영양상담에 의한 심혈관질환자의 식행동, 혈청 지질 및 항산화영양소 상태 변화

Effectiveness of Nutrition Counseling on Dietary Behavior and Serum Levels of Lipids and Antioxidants in Patients with Cardiovascular Disease

  • 발행 : 1999.09.01

초록

The purpose of this study was to investigate whether nutrition counseling could lead to a beneficial outcomes in patients with cardiovascular disease(CVD). Fifty CVD patients(23 men and 27 women) participated in a dietary counseling program which was based on serum lipid management. Various markers of disease risk including lifestyles, anthropometric indices, eating behaviors, serum lipids, antioxidants, lipid peroxides were measured before and after the program. The program lasted 3-11 months depending on individuals. Waist/hip ratio decreased after nutrition counseling only in women. Smoking and alcohol drinking status did not change significantly after counseling. Food habit score increased significantly in both men and women(p<0.05), and patients consumed mixed cereal rice, fruits, seaweeds, legumes more frequently and snacks less frequently after nutrition counseling (p<0.05). Although intakes of energy, carbohydrate and vitamin B1 were reduced significantly after nutrition counseling, nutrient densities of calcium and iron of diets have increased significantly after nutrition counseling, and those of other micronutrients were not different Serum total cholesterol decreased significantly in men and LDL cholesterol decreased significantly in women. In women lipid peroxide level decreased and $\alpha$-tocopherol level increased significantly, while there was no significantly change in men. We conclude that well-planned nutrition counseling would reduce risks of cardiovascular disease through improving dietary behavior, lipid profile and antioxidant status.

키워드

참고문헌

  1. 1996 Annual Report on the Cause of Death Statistics National Statistical Office
  2. Kor J Internal Med v.38 The risk factors of cardiovascular disease Sue JD
  3. Kor J Lipidol v.5 Cardiovascular risk factors of Koreans Park JE;Kwon HC
  4. Kor J Lipidol v.3 Distriubution patterns of serum lipids by age and the relation of serum lipids to degree of obesity and blood pressure in Korean adults Park YH;Rhee CS;Lee YC
  5. Kor J Nutr v.31 Influence of cardiovascular risk factors on serum lipid levels and fatty acids composition in middle-aged men Lee IY;Lee L
  6. J Kor Nutr v.31 Effects of apoE polymorphisms and dietary counseling on the levels of plasma lipids in hyperlipidemic patients Kim S;Choue T;Yim J;Kim Y
  7. Kor J Lipidol v.5 Effect of diet therapy in patients with hypertriglyceridemia Park HS;Kim JJ;Shin ES
  8. A study on the hypercholesterolemia in adult men in Kwang-ju Huh YR
  9. J Am College Nutr v.12 Antioxidants and cardiovascular disease: A review Manson JE;Gaziano JM;Jonas MA;Hennekens CH
  10. British Med Bulletin v.49 Lipid peroxidation and its role in atherosclerosis Esterbauer H;Wag G;Puhl H
  11. Can J Cardiol v.13 Oxidative stress and cardiovascular disease Hoeschen RJ
  12. J Lipid Res v.32 Effect of oral supplementation with d-alpha-tocopherol on the vitamin E content of human low density lipoprotein and resistance to oxidation Dieber-Rotheneder M;Puhl H;Waeg G;Striegl G;Esterbauer H
  13. Am J Cardiol v.81 Effects of increasing doses of alpha-tocopherol in providing protection of low-density lipoprotein from oxidation Fuller CJ;Huet BA;Jialal I
  14. Ann Intern Med v.123 The antioxidant vitamins and cardiovascular disease. A critical review of epidemiologic and clinical trial data Jha P;Flather M;Lonn E;Farkouh M;Yusuf S
  15. Lipids v.31 Determinants of antioxidant status in humans Papas AM
  16. Kor J Nutr v.27 Measurement of nutrition counseling effects for diabetes mellitus patients Moon SJ;Sohn CY;Kim JH;Kim HS;Lim HS;Lee HC;Huh KP
  17. Kor J Lipidol v.4 no.2 Dietary therapy of hyperlipidemia Cho SH;Choi YS
  18. Therapeutic Guidelines of Hyperlipidemia(1st edition) Committee of Therapeutic Guidelines of Hyperlipidemia
  19. Biochem Med v.15 A simple fluorometric assay for lipoperoxide in blood plasma Yagi K
  20. Am J Clin Nutr v.32 Simultaneous determination of alphatocopherol and retinol in plasma or red blood cells by high pressure liquid chromatography Bieri G;Tolliver JJ;Catignani GL
  21. Research Institute of Human Ecology
  22. Recommended Dietary Allowances for Koreans(6th edition) The Korean nutrition Society
  23. Am J Clin Nutr v.68 Clinical predictibility of the waist-to-hip ratio in assessment of cardiovascular disease risk factors in overweight, premenopausal women Perry AC;Miller PC;Allison MD;Jackson ML;Applegate EB
  24. Kor J Lipidol Diet, lifestyle behaviors, serum antioxidant and lipid status in patients with coronary artery disease Choi YS;Park WH;Song KE;Seo JM;Lee NH;Cho SH
  25. Kor J Nutr v.29 Plasma antioxidant status and platelet antioxidative enzyme activities in patients with ischemic heart disease Choi YS;Lee NH;Cho SH;Bae BS;Park WH;Im JG
  26. J Can Dietet Ass v.58 A survey of diet knowledge and eating behaviour of coronary artery by-pass graft surgery patients: Implications for dietary counseling Arthur HM;Masaro CL
  27. Kor J Nutr v.30 Effect of high carbohydrate intakes on the obesity index, blood pressure, and blood lipid levels in patients with cardiovascular disease Lee SM;Ahn HS;Lee L
  28. Am J Cardiol v.82 Coronary risk reduction through intensive community-based lifestyle intervention: the Coronary Health Improvement Project(CHIP) experience Diehl HA
  29. J Am Dietet Ass v.98 Medical nutrition theraty lowers serum cholesterol and saves medication costs in men with hypercholesterolemia Sikand G;Kashyap ML;Yang I
  30. Free Rad Biol Med v.13 The role of lipid peroxidation and antioxidants in oxidative modification of LDL Esterbauer H;Gebicki J;Puhl H;Jurgens G
  31. Proc Natl Acad USA v.84 Oxidatively modified low density lipoproteins: A potential role in recruitment and retention of monocyte/macrophages during atherogenesis Quinn MT;Parthasarathy S;Fong LG;Steinberg D
  32. Proc Natl Acad USA v.83 Modification of low density lipoprotein by endothelial cells involves lipid peroxidation and degradation of low density lipoprotein phospholipids Steinbrecher UP;Parthasarathy S;Leake DS;Witztum JL;Steinberg D
  33. Biomed Environ Sci v.9 Serum levels of antioxidant vitamins in relation to coronary artery disease. A case control study of Korean Kim SY;Lee-Kim YC;Kim MK;Suh JY;Chung EJ;Cho SY;Cho BK;Suh I
  34. Circulation v.95 Oxidative modification of LDL and atherogenesis Steinberg D
  35. New Eng J Med v.334 Antioxidant vitamins, cancer, and cardiovascular disease Greenberg ER;Sporn MB
  36. Eur J Clin Nutr v.43 Dietary intake and other determinants of blood vitamins in an elderly population Herbeth B;Chavance M;Musse N;Mejean L;Vernhes G
  37. Am J Epidemiol v.127 The relation of diet, cigarette smoking, and alcohol consumption to plasma beta-carotene and alpha-tocopherol levels Stryker WC;Kaplan LA;Stein EA;Stampfer MJ;Sober A;Willett WC
  38. Am J Clin Nutr v.68 Whole-grain intake may reduce the risk of ischemic heart disease death in postmenopausal women: The Iowa Women's Health Study Jacobs DR;Meyer KA;Kushi LH;Folsom AR
  39. The 14th Fall symposium, Kor Assoc Lipidol Abstract Hypertriglyceridemia and nutrition. Lee-Kim YC;Kim SY
  40. Circulation v.89 National Cholesterol Education Program:m Second report of the expert panel on detection, evaluation and treatment of high blood cholesterol in adults(Adult Treatment Panel II)