Patients with dyslipidemia on a self-reported diet have a healthier dietary intake than the general population. The CoLaus study

Abstract

When implemented, hypolipidemic diets lead to a healthier dietary intake than in the general population.

Twenty-four-year trends and determinants of change in compliance with Swiss dietary guidelines

“…Generational analysis was conducted using [35][36][37][38][39][40][41][42][43][44] and [45][46][47][48][49][50][51][52][53][54] age groups in 1993. The [35][36][37][38][39][40][41][42][43][44] age group in 1993 corresponded to the [40][41][42][43][44][45][46][47][48][49] age group five years later (1998) and to the [45][46][47][48][49][50][51][52][53][54] age group in 2003. To assess 20year trends, only age groups [35][36]…”

“…The [35][36][37][38][39][40][41][42][43][44] age group in 1993 corresponded to the [40][41][42][43][44][45][46][47][48][49] age group five years later (1998) and to the [45][46][47][48][49][50][51][52][53][54] age group in 2003. To assess 20year trends, only age groups [35][36][37][38][39][40][41][42][43][44] and [45][46][47][48][49][50][51][52][53][54] The impact of the guidelines on compliance was assessed by comparing compliance levels in the 5-year period before and after the issuing of the guidelines. Firstly, we compared period 1993-1997 with period 1998-2002, and period 2006-2010 ...…”

“…The results indicate that compliance with at least three guidelines was rather low and remained so over the 24-year study period. Conversely, an increase in compliance was found for generations aged [35][36][37][38][39][40][41][42][43][44] and [45][46][47][48][49][50][51][52][53][54] in 1993.…”

“…The overall results are presented in Supplemental Table S3 (including fried fish) and Supplemental Table S4 (excluding fried fish). In non-adjusted analysis, compliance (including fried fish) increased in women and decreased in participants with educational level below university; after multivariate adjustment, compliance increased in the [55-64] age group and decreased in [35][36][37][38][39][40][41][42][43][44] and [45][46][47][48][49][50][51][52][53][54] age groups (Table 2 and Supplemental Table S3). When fried fish was excluded, compliance increased in the whole sample and in men, the [55-64] age group and in participants with educational level below university; after multivariate adjustment, compliance increased only in the [55-64] age group (Table 3 and Supplemental Table S4).…”

“…Second, because of the high cost of food in Switzerland, people living in Geneva are increasingly buying their foods in nearby France, which might also increase the accessibility to healthier foods [32]. Finally, elderly subjects present more frequently with chronic, non-communicable diseases, the management of which includes dietary therapy; for instance, we have previously shown that subjects with dyslipidemia tend to consume a healthier diet than the general population [43], although no such improvement was found among subjects with type 2 diabetes [44] or hypertension [45]. Overall, our results suggest that compliance with dietary guidelines tends to improve with aging.…”