Dietary risk assessment for cardiovascular disease among central Maine adolescents.

Dietary risk for cardiovascular disease was assessed in 97 adolescents enrolled in health classes in two high schools in rural, central Maine, using three-day food records and written questionnaires of self-perceived food practices and cardiovascular nutrition knowledge. Mean percent of kilocalories from fat was 36% for both males and females. Compared to American Heart Association guidelines, 80% males and 73% females had more than 30% kilocalories from fat; 37% males and 16% females had dietary cholesterol intakes above 300 milligrams. More than 50% of males but less than 25% of females had sodium intakes greater than 3,000 milligrams. Mean dietary fiber intake of females (6 +/- 4 grams) was significantly lower than the fiber intake of males (11 +/- 8 grams). During adolescence, greater emphasis should be placed on modifying food behaviors that may be detrimental to heart health if continued into adulthood. Individualization provided within nutrition education curricula is necessary to meet the needs presented by differences in gender and variation among adolescents.