Effects of Brazilian Cardioprotective Diet Program on risk factors in patients with coronary heart disease: a Brazilian Cardioprotective Diet randomized pilot trial

Abstract

OBJECTIVE:To evaluate the effectiveness of the Brazilian Cardioprotective Diet Program in reducing blood pressures, fasting glucose levels and body mass indices in patients with established atherothrombotic disease.METHOD:This randomized controlled pilot trial included outpatients who were over 45 years of age with atherothrombotic cardiovascular disease. Group A, who received the Brazilian Cardioprotective Diet Program, had weekly sessions with dietitians. Groups B and C received the usual dietary therapy that is given to patients with cardiovascular diseases as proposed by the Brazilian guidelines. This diet had the same nutrient profile as that given to Group A, but it was customized by the integration of typical Mediterranean foods. The difference between Groups B and C was the number of sessions with the dietitian. Group B received weekly sessions, while group C only had monthly sessions. ClinicalTrials.gov: NCT 01453166.RESULTS:There was a greater reduction in systolic (7.8%) and diastolic (10.8%) blood pressures in Group A compared with Group B (2.3% and 7.3%), and Group C (3.9% and 4.9%, respectively). Fasting glucose decreased by 5.3% and 2% in Groups A and B, respectively. Fasting glucose increased by 3.7% in Group C. The BMIs decreased by 3.5% and 3.3% in Groups A and B, respectively. Group C did not present with any changes in BMI. However, none of these data showed statistical differences between the groups, which is methodologically acceptable in pilot trials.CONCLUSIONS:The Brazilian Cardioprotective Diet Program seems to be more effective in reducing blood pressures, fasting glucose levels, weights and BMIs in patients with previous cardiovascular disease compared with the diet that has been proposed by the Brazilian guidelines.

Estudos de avaliação do consumo alimentar segundo método dos escores: uma revisão sistemática

“…Also in Brazil, Marchioni et al 55 examined data from the 2002-03 family budget survey and identified two patterns, a "dual pattern" -which comprised foods recognised as being beneficial to health, such as fruit, vegetables and yoghurt, but also contained a contribution from foods with adverse health effects, such as sweets and desserts, processed meats, ready meals -and, on the other hand, a "traditional pattern" comprising foods normally used in home preparations, such as rice, beans, eggs, roots and tubers. In their results, they highlighted the existence of a dual type of food pattern, i.e., of healthy and unhealthy foods, very like consumption patterns already observed in other studies and associated with higher risk of CVDs 54 .…”

“…In 2012, Weber et al 54 published the findings of a pilot study of a cardio-protective Brazilian diet (DICA-Br) conducted at the Hospital do Coração (HCOR) in São Paulo for application in a multicentre study. One of the purposes of the study was to adapt the Mediterranean diet to a Brazilian pattern, while encouraging consumption of regional foods accessible to a large part of Brazil's population.…”

Saúde do homem e doença cardiovascular: gerenciamento do cuidado de enfermagem em nível ambulatorial Men’s health and cardiovascular disease: the nursing care management in ambulatory

“…9,11 With respect to the sleep pattern, it is altered, as a possible consequence, that 46% of respondent's report stress. It is known that sleep disorders can trigger a series of changes at the individual, since behavioral changes such as tiredness and irritability and can even contribute at the same time the other factors, with the emergence of CVD.…”

Cost-effectiveness and diet quality in a 3-year follow-up of a randomised controlled trial (The BALANCE trial)

“…The intervention has the main purpose of developing a Brazilian cardioprotective diet that achieves standard nutritional recommendations for treatment of CVD and, concurrently, incorporates local food products to respect regional habits, multi-cultural factors and affordability. The main results of the BALANCE Program were previously published (19)(20)(21) showing diet quality improvement after a 48-months follow-up, but no differences in mortality or cardiovascular events.…”