Nutrition as the Risk Factor for Cardiovascular Pathology From Epidemiological Perspective

Цыганкова, Д. П.; Кривошапова, К. Е.; Барбараш, О. Л.

doi:10.15829/1728-8800-2018-2-88-94

Cited by 3 publications

(2 citation statements)

References 36 publications

(38 reference statements)

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“…Модификация диеты -эффективный метод профилактики и лечения сердечно-сосудистых заболеваний и их факторов риска (ФР): артериальной гипертензии, гипергликемии, ожирения, дислипидемий [1,2]. Доказано, что рацион с высоким содержанием мононенасыщенных жирных кислот более эффективен в снижении артериального давления, чем диеты с высоким содержанием углеводов.…”

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“…Соблюдение здоровой, сбалансированной диеты является од-ним из наиболее важных аспектов лечения диабета. Стереотипы питания, богатые мононенасыщенными жирами, снижают концентрацию триглицеридов и общего холестерина в большей степени, чем диеты, богатые углеводами [1,2]. А включение в ежедневный рацион достаточного количества фруктов и овощей способствовало нормализации массы тела у респондентов с ожирением [3].…”

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Socioeconomic determinants of eating behavior

Цыганкова

Барбараш

2021

Russ J Cardiol

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Dietary modifications are an effective method for the prevention and treatment of cardiovascular diseases and their risk factors: hypertension, hyperglycemia, obesity, dyslipidemia. Large-scale studies have shown the causal relationship between eating behavior (predominant consumption of fruits, vegetables, processed meat or trans fats) and major socially significant diseases (coronary artery disease, diabetes, cancer). Based on the data obtained, national and international dietary guidelines have been developed to prevent these diseases. However, adherence to healthy diets is still low. In this connection, many researches have suggested the influence of socioeconomic status on eating behavior. The aim of this review was to analyze and discuss the main socioeconomic determinants (income and education level, marital status) of the population’s eating behavior.

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Socioeconomic determinants of eating behavior

Цыганкова

Барбараш

2021

Russ J Cardiol

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Modern ideas about the development of atherosclerosis

Askerov,

Utkina,

Filich

et al. 2024

Medsestra

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Currently, in the leading countries of the world there is a question of a significant increase in diseases associated with circulatory system disorders, but this issue should be considered together with another pathology – atherosclerosis. Analysis of modern scientific literature has shown that at the moment there is no single theory of the origin of atherosclerosis, because this disease can be caused by various factors, both endo- and exogenous. Currently, most scientists and doctors agree that atherosclerosis is a multifactorial disease, in the development of which there are complex, often long-term violations of immunologic, molecular-genetic, biochemical reactions. Many significant structural units are involved in the process of atherogenesis: the vascular wall, local disturbance of blood flow, and blood forming elements. Opinions on the etiology of atherosclerosis vary. However, most authors tend to consider dyslipidemia as the leading mechanism of atherosclerosis development; at the same time, we should not forget other possible causes of its formation.

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Effects of standard observation and its combination with active medical monitoring in patients with myocardial infarction with various dietary patterns

Alkhimova,

Sedykh,

Khryachkova

et al. 2024

jour

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Aim of the study was to investigate the effects of standard observation and its evaluation with active physician monitoring (APM) in patients with myocardial infarction (MI) under different dietary patterns. Material and methods. The prospective interventional study initially included 170 patients living in the city of Kemerovo and the Kemerovo Municipal District who were urgently hospitalized at the Kemerovo Clinical Cardiology Clinic with a diagnosis of MI. On days 3–5 of hospital stay, nutrition for the month preceding the MI was assessed using a questionnaire using the questionnaire “Semi-quantitative assessment of the frequency of food consumption by the adult population.” Using factor analysis using the method of principal components, the main nutritional stereotypes of patientswith MI were identified: protein-fat (n = 40, 23.5 %), fruit and cereal (n = 52, 30.6 %), milk-carbohydrate (n = 51, 30.0 %), mixed (n = 27, 15.9 %). Before discharge, 150 patients were randomized into groups: standard outpatient observation (n = 75) and its combination with APM (n = 75), and 20 patients were excluded due to lack of access to Telegram app or refusal to further participate in the study. APM meant telephone calls to patients (at least once a month) and the sending of medical recommendations on secondary prevention issues through the Telegram channel (2–3 times a week). After 1 year, in each of the groups of patients with MI, having different dietary patterns, the end points were compared: for all – the frequency of deaths, for the living – emergency hospitalizations for ischemic events, as well as adherence to treatment and regular outpatient monitoring, achievement of target cardiovascular parameters – vascular health (blood pressure (BP), resting heart rate (HR), low-density lipoprotein (LDL)). Results. When comparing the results of standard outpatient observation and the combination with APM within a year after MI, it was revealed that patients with a combination of standard outpatient observation and APM had 4.75 times fewer emergency hospitalizations for cardiovascular reasons (p < 0.001), a trend towards fewer the number of deaths due to cardiovascular causes (p = 0.053), and the combined end point (death + emergency cardiovascular hospitalizations) was recorded 4.8 times less frequently. In patients from the groups of standard outpatient follow-up and its combination of APM and standard outpatient follow-up for a year after MI, regardless of dietary pattern, there were no significant differences in the frequency of deaths and emergency hospitalizations for ischemic events, adherence to prognosis-improving therapy, the proportion of those achieving target blood pressure, and heart rate. However, during this observation, patients who had a fruit-cereal diet before MI were more likely to report regular outpatient visits during the year post-MI (p = 0.009), and patients with a protein-fat diet were more likely to subsequently achieve target LDL level (p = 0.001). Among patients who had only standard follow-up, adherence to follow-up, therapy, and achievement of cardiovascular health goals, as well as the incidence of events occurring during the year after myocardial infarction, were comparable across different dietary patterns. Patients with a combination of standard monitoring and APM after MI compared with only standard management with a protein-fat diet did not have emergency ischemic hospitalizations (p = 0.004), in particular due to unstable angina (p = 0.037), 2.2 times more likely to achieve target heart rate (p = 0.021); with the fruit-cereal stereotype, theywere 1.7 times more likely to report regular outpatient visits during the year of post-infarction observation (p = 0.002) and 2.5 times more likely to achieve the target heart rate (p = 0.005); with the milk-carbohydrate stereotype – they were 1.2 times more likely to adhere to taking beta blockers (p = 0.044), 2.9 times more likely to report regular outpatient visits during the year of post-infarction observation (p = 0.001), in addition, all these patients achieved target heart rate (p = 0.001); with a mixed stereotype, they reached the target blood pressure level 1.6 times more often (p = 0.021). Conclusion. Regardless of the stereotype nutrition of the patient before myocardial infarction; optimization of standard observation by attaching an APM has undoubted advantages over isolated standard post-infarction ambulatory management throughout the year by reducing the frequency of hospitalizations for cardiovascular diseases judicial causes and the development of a combined ischemic endpoint.

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Nutrition as the Risk Factor for Cardiovascular Pathology From Epidemiological Perspective

Cited by 3 publications

References 36 publications

Socioeconomic determinants of eating behavior

Socioeconomic determinants of eating behavior

Modern ideas about the development of atherosclerosis

Effects of standard observation and its combination with active medical monitoring in patients with myocardial infarction with various dietary patterns

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