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Status and influencing factors of low-salt and low-fat diet in elderly patients with coronary heart disease |
Lu Ankang1, Yu Miao2, Dong Jianxiu1, Ma Jiahui1, Chang Wenhong1, Han Jing1, Wang Jianhui1 |
1 Tangshan Workers′ Hospital, Tangshan 063000, China;
2 North China University of Science and Technology, Tangshan 063000, China |
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Abstract Objective To analyze the status and explore its main influencing factors of low-salt and low-fat diet in elderly patients with coronary heart disease discharged from hospitals for 1 year, in order to provide theoretical basis for scientific and effective guidance to conduct healthy diet.Methods From July 2017 to November 2017, 714 elderly patients with coronary heart disease in three regions of Hebei Province who have been discharged for one year were investigated, and patients′ information was collected through self-designed questionnaires and the coronary heart disease self-management scale. The diet status and the affecting factors were analyzed by logistics regression.Results Among the 714 patients, 522 (73.1%) were male and 192 ( 26.9 %) were female. The age ranged from 60 to 95 years old. And 225 patients (31.5%) with CHD adhered to a low-salt and low-fat diet discharged from hospital after one year. There were differences in the number of diseased vessels, depression, smoking and drinking in elderly patients with coronary heart disease ( P <0.05). Logistics regression analysis showed that the diseased vessels (double branch lesions: OR=0.567, 95%CI: 0.353-0.911; multi branch lesions: OR=2.418, 95%CI: 1.351-4.328), depression (mild: OR=5.367, 95%CI: 2.594-11.107; moderate and severe: OR=3.782, 95%CI: 1.826-7.835), smoking (once a while: OR=4.105, 95%CI : 2.261-7.456; often: OR=1.985, 95%CI: 0.973-4.051) were the main influencing factors for the low-salt and low-fat diet of elderly patients with CHD. Conclusion The situation of low-salt and low-fat diet in elderly patients with CHD was unsatisfactory, and low salt and low fat diet has poor long-term performance for elderly patients with coronary heart disease with multiple vessel disease, depression and smoking.
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Received: 01 July 2021
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[1]孙佩伟,马建新.冠心病的康复进展[J].中国康复理论与实践,2015,21(12):1425-1429.
[2]张小芳,何文君.冠心病老年患者经皮冠动脉介入治疗术后支架内再狭窄发生率及危险因素研究[J].中国医院统计,2017,24(1):1-4.
[3]王玮琪,林平,王旖旎,等.膳食营养素对冠心病患者冠状动脉斑块稳定性的影响研究[J].中国全科医学,2020,23(34):4349-4355.
[4]DREHER M L. Dietary patterns and coronary heart disease[M]//Dietary Patterns and Whole Plant Foods in Aging and Disease. Cham: Springer International Publishing, 2018:315-336.
[5]MATTHAN N R, SOLANO-AGUILAR G, MENG H, et al. The Ossabaw pig is a suitable translational model to evaluate dietary patterns and coronary artery disease risk[J]. J Nutr, 2018, 148(4):542-551.
[6]CANNON C P, BRINDIS R G, CHAITMAN B R, et al. 2013 ACCF/AHA key data elements and definitions for measuring the clinical management and outcomes of patients with acute coronary syndromes and coronary artery disease[J]. Crit Pathways Cardiol, A J Evid Based Med, 2013, 12(2):65-105.
[7]安冬琪,许顶立.美国营养与饮食学会成人心力衰竭管理循证实践指南解读[J].中国循环杂志,2018,33(S2):59-61.
[8]任洪艳.冠心病自我管理量表开发及健康教育研究[D].重庆:重庆医科大学,2009:1374-1377.
[9]张晟,李鹏声,潘丝媛,等.深圳中学生睡眠质量与抑郁现况及其关系[J].中国公共卫生,2017,33(11):1643-1646.
[10高炬,曾庆枝,何燕玲,等.上海市2012年社区在册糖尿病和高血压患者抑郁、焦虑阳性率及其影响因素[J].中国公共卫生,2018,34(2):223-229.
[11]中国成人血脂异常防治指南制订联合委员会.中国成人血脂异常防治指南[J].中华心血管病杂志,2007,35(5):390-419.
[12]LUISI M L, BIFFI B, GHERI C F, et al. Efficacy of a nutritional education program to improve diet in patients attending a cardiac rehabilitation program: Outcomes of a one-year follow-up[J]. Intern Emerg Med, 2015, 10(6):671-676.
[13]ITSIOPOULOS C, KUCIANSKI T, MAYR H L, et al. The AUStralian MEDiterranean Diet Heart Trial (AUSMED Heart Trial):A randomized clinical trial in secondary prevention of coronary heart disease in a multiethnic Australian population: Study protocol[J]. Am Heart J, 2018, 203:4-11.
[14]高月红,陈芸.冠心病患者低脂饮食依从性的调查及对策[J].医学信息,2017,30(3):56-58.
[15]邵悦,丁飚,何英姿,等.老年冠心病住院患者疾病不确定感现状及影响因素分析[J].中国医学前沿杂志(电子版),2020,12(12):140-144.
[16]邵柳俊,王咏梅,邹海英.冠心病患者疼痛心理弹性与康复运动知信行的相关性研究[J].中国医院统计,2020,27(5):460-463.
[17]WON M S, KIM S, YANG Y J. Comparison of health status and nutrient intake between depressed women and non-depressed women: Based on the 2013 Korea national health and nutrition examination survey[J]. Clin Nutr Res, 2016, 5(2):112.
[18]程远玲,赵艺寻,隋晶晶,等.抑郁、焦虑在老年科冠心病心衰患者中发生率及其影响因素[J].国际精神病学杂志,2016,43(5):857-859.
[19]SEO Y, JE Y. A comparative study of dietary habits and nutritional intakes among Korean adults according to current depression status[J]. Asia Pac Psychiatry, 2018, 10(3):e12321.
[20]刘璐.冠心病患者戒烟、体力活动、健康饮食动机水平的横断面研究及其影响因素分析[D].杭州:杭州师范大学,2016.
[21]ALKERWI A, BAYDARLIOGLU B, SAUVAGEOT N, et al. Smoking status is inversely associated with overall diet quality: Findings from the ORISCAVLUX study[J]. Clin Nutr, 2017, 36(5):1275-1282.
[22]佚名.吸烟影响饮食健康 让人爱上“重口味”食物[J].中国食品学报,2018,18(4):111. |
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