The impact of short-term cardiac rehabilitation on changing dietary habits in patients after acute coronary syndrome
| Autor: | Małgorzata Wilk, Sławomira Borowicz-Bieńkowska, Maria Maleszka, Ewa Deskur-Smielecka, L Pilaczynska-Szczesniak, Piotr Dylewicz, Izabela Przywarska |
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| Rok vydání: | 2013 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male Acute coronary syndrome medicine.medical_specialty Time Factors medicine.medical_treatment Dietary counseling Internal medicine medicine Humans In patient Prospective Studies Acute Coronary Syndrome Prospective cohort study Rehabilitation business.industry Percutaneous coronary intervention Feeding Behavior Middle Aged medicine.disease Surgery Calorie intake Treatment Outcome Conventional PCI Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Journal of cardiopulmonary rehabilitation and prevention. 33(4) |
| ISSN: | 1932-751X |
| Popis: | PURPOSE: The aim of this study was to determine whether short-term cardiac rehabilitation (CR), including dietary counseling, had an impact on changing eating habits in patients after acute coronary syndrome (ACS), treated with primary percutaneous coronary intervention (PCI). METHODS: The controlled, prospective, nonrandomized study was performed on 44 patients, early following ACS/PCI, who underwent 2- to 3-week inpatient CR with dietary counseling and compared to 18 patients who did not participate in CR. An analysis of the daily diet composition was performed at baseline, at 3 months post-ACS, and at 1 year post-ACS. RESULTS: In the CR group, comparing baseline with 3 months post-ACS, daily calorie intake was significantly reduced from a mean +/- SD of 2260 +/- 525 kcal to 2037 +/- 514 kcal (P < .05), and daily cholesterol intake from 509 +/- 237 to 394 +/- 199 mg (P < .05). The daily energy intake of saturated fatty acids was also significantly reduced from 13.6% at baseline to 12.2 +/- 4.5% at 3 months and further reduced at 1 year post-ACS to 10.2 +/- 4.3% (P < .05). Although both groups exhibited increased body mass index, the increase was significantly greater in the nonrehabilitation group than in the CR group at 1 year post-ACS (2.61 +/- 2.23 vs 0.86 +/- 1.67 kg/m2, respectively, P < .001). CONCLUSIONS: The analysis suggests that a short-term CR program following ACS, which includes educational meetings on dietary prevention of atherosclerosis, may result in some favorable and lasting modifications of eating habits of post-ACS patients. |
| Databáze: | OpenAIRE |
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