"Antiatherogenic catering" and an educational program (EP) may reduce nutritional risk factors in patients with coronary artery disease (CAD). Methods. A) General nutritional rules were applied to transform the standard alimentary regimen of our catering service (SAR: lipids 28-30% energy) into "antiatherogenic catering" (AC: lipids 20% energy). B) Forty male patients with CAD (57+/-11 yrs), 10+/-4 days after an acute coronary event, were randomly allocated by cardiologists to SAR (CONTROL-GROUP=20 pts) or to AC (previously deposited in our catering service)+EP (TREATMENT-GROUP=20 pts). Results. After 21-day treatment, AC reduced T-CHOL (p<0.001), LDL-CHOL (p<0.001) and TRIG (p<0.05), while SAR worsened T-CHOL and LDL-CHOL. The changes in the lipid parameters resulted significantly different between the two groups. Conclusions "Antiatherogenic catering" may routinely reduce nutritional risk factors in CAD patients without an individual counselling by the nutrition team
A protocol to translate nutritional recommendations into clinical practice in secondary prevention of CAD
BOSCHI, FEDERICA;CATAPANO, MARIANA PINA;DOSSENA, MAURIZIA;PASTORIS, ORNELLA
2000-01-01
Abstract
"Antiatherogenic catering" and an educational program (EP) may reduce nutritional risk factors in patients with coronary artery disease (CAD). Methods. A) General nutritional rules were applied to transform the standard alimentary regimen of our catering service (SAR: lipids 28-30% energy) into "antiatherogenic catering" (AC: lipids 20% energy). B) Forty male patients with CAD (57+/-11 yrs), 10+/-4 days after an acute coronary event, were randomly allocated by cardiologists to SAR (CONTROL-GROUP=20 pts) or to AC (previously deposited in our catering service)+EP (TREATMENT-GROUP=20 pts). Results. After 21-day treatment, AC reduced T-CHOL (p<0.001), LDL-CHOL (p<0.001) and TRIG (p<0.05), while SAR worsened T-CHOL and LDL-CHOL. The changes in the lipid parameters resulted significantly different between the two groups. Conclusions "Antiatherogenic catering" may routinely reduce nutritional risk factors in CAD patients without an individual counselling by the nutrition teamI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
