Ezatollah Fazeli Moghadam1, Artashes Tadevosyan2, Ebrahim Fallahi3, Reza Goodarzi4. 1. Nutritional Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran. 2. DSC Public Health Department, Yerevan State Medical University, Yerevan, Armenia. 3. Nutrition Department, Faculty of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran. 4. Imam Hospital of Borujerd, Lorestan University of Medical Sciences and Health Services, Borujerd, Iran. Electronic address: goodarzi121@yahoo.com.
Abstract
INTRODUCTION: Dietary factors can affect the coronary heart disease (CHD). Results of previous studies on the association between the diet and CHD are not consistent in different countries. There were no data on this association in Armenia. OBJECTIVE: Aims of this case-control study were to evaluate the association between nutritional factors and CHD among Armenians in Yerevan. METHODS: During 2010 and 2011, we randomly selected 320 CHD patients with a diagnosis of CHD less than 6 months and 320 subjects without CHD (≥30years old) from the hospitals and polyclinics in Yerevan. Dietary intakes with 135 food items over the previous 12 months were evaluated using a semi-quantitative food frequency questionnaire. RESULTS: After adjusting for some CHD risk factors higher intakes of polyunsaturated fatty acids (PUFA) and monounsaturated fatty acids (MUFA) were associated with a reduced risk of CHD, while this association was not witnessed for saturated fatty acids (SFA). In addition, findings indicated an inverse relation between vitamins (E, B6 and B12, folic acid) and fiber with CHD. In this population, smoking, hypertension, and metabolic syndrome (MetS) were significantly more common among patients with CHD. CONCLUSION: The intake of vitamins E, B6 and B12, folic acid, PUFA, MUFA and fiber appeared to be predictors of CHD, independently of other risk factors.
RCT Entities:
INTRODUCTION: Dietary factors can affect the coronary heart disease (CHD). Results of previous studies on the association between the diet and CHD are not consistent in different countries. There were no data on this association in Armenia. OBJECTIVE: Aims of this case-control study were to evaluate the association between nutritional factors and CHD among Armenians in Yerevan. METHODS: During 2010 and 2011, we randomly selected 320 CHD patients with a diagnosis of CHD less than 6 months and 320 subjects without CHD (≥30years old) from the hospitals and polyclinics in Yerevan. Dietary intakes with 135 food items over the previous 12 months were evaluated using a semi-quantitative food frequency questionnaire. RESULTS: After adjusting for some CHD risk factors higher intakes of polyunsaturated fatty acids (PUFA) and monounsaturated fatty acids (MUFA) were associated with a reduced risk of CHD, while this association was not witnessed for saturated fatty acids (SFA). In addition, findings indicated an inverse relation between vitamins (E, B6 and B12, folic acid) and fiber with CHD. In this population, smoking, hypertension, and metabolic syndrome (MetS) were significantly more common among patients with CHD. CONCLUSION: The intake of vitamins E, B6 and B12, folic acid, PUFA, MUFA and fiber appeared to be predictors of CHD, independently of other risk factors.
Authors: Jui-Hua Huang; Ren-Hau Li; Shu-Ling Huang; Hon-Ke Sia; Wei-Ting Hsu; Feng-Cheng Tang Journal: Int J Environ Res Public Health Date: 2019-03-09 Impact factor: 3.390