of diabetes and cardiovascular disease and lifestyle risk factors in the United States population: The 2009–2012 National Health and Nutrition Examination Survey. Prev Med 2017, 96:129–34. [CrossRef]
  • Van der Ende MY, Hartman MHT, Hagemeijer Y, Meems LMG, de Vries HS, Stolk RP, et al. The LifeLines Cohort Study: Prevalence and treatment of cardiovascular disease and risk factors. Int J Cardiol 2017;228:495–500. [CrossRef]
  • Heper C. Multidisipliner Kardiyoloji. Bursa: Nobel ve Güneş Tıp Yayınevi; 2005. ss.1–97.
  • Crawford M. Kardiyoloji Tanı ve Tedavi. Çevirenler: Erol Ç, Biberoğlu K, Atalar E. 2. Baskı, Ankara: Öncü Basımevi, 2006. ss.1–9.
  • Stewart RAH, Wallentin L, Benatar J, Danchin N, Hagström E, Held C, et al. Dietary patterns and the risk of major adverse cardiovascular events in a global study of high-risk patients with stable coronary heart disease. Eur Heart J 2016;37:1993–2001. [CrossRef]
  • Lacroix S, Cantin J, Nigam A. Contemporary issues regarding nutrition in cardiovascular rehabilitation. Ann Phys Rehabil Med 2017;60:36–42. [CrossRef]
  • Singh RB, Dubnov G, Niaz MA, Ghosh S, Singh R, Rastogi SS, et al. Effect of an Indo-Mediterranean diet on progression of coronary artery disease in high risk patients (Indo-Mediterranean Diet Heart Study): a randomized single-blind trial. Lancet 2002;360:1455–61. [CrossRef]
  • Hatemi H, Turan N, Arık N, Yumuk V. Türkiye obezite ve hipertansiyon taraması sonuçları (TOHTA). Endokr Yön Derg 2002;11:1–15.
  • Jousilahti P, Tuomilehto J, Vartiainene E, Pekkanen J, Puska P. Body weight, cardiovascular risk factors, and coronary mortality. Circulation 1996;93:1372–9. [CrossRef]
  • Çıkım AS, Özbey N, Orhan Y. Relationship between cardiovascular risk indicators and types of obesity in overweight and obese women. J Int Med Res 2004;32:268–73. [CrossRef]
  • Yeşil P, Altıok M. Kardiyovasküler hastalıkların önlenmesi ve kontrolünde fiziksel aktivitenin önemi. Turk J Card Nur 2012;3:39–48. [CrossRef]
  • Erenay SG, Oguz S. Physical activity levels of patients with acute coronary syndrome. Pak J Med Sci 2011;27:149–52.
  • Tokgözoğlu L, Kaya EB, Erol Ç, Ergene O; EUROASPIRE III Türkiye Çalışma Grubu. EUROASPIRE III: Türkiye ile Avrupa’nın karşılaştırılması. Arch Turk Soc Cardiol 2010;38:164–72. Erişim: https://www.journalagent.com/tkd/pdfs/TKDA_38_3_164_172.pdf
  • Lakusić N, Mahović D, Ramqaj T, Cerovec D, Grbavac Z, Babić T. The effect of 3-weeks stationary cardiac rehabilitation on plasma lipids level in 444 patients with coronary heart disease. Coll Antropol 2004;28:623–9.
  • Abraham G. Evaluation of variation in the lipid profile and risk for coronary artery disease in healthy male individuals with respect to age. Int J Res Med Sci 2014;2:551–6. [CrossRef]
  • St-Onge MP, Ard J, Baskin ML, Chiuve SE, Johnson HM, Kris-Etherton P, Varady K. Meal timing and frequency: implications for cardiovascular disease prevention - A scientific statement from the American Heart Association. Circulation 2017;135:e96–121. [CrossRef]
  • Bonow RO, Eckel RH. Diet, obesity and cardiovascular risk. N Engl J Med 2003;348:2057–8. [CrossRef]
  • Szoeke C, Dang C, Lehert P, Hickey M, Morris ME, Dennerstein L, Campbell S. Unhealthy habits persist: The ongoing presence of modifiable risk factors for disease in women. PLoS ONE 2017;12:e0173603. [CrossRef]
  • Kant AK, Graubard BI. 40-Year trends in meal and snack eating behaviors of American adults. J Acad Nutr Diet 2015;115:50–63. [CrossRef]
  • Goyal R, Julka S. Impact of breakfast skipping on the health status of the population. Indian J Endocrinol Metab 2014;18:683–7. Erişim: http://www.ijem.in/article.asp?issn=2230-8210;year=2014;volume =18;issue=5;spage=683;epage=687;aulast=Goyal
  • Min C, Noh H, Kang YS, Sim HJ, Baik HW, Song WO, et al. Skipping breakfast is associated with diet quality and metabolic syndrome risk factors of adults. Nutr Res Pract 2011;5:455–63. [CrossRef]
  • Deshmukh-Taskar P, Nicklas TA, Radcliffe JD, O’Neil CE, Liu Y. The relationship of breakfast skipping and type of breakfast consumed with overweight/obesity, abdominal obesity, other cardiometabolic risk factors and the metabolic syndrome in young adults: the National Health and Nutrition Examination Survey (NHANES):1999–2006. Public Health Nutr 2013;16:2073–82. [CrossRef]
  • Stote KS, Baer DJ, Spears K, Paul DR, Harris GK, Rumpler WV, et al. A controlled trial of reduced meal frequency without caloric restriction in healthy, normal-weight, middle-aged adults. Am J Clin Nutr 2007;85:981–8. [CrossRef]
  • Farshchi HR, Taylor MA, Macdonald IA. Beneficial metabolic effects of regular meal frequency on dietary thermogenesis, insulin sensitivity, and fasting lipid profiles in healthy obese women. Am J Clin Nutr 2005;81:16–24. [CrossRef]
  • McGrath SA, Gibney MJ. The effects of altered frequency of eating on plasma lipids in free-living healthy males on normal self-selected diets. Eur J Clin Nutr 1994;48:402–7.
  • Titan SM, Bingham S, Welch A, Luben R, Oakes S, Day N, Khaw KT. Frequency of eating and concentrations of serum cholesterol in the Norfolk population of the European prospective investigation into cancer (EPIC-Norfolk): cross sectional study. BMJ 2001;323:1286–8. [CrossRef]
  • Arslan P, Mercangil S, Özel HG, Çıtak Akbulut G, Dönmez N, Çiftçi H, et al. TEKHARF 2003–2004 taraması katılımcılarının genel beslenme örüntüsü ve beslenme alışkanlıkları. Türk Kardiyol Dern Arş 2006;34:331–9. Erişim: https://www.journalagent.com/tkd/pdfs/ TKDA_34_6_331_339.pdf
  • Lee JH, O’Keefe JH, Lavie CJ, Marchioli R, Harris WS. Omega-3 fatty acids for cardioprotection. Mayo Clin Proc 2008;83:324–32. [CrossRef]
  • Chowdhury R, Warnakula S, Kunutsor S, Crowe F, Ward HA, Johnson L, et al. Association of dietary, circulating, and supplement fatty acids with coronary risk: a systematic review and meta-analysis. Ann Intern Med 2014;160:398–406. [CrossRef]
  • de Souza RJ, Mente A, Maroleanu A, Cozma AI, Ha V, Kishibe T, et al. Intake of saturated and trans unsaturated fatty acids and risk of all-cause mortality, cardiovascular disease, and type 2 diabetes: systematic review and meta-analysis of observational studies. BMJ 2015;351:h3978. [CrossRef]
  • de Koning L, Malik VS, Kellogg MD, Rimm EB, Willett WC, Hu FB. Sweetened beverage consumption, incident coronary heart disease, and biomarkers of risk in men. Circulation 2012;125:1735–41. [CrossRef]
  • Fung TT, Malik V, Rexrode KM, Manson JE, Willett WC, Hu FB. Sweetened beverage consumption and risk of coronary heart disease in women. Am J Clin Nutr 2009;89:1037–42. [CrossRef]

Koroner Arter Hastalarında Beslenme Alışkanlıklarının Kan Lipit Düzeylerine Etkisi

Year 2020, Issue: 2, 321 - 329, 01.06.2020

Abstract

Amaç: Bu çalışma koroner arter hastalığı olan bireylerin beslenme alışkanlıklarının kan lipit düzeylerine etkisini belirlemek amacıyla yapıldı. Çalışma Planı: Bu çalışma kesitsel tanımlayıcı olarak 01 Mart – 30 Mayıs 2016 tarihleri arasında bir eğitim ve araştırma hastanesinin kardiyoloji kliniğinde tedavi gören hastalar üzerinde yürütüldü. Örneklem büyüklüğünün hesaplanmasında G*Power 3.1.5 paket programı kullanıldı. Örneklem büyüklüğünü, %95 güven aralığı ve %80 evreni temsil etme yeteneği ile 105 hasta oluşturdu. Veriler araştırmacılar tarafından hazırlanan ve hastaların demografik özellikleri ve beslenme alışkanlıklarını içeren anket formu kullanılarak toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler ve ki-kare testi kullanılmıştır. Bulgular: Araştırma kapsamındaki hastaların yaş ortalaması 66,66±10,77 olup, %58,1’i erkektir. Katılımcıların ortalama total kolesterol değeri 175,83±42,68, LDL kolesterol değeri 113,48±30,41, HDL kolesterol değeri 44,53±17,95 ve trigliserid değeri 139,76±60,93 olarak bulundu. Çalışmada, düzenli ara öğün tüketme durumu ile trigliserid yüksekliği arasında istatistiksel olarak anlamlı bir ilişki olduğu belirlendi p

References

  • Sipido KR, Van de Werf F. The growing burden of cardiovascular disease. Eur Heart J 2012;33:1540–1.
  • Vermond RA, Geelhoed B, Verweij N, Tieleman RG, Van der Harst P, Hillege HL, et al. Incidence of atrial fibrillation and relationship with cardiovascular events, heart failure, and mortality: a community- based study from the Netherlands. J Am Coll Cardiol 2015;66:1000– 7. [CrossRef]
  • Laslett LJ, Alagona Jr P, Clark III BA, Drozda JP, Saldivar F, Wilson SR, et al. The worldwide environment of cardiovascular disease: prevalence, diagnosis, therapy, and policy issues: a report from the American College of Cardiology. J Am Coll Cardiol 2012;60:S1–49. [CrossRef]
  • Türkiye kalp ve damar hastalıklarını önleme ve kontrol programı, risk faktörlerine yönelik stratejik plan ve eylem planı. Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü. Ankara: 2008; Sağlık Bakanlığı Yayın No: 743. Erişim: https://sbu.saglik.gov.tr/ Ekutuphane/kitaplar/t14.pdf
  • Hoyert DL, Xu J. Deaths: preliminary data for 2011. Natl Vital Stat Rep 2012;61:1–7.
  • Labarthe DR, Dunbar SB. Global cardiovascular health promotion and diseases prevention 2011 and beyond. Circulation 2012;125:2667– 76. [CrossRef]
  • Akhuemonkhan E, Lazo M. Association between family history of diabetes and cardiovascular disease and lifestyle risk factors in the United States population: The 2009–2012 National Health and Nutrition Examination Survey. Prev Med 2017, 96:129–34. [CrossRef]
  • Van der Ende MY, Hartman MHT, Hagemeijer Y, Meems LMG, de Vries HS, Stolk RP, et al. The LifeLines Cohort Study: Prevalence and treatment of cardiovascular disease and risk factors. Int J Cardiol 2017;228:495–500. [CrossRef]
  • Heper C. Multidisipliner Kardiyoloji. Bursa: Nobel ve Güneş Tıp Yayınevi; 2005. ss.1–97.
  • Crawford M. Kardiyoloji Tanı ve Tedavi. Çevirenler: Erol Ç, Biberoğlu K, Atalar E. 2. Baskı, Ankara: Öncü Basımevi, 2006. ss.1–9.
  • Stewart RAH, Wallentin L, Benatar J, Danchin N, Hagström E, Held C, et al. Dietary patterns and the risk of major adverse cardiovascular events in a global study of high-risk patients with stable coronary heart disease. Eur Heart J 2016;37:1993–2001. [CrossRef]
  • Lacroix S, Cantin J, Nigam A. Contemporary issues regarding nutrition in cardiovascular rehabilitation. Ann Phys Rehabil Med 2017;60:36–42. [CrossRef]
  • Singh RB, Dubnov G, Niaz MA, Ghosh S, Singh R, Rastogi SS, et al. Effect of an Indo-Mediterranean diet on progression of coronary artery disease in high risk patients (Indo-Mediterranean Diet Heart Study): a randomized single-blind trial. Lancet 2002;360:1455–61. [CrossRef]
  • Hatemi H, Turan N, Arık N, Yumuk V. Türkiye obezite ve hipertansiyon taraması sonuçları (TOHTA). Endokr Yön Derg 2002;11:1–15.
  • Jousilahti P, Tuomilehto J, Vartiainene E, Pekkanen J, Puska P. Body weight, cardiovascular risk factors, and coronary mortality. Circulation 1996;93:1372–9. [CrossRef]
  • Çıkım AS, Özbey N, Orhan Y. Relationship between cardiovascular risk indicators and types of obesity in overweight and obese women. J Int Med Res 2004;32:268–73. [CrossRef]
  • Yeşil P, Altıok M. Kardiyovasküler hastalıkların önlenmesi ve kontrolünde fiziksel aktivitenin önemi. Turk J Card Nur 2012;3:39–48. [CrossRef]
  • Erenay SG, Oguz S. Physical activity levels of patients with acute coronary syndrome. Pak J Med Sci 2011;27:149–52.
  • Tokgözoğlu L, Kaya EB, Erol Ç, Ergene O; EUROASPIRE III Türkiye Çalışma Grubu. EUROASPIRE III: Türkiye ile Avrupa’nın karşılaştırılması. Arch Turk Soc Cardiol 2010;38:164–72. Erişim: https://www.journalagent.com/tkd/pdfs/TKDA_38_3_164_172.pdf
  • Lakusić N, Mahović D, Ramqaj T, Cerovec D, Grbavac Z, Babić T. The effect of 3-weeks stationary cardiac rehabilitation on plasma lipids level in 444 patients with coronary heart disease. Coll Antropol 2004;28:623–9.
  • Abraham G. Evaluation of variation in the lipid profile and risk for coronary artery disease in healthy male individuals with respect to age. Int J Res Med Sci 2014;2:551–6. [CrossRef]
  • St-Onge MP, Ard J, Baskin ML, Chiuve SE, Johnson HM, Kris-Etherton P, Varady K. Meal timing and frequency: implications for cardiovascular disease prevention - A scientific statement from the American Heart Association. Circulation 2017;135:e96–121. [CrossRef]
  • Bonow RO, Eckel RH. Diet, obesity and cardiovascular risk. N Engl J Med 2003;348:2057–8. [CrossRef]
  • Szoeke C, Dang C, Lehert P, Hickey M, Morris ME, Dennerstein L, Campbell S. Unhealthy habits persist: The ongoing presence of modifiable risk factors for disease in women. PLoS ONE 2017;12:e0173603. [CrossRef]
  • Kant AK, Graubard BI. 40-Year trends in meal and snack eating behaviors of American adults. J Acad Nutr Diet 2015;115:50–63. [CrossRef]
  • Goyal R, Julka S. Impact of breakfast skipping on the health status of the population. Indian J Endocrinol Metab 2014;18:683–7. Erişim: http://www.ijem.in/article.asp?issn=2230-8210;year=2014;volume =18;issue=5;spage=683;epage=687;aulast=Goyal
  • Min C, Noh H, Kang YS, Sim HJ, Baik HW, Song WO, et al. Skipping breakfast is associated with diet quality and metabolic syndrome risk factors of adults. Nutr Res Pract 2011;5:455–63. [CrossRef]
  • Deshmukh-Taskar P, Nicklas TA, Radcliffe JD, O’Neil CE, Liu Y. The relationship of breakfast skipping and type of breakfast consumed with overweight/obesity, abdominal obesity, other cardiometabolic risk factors and the metabolic syndrome in young adults: the National Health and Nutrition Examination Survey (NHANES):1999–2006. Public Health Nutr 2013;16:2073–82. [CrossRef]
  • Stote KS, Baer DJ, Spears K, Paul DR, Harris GK, Rumpler WV, et al. A controlled trial of reduced meal frequency without caloric restriction in healthy, normal-weight, middle-aged adults. Am J Clin Nutr 2007;85:981–8. [CrossRef]
  • Farshchi HR, Taylor MA, Macdonald IA. Beneficial metabolic effects of regular meal frequency on dietary thermogenesis, insulin sensitivity, and fasting lipid profiles in healthy obese women. Am J Clin Nutr 2005;81:16–24. [CrossRef]
  • McGrath SA, Gibney MJ. The effects of altered frequency of eating on plasma lipids in free-living healthy males on normal self-selected diets. Eur J Clin Nutr 1994;48:402–7.
  • Titan SM, Bingham S, Welch A, Luben R, Oakes S, Day N, Khaw KT. Frequency of eating and concentrations of serum cholesterol in the Norfolk population of the European prospective investigation into cancer (EPIC-Norfolk): cross sectional study. BMJ 2001;323:1286–8. [CrossRef]
  • Arslan P, Mercangil S, Özel HG, Çıtak Akbulut G, Dönmez N, Çiftçi H, et al. TEKHARF 2003–2004 taraması katılımcılarının genel beslenme örüntüsü ve beslenme alışkanlıkları. Türk Kardiyol Dern Arş 2006;34:331–9. Erişim: https://www.journalagent.com/tkd/pdfs/ TKDA_34_6_331_339.pdf
  • Lee JH, O’Keefe JH, Lavie CJ, Marchioli R, Harris WS. Omega-3 fatty acids for cardioprotection. Mayo Clin Proc 2008;83:324–32. [CrossRef]
  • Chowdhury R, Warnakula S, Kunutsor S, Crowe F, Ward HA, Johnson L, et al. Association of dietary, circulating, and supplement fatty acids with coronary risk: a systematic review and meta-analysis. Ann Intern Med 2014;160:398–406. [CrossRef]
  • de Souza RJ, Mente A, Maroleanu A, Cozma AI, Ha V, Kishibe T, et al. Intake of saturated and trans unsaturated fatty acids and risk of all-cause mortality, cardiovascular disease, and type 2 diabetes: systematic review and meta-analysis of observational studies. BMJ 2015;351:h3978. [CrossRef]
  • de Koning L, Malik VS, Kellogg MD, Rimm EB, Willett WC, Hu FB. Sweetened beverage consumption, incident coronary heart disease, and biomarkers of risk in men. Circulation 2012;125:1735–41. [CrossRef]
  • Fung TT, Malik V, Rexrode KM, Manson JE, Willett WC, Hu FB. Sweetened beverage consumption and risk of coronary heart disease in women. Am J Clin Nutr 2009;89:1037–42. [CrossRef]
There are 38 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Yeşim Yaman Aktaş

Hacer Gök Uğur

Publication Date June 1, 2020
Published in Issue Year 2020Issue: 2

Cite

EndNote Aktaş YY, Uğur HG (June 1, 2020) Koroner Arter Hastalarında Beslenme Alışkanlıklarının Kan Lipit Düzeylerine Etkisi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2 321–329.