Do and to what extent non-dietary factors affect nutritional habits of men with coronary heart disease?
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Group of Outpatient Specialist Clinics, The Cardinal Stefan Wyszynski Institute of Cardiology, Warsaw, Poland
Department of Dietetics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences, Warsaw, Poland
Alicja Solik-Tomassi   

Dep. of Dietetics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences, Nowoursynowska 159C, 02-776 Warsaw, Poland.
J Pre Clin Clin Res. 2010;4(1):68–73
The aim of the study was to examine whether and to what extent non-dietary factors (such as: sociodemographic and economic factors, factors related to health status, personality features and self-knowledge about the disease as well as adherence to the nutritional recommendation in coronary heart disease (CHD)) aff ect nutrition of men with CHD.

Material and Methods:
The research was carried out in 210 CHD patients aged 40-82 (mean age 63±9 years). All data were collected on the basis of a questionnaire; in the case of personality features, the polish adaptation of the questionnaire NEO-FFI was used. Nutritional habits were analyzed on the basis of 3-day food records. Multifactor analyses were done with log-linear models.

Based on the final model, it could be concluded that nutritional habits of patients were related mostly to self-assessed adherence to dietary recommendation for CHD. Relatively, SES exerted lower influence had SES and the minor influence was observed for patients’ age and openness to experience.

In our study non-dietary factors affected nutritional habits of men with coronary heart disease. However, it should be emphasized that the impact was relatively small. Despite these results, the influence of non-dietary factors on nutritional habits should not be ignored in further studies as they can be a useful tool in dietary counseling.

Thom T, Haase N, Rosamond W, Howard VJ, Rumsfeld J, Manolio T, Zheng ZJ, Flegal K, O’Donnell C, Kittner S, Lloyd-Jones D, Goff DC Jr, Hong Y, Adams R, Friday G, Furie K, Gorelick P, Kissela B, Marler J, Meigs J, Roger V, Sidney S, Sorlie P, Steinberger J, Wasserthiel-Smoller S, Wilson M, Wolf P; American Heart Association Statistics Committee and Stroke Statistics Subcommittee: Heart disease and stroke statistics – 2006 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 2006, 113, 85-151.
World Health Organization. Diet, nutrition and the prevention of chronic diseases. Report of Joint WHO/FAO Expert Consultation. Geneva 2003 Practice. Eur Heart J 28, 2375-2414.
Forman D, Bulwer BE: Cardiovascular disease: optimal approaches to risk factor modifi cation of diet and lifestyle. Curr Treat Options Cardiovasc Med 2006, 8, 47-57.
Wojtyniak B, Stokwiszewski J, Goryński P, Poznańska: Długość życia i umieralność ludności Polski. In: Wojtyniak B. Goryński P (ed) Sytuacja zdrowotna ludności Polski. Narodowy Instytut Zdrowia Publicznego- PZH, Warszawa, 2008, pp 47-55. (in Polish) . (Life span and mortality rate among the Polish population. In: Wojtyniak B., Goryński P (Ed.): Health situation of the Polish population. National Institute of Public Health (PZH), Warsaw 2008, 47-55).
Wojtyniak B, Goryński P, Seroka W: Stan zdrowia ludności Polski na podstawie danych o umieralności. Przedwczesna umieralność w Polsce na tle sytuacji w Unii Europejskiej. In: Wojtyniak B. Goryński P (ed) Sytuacja zdrowotna ludności Polski. Zakład Statystyki Medycznej- PZH, Warszawa, 2003, pp 47-55. (in Polish). (State of health of Polish population based on data concerning mortality. Premature mortality in Poland on the background of the situation in the European Union. In: Wojtyniak B., Goryński P. (Ed.): Health situation of the Polish population. Department of Medical Statistics National Institute of Hygiene, Warsaw 2003, pp. 47-55).
Pyorala K, de Backer G, Graham I, Poole-Wilson P, Wood D: Prevention of coronary heart disease in clinical practice. Recommendations of the Task Force of the European Society of Cardiology, European Atherosclerosis Society and European Society of Hypertension. Eur Heart J 1994, 15, 1300-1331.
Singh RB, Rastogi SS, Verma R, Laxmi B, Singh R, Ghosh S, Niaz MA: Randomized controlled trial of cardioprotective diet in patients with recent acute myocardial infarction: results of one year follow up. Brit Med J 1992, 304, 1015-1019.
De Logeril M, Renaud S, Mammelle S, Salen P, Martin JL, Monjaud I, Guidollet J, Touboul P, Delaye J: Mediterranean alpha-linolenic acidrich diet in secondary prevention of coronary heart disease. Lancet 1994, 343,1454-1459.
Watts GF, Lewis B, Brunt JNH, Lewis ES, Coltart DJ, Smith LD, Mann JI, Swan AV: Eff ects on coronary artery disease of lipid-lowering diet, or diet plus cholestyramine, in the St. Thomas’ Artherosclerosis Regression Study (STARS). Lancet 1992, 339, 129-133.
Charzewska J, Rogalska-Niedźwiedź M, Szponar L, Rybaczuk M: Pakiet Dieta 2.0 do planowania i bieżącej oceny żywienia indywidualnego. Warszawa 2002 (in Polish). (Package Diet 2.0 for planning and current evaluation of individual nutrition. Warsaw 2002).
Popkin BM, Siega-Riz AM, Haines PS: A comparison of dietary trends among racial and socio-economic groups in the United States. N Engl J Med 1996, 335, 716-720.
Adult Treatment Panel III: Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Final Report (ATP III). National Institute of Health, 2002.
Harton A, Narojek L, Solik-Tomassi A: Quality of nutrition (DQI) of patients with coronary heart disease. Pol J Hum. Nutr Metab 2007; XXXIV:237-243 (in Polish, English abstract).
Zawadzki B, Strelau J, Szczepaniak P, Sliwinska, M: Inwentarz osobowości NEO-FFI Costy i McCrae – adaptacja polska. Pracownia Testow Psychologicznych PTP, Warszawa 1998 (in Polish). (Costa and McCrae’s Personality Inventory NEO-FF1 – Polish adaptation. Laboratory for Psychological Tests, Warsaw 1998).
Andrieu E, Darmon N, Drewnowski A: Low-cost diets: more energy, fewer nutrients. Eur J Clin Nutr 2006, 60, 434-436.
Mendoza JA, Drewnowski A, Christakis DA: Dietary energy density is associated with obesity and the metabolic syndrome in U.S. adults. Diabetes Care 2007, 30, 974-979.
Thiele S, Mensink GBM, Beitz R: Determinants of diet quality. Public Health Nutrition 2004, 7, 29-37.
Wardle J, Parmenter K, Waller J: Nutrition knowledge and food intake. Appetite 2000, 34, 269-275.
Rasanen M, Niinikoski H, Keskinen S, Heino T, Lagstrom H, Simell O, Helenius H, Ronnemaa T, Viikari J: Impact of nutrition counseling on nutrition knowledge and nutrient intake of 7- to 9-y-old children in an atherosclerosis prevention project. Eur J Clin Nutr 2004, 58, 162–172.
Satia JA, Galanko JA, Neuhouser ML: Food nutrition label use is associated with demographic, behavioral, and psychosocial factors and dietary intake among African Americans in North Carolina. J Am Diet Assoc 2005, 105, 392-402.
Adams J, White M: Socio-economic and gender diff erences in nutritional content of foods advertised in popular UK weekly magazines. Eur J Public Health 2009, 19, 44-149.
Peltzer K: Nutrition knowledge and food choice among black students in South Africa. Cent Af J Med 2002, 48, 4-8.
ESC Guidelines. Graham I, Atar D, Borch-Johnsen K, Boysen G, Burell G, Cifkova R et al. European guidelines on cardiovascular disease prevention in clinical practice: executive summary. Fourth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice. Eur Heart J 2007, 28, 2375-2414.
Verheijden MW, van der Veen JE, van Zadelhoff WM, Bakx C, Koelen MA, van den Hoogen HJ, van Weel C, van Staveren WA: Nutrition guidance in Dutch family practice: behavioral determinants of reduction of fat consumption. Am J Clin Nutr 2003, 77(suppl), 1058-1064.
Mishra G, Ball K, Arbuckle J, Crawford D: Dietary patterns of Australian adults and their association with socioeconomic status: results from the 1995 National Nutrition Survey. Eur J Clin Nutr 2002, 56, 687-693.
Larrieu S, Letenneur L, Berr C, Ritchie K, Alperovitch A, Tavernier B, Barberger-Gateau P: Sociodemographic diff erences in dietary habits in a population-based sample of elderly subjects: the 3C study. J Nutr Health Aging 2004, 8, 497–502.
Giskes K, Turrell G, Patterson C, Newman B: Socio-economic diff erences in fruit and vegetable consumption among Australian adolescents and adults. Public Health Nutr 2002, 5, 663-669.
Smith AM, Baghurst KI: Public health implications of dietary diff erences between social status and occupational category groups. J Epidemiol. Community Health 1992, 46, 409-416.
Perrin AE, Simon C, Hedelin G, Arveiler D, Schaff er P, Schlienger JL: Ten-year trends of dietary intake in a middle-aged French population: relationship with educational level. Eur J Clin Nutr 2002, 56, 393- 401.
Linseisen J, Bergstrom E, Gafa L, Gonzalez CA, Thiebaut A: Consumption of added fats and oils in the European Prospective Investigation into Cancer and Nutrition (EPIC) centres across 10 European countries as assessed by 24-hour dietary recalls. Public Health Nutr 2002, 5, 1227- 1242.
Hulshof KF, Brussaard JH, Kruizinga AG, Telman J, Lowik MR: Socioeconomic status, dietary intake and 10 y trends: the Dutch National Food Consumption Survey. Eur J Clin Nutr 2003, 57,128-137.
Friel S, Kelleher CC, Nolan G, Harrington J: Social diversity of Irish adults nutritional intake. Eur J Clin Nutr 2003, 57, 865-875.
Lindstrom M, Hanson BS, Brunner E, Wirfalt E, Elmstahl S, Mattisson I, Ostergren PO: Socioeconomic diff erences in fat intake in a middleaged population: report from the Malmo Diet and Cancer Study. Int J Epidemiol 2000, 29, 438-248.
Dubois L, Girard M: Social position and nutrition: a gradient relationship in Canada and the USA. Eur J Clin Nutr 2001, 55, 366-373.
Kant AK, Graubard BI: Secular trends in the association of socioeconomic position with self-reported dietary attributes and biomarkers in the US population: National Health and Nutrition Examination Survey (NHANES) 1971–1975 to NHANES 1999–2002. Public Health Nutr 2007, 10,158-167.
Dibsdall LA, Lambert N, Bobbin RF, Frewer LJ: Low-income consumers’ attitudes and behaviour towards access, availability and motivation to eat fruit and vegetables. Public Health Nutr 2003, 6, 159-168.
Townsend MS, Aaron GJ, Monsivais P, Keim NL, Drewnowski A: Lessenergy- dense diets of low-income women in California are associated with higher energy-adjusted diet costs. Am J Clin Nutr 2009, 89, 1220- 1226.
Ricciuto LE, Tarasuk VS: An examination of income-related disparities in the nutritional quality of food selections among Canadian households from 1986–2001. Soc Sci Med 2007, 64, 186-198.
McCrae RR, John OP: An introduction to the Five-Factor Model and its applications. J Pers 1992, 60,175-215.
Costa PT, McCrae RR NEO personality Inventory professional manual. Odessa, FL: Psychological Assessment Resources, 1992.
McCrae R: Creativity, divergent thinking, and openness to experience. J Pers Soc Psychol 1987, 52,1258-1265.
Geary DC: The origin of mind: Evolution of brain, cognition, and general intelligence. Washington, DC: American Psychological Association, 2005.
Harton A, Pilska M, Narojek L: Nutritional habits and personality of men with coronary heart disease. Physiological Determinants of Progress In Diet Therapy SGGW 2004, 2, 527-532 (in Polish, English abstract).
Assmann G, Carmena R, Cullen P, Fruchart JC, Jossa F Lewis B, Mancini M, Paoletti R: Coronary heart disease: reducing the risk: a worldwide view. International Task Force for the Prevention of Coronary Heart Disease. Circulation 1999, 100, 1930-1938.
Steff en LM, Jacobs DR, Stevens JJ, Shahar E, Carithers T, Folsom AR: Associations of whole-grain, refi ned-grain, and fruit and vegetable consumption with risks of all-cause mortality and incident coronary artery disease and ischemic stroke: the Atherosclerosis Risk in Communities (ARIC) Study. Am J Clin Nutr 2003, 78, 383-390.
Sadowska J, Sliwinska U: Ocena sposobu żywienia stanu odżywienia osob w wieku podeszłym, zamieszkałych na terenach wiejskich. Pol J Hum Nutr Metab 2005, 3, 187-202 (in Polish, English abstract). (Evaluation of the mode of nutrition and nutritional status among elderly inhabitants of the rural areas. Pol J Hum Nutr Metab 2005, 3, 187-202 ).
Narojek L: Niektore aspekty uwarunkowań zachowań żywieniowych. Prace IŻŻ, Warszawa, 1993 (in Polish). (Selected aspects of the conditioning of nutritional behaviours. Reports from the Institute of Food and Nutrition, Warsaw 1993).
Jezewska-Zychowicz M: Informacja żywieniowa w kontekście potrzeb konsumenta. Pol J Hum Nutr Metab 1996, 23, 83-89 (in Polish, English abstract). (Nutritional information in the context of consumers’ demand. Pol J Hum Nutr Metab 1996, 23, 83-89).