Adequacy of Fatty Acids Consumption Among Individuals in Secondary Cardiovascular Prevention.

Autor: Marcadenti A; Instituto de Pesquisa do Hcor, São Paulo, SP - Brasil., Machado RHV; Instituto de Pesquisa do Hcor, São Paulo, SP - Brasil., Santos RHN; Instituto de Pesquisa do Hcor, São Paulo, SP - Brasil., Kasai CCDS; Pontifícia Universidade Católica do Paraná - Escola de Medicina Câmpus Londrina, Londrina, PR - Brasil., Kovacs C; Instituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil., Bello A; Instituto Nacional de Cardiologia, Rio de Janeiro, RJ - Brasil., de Matos CH; Universidade do Vale do Itajaí, Itajaí, SC - Brasil., Bertacco RTA; Universidade Federal de Pelotas, Pelotas, RS - Brasil., Souza GC; Universidade Federal do Rio Grande do Sul, Porto Alegre, RS - Brasil., Schirmann GDS; Universidade da Região da Campanha, Bagé, RS - Brasil., Nagano FEZ; Universidade Federal do Paraná - Hospital de Clínicas, Curitiba, PR - Brasil., Poloni S; Hospital de Clínicas de Porto Alegre, Porto Alegre, RS - Brasil., Kik RME; Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS - Brasil., Feres NH; Universidade Federal de Mato Grosso, Cuiabá, MT - Brasil., Rodrigues IG; Pronto Socorro Cardiológico Universitário de Pernambuco, Recife, PE - Brasil., Sousa ACS; Universidade Federal de Sergipe, Aracaju, SE - Brasil., Pinheiro JMF; Hospital Universitário Ana Bezerra, Santa Cruz, RN - Brasil., Vasconcelos SML; Universidade Federal de Alagoas, Maceió, AL - Brasil., Carlos DMO; Hospital de Messejana, Fortaleza, CE - Brasil., Souza VS; Universidade Federal da Bahia, Salvador, BA - Brasil., Gomes AB; Universidade Federal de Sergipe, Aracaju, SE - Brasil., Figueiredo Neto JA; Universidade Federal do Maranhão, São Luís, MA - Brasil., Moriguchi EH; Universidade Federal do Rio Grande do Sul, Porto Alegre, RS - Brasil., Izar MC; Universidade Federal de São Paulo (UNIFESP), São Paulo, SP - Brasil., Pinto SL; Universidade Federal do Tocantins, Palmas, TO - Brasil., Bressan J; Universidade Federal de Viçosa, Viçosa, MG - Brasil., de Souza SR; Instituto Estadual de Cardiologia Aloysio de Castro, Rio de Janeiro, RJ - Brasil., Kumbier MC; Consultoria Terapia Nutricional - COTENUT, Porto Alegre, RS - Brasil., de Araújo CBP; Hospital Universitário Francisca Mendes, Manaus, AM - Brasil., Torreglosa CR; Instituto de Pesquisa do Hcor, São Paulo, SP - Brasil., Weber B; Real e Benemérita Associação Portuguesa de Beneficência, São Paulo, SP - Brasil., Bersch-Ferreira ÂC; Real e Benemérita Associação Portuguesa de Beneficência, São Paulo, SP - Brasil.
Jazyk: Portuguese; English
Zdroj: Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2024 Apr 05; Vol. 121 (3), pp. e20230487. Date of Electronic Publication: 2024 Apr 05 (Print Publication: 2024).
DOI: 10.36660/abc.20230487
Abstrakt: Background: Adhering to a diet adequate in macronutrients is crucial for the secondary prevention of cardiovascular diseases.
Objective: To assess the prevalence of adherence to recommendations for the consumption of dietary fatty acids for the prevention and treatment of cardiovascular diseases and to estimate whether the presence of certain cardiovascular risk factors would be associated with adherence.
Methods: Cross-sectional study using baseline data from 2,358 participants included in the "Brazilian Cardioprotective Nutritional Program Trial". Dietary intake and cardiovascular risk factors were assessed. Adequate intake of polyunsaturated fatty acids (PUFA) was considered as ≥10% of total daily energy intake; for monounsaturated fatty acids (MUFA), 20%; and for saturated fatty acids (SFA), <7% according to the Brazilian Society of Cardiology. A significance level of 5% was considered in the statistical analysis.
Results: No participant adhered to all recommendations simultaneously, and more than half (1,482 [62.9%]) did not adhere to any recommendation. Adherence exclusively to the SFA recommendation was the most prevalent, fulfilled by 659 (28%) participants, followed by adherence exclusively to the PUFA (178 [7.6%]) and MUFA (5 [0.2%]) recommendations. There was no association between the number of comorbidities and adherence to nutritional recommendations (p = 0.269). Participants from the Brazilian Northeast region showed a higher proportion of adherence to SFA consumption recommendations (38.42%) and lower adherence to PUFA intake (3.52%) (p <0.001) compared to other regions.
Conclusions: Among the evaluated sample, there was low adherence to nutritional recommendations for dietary fatty acid consumption.
Databáze: MEDLINE