Tags

Type your tag names separated by a space and hit enter

Patients undergoing elective coronary artery bypass grafting exhibit poor pre-operative intakes of fruit, vegetables, dietary fibre, fish and vitamin D.

Abstract

CHD may ensue from chronic systemic low-grade inflammation. Diet is a modifiable risk factor for both, and its optimisation may reduce post-operative mortality, atrial fibrillation and cognitive decline. In the present study, we investigated the usual dietary intakes of patients undergoing elective coronary artery bypass grafting (CABG), emphasising on food groups and nutrients with putative roles in the inflammatory/anti-inflammatory balance. From November 2012 to April 2013, we approached ninety-three consecutive patients (80% men) undergoing elective CABG. Of these, fifty-five were finally included (84% men, median age 69 years; range 46-84 years). The median BMI was 27 (range 18-36) kg/m(2). The dietary intake items were fruits (median 181 g/d; range 0-433 g/d), vegetables (median 115 g/d; range 0-303 g/d), dietary fibre (median 22 g/d; range 9-45 g/d), EPA+DHA (median 0.14 g/d; range 0.01-1.06 g/d), vitamin D (median 4.9 μg/d; range 1.9-11.2 μg/d), saturated fat (median 13.1% of energy (E%); range 9-23 E%) and linoleic acid (LA; median 6.3 E%; range 1.9-11.3 E%). The percentages of patients with dietary intakes below recommendations were 62% (fruits; recommendation 200 g/d), 87 % (vegetables; recommendation 150-200 g/d), 73% (dietary fibre; recommendation 30-45 g/d), 91% (EPA+DHA; recommendation 0.45 g/d), 98% (vitamin D; recommendation 10-20 μg/d) and 13% (LA; recommendation 5-10 E%). The percentages of patients with dietary intakes above recommendations were 95% (saturated fat; recommendation < 10 E%) and 7% (LA). The dietary intakes of patients proved comparable with the average nutritional intake of the age- and sex-matched healthy Dutch population. These unbalanced pre-operative diets may put them at risk of unfavourable surgical outcomes, since they promote a pro-inflammatory state. We conclude that there is an urgent need for intervention trials aiming at rapid improvement of their diets to reduce peri-operative risks.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Laboratory Medicine, University Medical Centre Groningen (UMCG),Building 33, 3rd floor, Room Y3.181, Internal Zip Code EA61, Hanzeplein 1, PO Box 30.001,9700RBGroningen,The Netherlands.

    ,

    Laboratory Medicine, University Medical Centre Groningen (UMCG),Building 33, 3rd floor, Room Y3.181, Internal Zip Code EA61, Hanzeplein 1, PO Box 30.001,9700RBGroningen,The Netherlands.

    ,

    Division of Human Nutrition, Wageningen University,Wageningen,The Netherlands.

    ,

    Thorax Centre, University Medical Centre Groningen (UMCG),Groningen,The Netherlands.

    ,

    Thorax Centre, University Medical Centre Groningen (UMCG),Groningen,The Netherlands.

    ,

    Laboratory Medicine, University Medical Centre Groningen (UMCG),Building 33, 3rd floor, Room Y3.181, Internal Zip Code EA61, Hanzeplein 1, PO Box 30.001,9700RBGroningen,The Netherlands.

    Laboratory Medicine, University Medical Centre Groningen (UMCG),Building 33, 3rd floor, Room Y3.181, Internal Zip Code EA61, Hanzeplein 1, PO Box 30.001,9700RBGroningen,The Netherlands.

    Source

    The British journal of nutrition 113:9 2015 May 14 pg 1466-76

    MeSH

    Aged
    Aged, 80 and over
    Animals
    Coronary Artery Bypass
    Coronary Disease
    Diet
    Dietary Fiber
    Docosahexaenoic Acids
    Eicosapentaenoic Acid
    Fatty Acids
    Female
    Fishes
    Fruit
    Humans
    Intraoperative Complications
    Male
    Middle Aged
    Netherlands
    Nutrition Policy
    Postoperative Complications
    Preoperative Period
    Risk Factors
    Surveys and Questionnaires
    Treatment Outcome
    United States
    Vegetables
    Vitamin D

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    25827177

    Citation

    Ruiz-Núñez, B, et al. "Patients Undergoing Elective Coronary Artery Bypass Grafting Exhibit Poor Pre-operative Intakes of Fruit, Vegetables, Dietary Fibre, Fish and Vitamin D." The British Journal of Nutrition, vol. 113, no. 9, 2015, pp. 1466-76.
    Ruiz-Núñez B, van den Hurk GH, de Vries JH, et al. Patients undergoing elective coronary artery bypass grafting exhibit poor pre-operative intakes of fruit, vegetables, dietary fibre, fish and vitamin D. Br J Nutr. 2015;113(9):1466-76.
    Ruiz-Núñez, B., van den Hurk, G. H., de Vries, J. H., Mariani, M. A., de Jongste, M. J., Dijck-Brouwer, D. A., & Muskiet, F. A. (2015). Patients undergoing elective coronary artery bypass grafting exhibit poor pre-operative intakes of fruit, vegetables, dietary fibre, fish and vitamin D. The British Journal of Nutrition, 113(9), pp. 1466-76. doi:10.1017/S0007114515000434.
    Ruiz-Núñez B, et al. Patients Undergoing Elective Coronary Artery Bypass Grafting Exhibit Poor Pre-operative Intakes of Fruit, Vegetables, Dietary Fibre, Fish and Vitamin D. Br J Nutr. 2015 May 14;113(9):1466-76. PubMed PMID: 25827177.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Patients undergoing elective coronary artery bypass grafting exhibit poor pre-operative intakes of fruit, vegetables, dietary fibre, fish and vitamin D. AU - Ruiz-Núñez,B, AU - van den Hurk,G H A M, AU - de Vries,J H M, AU - Mariani,M A, AU - de Jongste,M J L, AU - Dijck-Brouwer,D A J, AU - Muskiet,F A J, Y1 - 2015/04/01/ PY - 2015/4/2/entrez PY - 2015/4/2/pubmed PY - 2015/8/4/medline KW - Coronary artery bypass grafting surgery KW - Coronary artery disease KW - Diets KW - Low-grade inflammation SP - 1466 EP - 76 JF - The British journal of nutrition JO - Br. J. Nutr. VL - 113 IS - 9 N2 - CHD may ensue from chronic systemic low-grade inflammation. Diet is a modifiable risk factor for both, and its optimisation may reduce post-operative mortality, atrial fibrillation and cognitive decline. In the present study, we investigated the usual dietary intakes of patients undergoing elective coronary artery bypass grafting (CABG), emphasising on food groups and nutrients with putative roles in the inflammatory/anti-inflammatory balance. From November 2012 to April 2013, we approached ninety-three consecutive patients (80% men) undergoing elective CABG. Of these, fifty-five were finally included (84% men, median age 69 years; range 46-84 years). The median BMI was 27 (range 18-36) kg/m(2). The dietary intake items were fruits (median 181 g/d; range 0-433 g/d), vegetables (median 115 g/d; range 0-303 g/d), dietary fibre (median 22 g/d; range 9-45 g/d), EPA+DHA (median 0.14 g/d; range 0.01-1.06 g/d), vitamin D (median 4.9 μg/d; range 1.9-11.2 μg/d), saturated fat (median 13.1% of energy (E%); range 9-23 E%) and linoleic acid (LA; median 6.3 E%; range 1.9-11.3 E%). The percentages of patients with dietary intakes below recommendations were 62% (fruits; recommendation 200 g/d), 87 % (vegetables; recommendation 150-200 g/d), 73% (dietary fibre; recommendation 30-45 g/d), 91% (EPA+DHA; recommendation 0.45 g/d), 98% (vitamin D; recommendation 10-20 μg/d) and 13% (LA; recommendation 5-10 E%). The percentages of patients with dietary intakes above recommendations were 95% (saturated fat; recommendation < 10 E%) and 7% (LA). The dietary intakes of patients proved comparable with the average nutritional intake of the age- and sex-matched healthy Dutch population. These unbalanced pre-operative diets may put them at risk of unfavourable surgical outcomes, since they promote a pro-inflammatory state. We conclude that there is an urgent need for intervention trials aiming at rapid improvement of their diets to reduce peri-operative risks. SN - 1475-2662 UR - https://www.unboundmedicine.com/medline/citation/25827177/Patients_undergoing_elective_coronary_artery_bypass_grafting_exhibit_poor_pre_operative_intakes_of_fruit_vegetables_dietary_fibre_fish_and_vitamin_D_ L2 - https://www.cambridge.org/core/product/identifier/S0007114515000434/type/journal_article DB - PRIME DP - Unbound Medicine ER -