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Difficulties in changing the diet in relation to dietary fat intake among patients with coronary heart disease.

Abstract

OBJECTIVE

To study barriers in following nutritional advice among coronary heart disease patients in relation to dietary fat intake.

DESIGN

A cross-sectional study using 4-day food records and a questionnaire with regard to barriers to or difficulties in following dietary advice.

SUBJECTS

Altogether, 362 male subjects with coronary heart disease from two separate patient populations (91 + 271) were included in the study, with the mean age of 50 years and 60 years, respectively. The patients were classified into low (< or = 30 E%) or high (> 30 E%) fat intake groups. The patients with low dietary fat intake obtained on an average 10 E% less energy from fat as compared to the high dietary fat intake group.

RESULTS

Overall, most patients with coronary heart disease reported difficulties in following nutritional advice when eating in social situations. Patients with high dietary fat intake reported more frequently than patients with low fat intake that they eat like other people without thinking about what they eat. On the other hand, there were no differences between the high and low fat intake groups in the barriers: eating at work, food price, shopping, taste or knowledge of nutrition.

CONCLUSIONS

Our results suggest that the sensitivity to social influence is an important factor explaining noncompliance with dietary advice among patients with high dietary fat intake.

Authors+Show Affiliations

,

Department of Clinical Nutrition, University of Kuopio, Finland.

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Source

MeSH

Coronary Disease
Counseling
Cross-Sectional Studies
Diet Records
Dietary Fats
Finland
Humans
Interpersonal Relations
Male
Middle Aged
Social Environment
Surveys and Questionnaires
Treatment Refusal

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

10099945

Citation

Koikkalainen, M, et al. "Difficulties in Changing the Diet in Relation to Dietary Fat Intake Among Patients With Coronary Heart Disease." European Journal of Clinical Nutrition, vol. 53, no. 2, 1999, pp. 120-5.
Koikkalainen M, Mykkãnen H, Erkkila A, et al. Difficulties in changing the diet in relation to dietary fat intake among patients with coronary heart disease. Eur J Clin Nutr. 1999;53(2):120-5.
Koikkalainen, M., Mykkãnen, H., Erkkila, A., Julkunen, J., Saarinen, T., Pyorala, K., ... Lappalainen, R. (1999). Difficulties in changing the diet in relation to dietary fat intake among patients with coronary heart disease. European Journal of Clinical Nutrition, 53(2), pp. 120-5.
Koikkalainen M, et al. Difficulties in Changing the Diet in Relation to Dietary Fat Intake Among Patients With Coronary Heart Disease. Eur J Clin Nutr. 1999;53(2):120-5. PubMed PMID: 10099945.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Difficulties in changing the diet in relation to dietary fat intake among patients with coronary heart disease. AU - Koikkalainen,M, AU - Mykkãnen,H, AU - Erkkila,A, AU - Julkunen,J, AU - Saarinen,T, AU - Pyorala,K, AU - Uusitupa,M, AU - Lappalainen,R, PY - 1999/4/1/pubmed PY - 1999/4/1/medline PY - 1999/4/1/entrez SP - 120 EP - 5 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 53 IS - 2 N2 - OBJECTIVE: To study barriers in following nutritional advice among coronary heart disease patients in relation to dietary fat intake. DESIGN: A cross-sectional study using 4-day food records and a questionnaire with regard to barriers to or difficulties in following dietary advice. SUBJECTS: Altogether, 362 male subjects with coronary heart disease from two separate patient populations (91 + 271) were included in the study, with the mean age of 50 years and 60 years, respectively. The patients were classified into low (< or = 30 E%) or high (> 30 E%) fat intake groups. The patients with low dietary fat intake obtained on an average 10 E% less energy from fat as compared to the high dietary fat intake group. RESULTS: Overall, most patients with coronary heart disease reported difficulties in following nutritional advice when eating in social situations. Patients with high dietary fat intake reported more frequently than patients with low fat intake that they eat like other people without thinking about what they eat. On the other hand, there were no differences between the high and low fat intake groups in the barriers: eating at work, food price, shopping, taste or knowledge of nutrition. CONCLUSIONS: Our results suggest that the sensitivity to social influence is an important factor explaining noncompliance with dietary advice among patients with high dietary fat intake. SN - 0954-3007 UR - https://www.unboundmedicine.com/medline/citation/10099945/Difficulties_in_changing_the_diet_in_relation_to_dietary_fat_intake_among_patients_with_coronary_heart_disease_ L2 - http://www.diseaseinfosearch.org/result/130 DB - PRIME DP - Unbound Medicine ER -