Ingrid Maria Novais Barros de Carvalho Costa1, Daniele Góes da Silva2, José Augusto Soares Barreto Filho3, Joselina Luzia Meneses Oliveira3, José Rodrigo Santos Silva4, Mirella Dornelas Batalha Moreira Buarque5, Thiago Nascimento6, Juliana de Goes Jorge1, Andreza Santos Almeida1, Marcos Antonio Almeida-Santos7, Antônio Carlos Sobral Sousa8. 1. Department of PostGraduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil. 2. Department of Nutrition, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil. 3. Department of PostGraduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil; Department of Medicine, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil; Center for Teaching and Research and Laboratory of Echocardiography (ECOLAB) of São Lucas Foundation, Aracaju, Sergipe, Brazil. 4. Department of Statistics and Actuarial Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil. 5. Beneficência Cirurgia Hospital, Aracaju, Sergipe, Brazil; Hospital do Coração, Aracaju, Sergipe, Brazil. 6. Hospital do Coração, Aracaju, Sergipe, Brazil. 7. Center for Teaching and Research and Laboratory of Echocardiography (ECOLAB) of São Lucas Foundation, Aracaju, Sergipe, Brazil; Postgraduate Program in Health and Environment, Tiradentes University, Aracaju, Sergipe, Brazil. 8. Department of PostGraduation in Health Sciences, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil; Department of Medicine, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil; Center for Teaching and Research and Laboratory of Echocardiography (ECOLAB) of São Lucas Foundation, Aracaju, Sergipe, Brazil. Electronic address: acssousa@terra.com.br.
Abstract
OBJECTIVE: The aim of this study was to investigate the quality of the diets consumed by patients with acute coronary syndrome (ACS) who received public and private health care. METHODS: This observational, prospective, longitudinal cohort study evaluated patients with ACS who attended three private and one public cardiology reference hospitals. Information about dietary parameters during the 6 mo before the acute ACS event was collected at admission and 180 d later using a semiquantitative food frequency questionnaire. Diet quality was assessed using the Alternative Healthy Eating Index (2010), and a multilinear regression model was developed to evaluate the associated variables. RESULTS: The 581 volunteers included in this study comprised 325 (55.9%) and 256 (44.1%) patients treated at private and public hospitals, respectively. Although the dietary index increased significantly after ACS (P < 0001), diet quality remained unsatisfactory, particularly in terms of reductions in the consumption of cardioprotective components (vegetables, fruits, and eicosapentaenoic and docosahexaenoic fatty acids). Compared with patients receiving private health care, those attending a public hospital reported lower dietary quality (P < 0.001). The best diet quality was found to correlate with female sex (P < 0.001), receipt of dietary guidance at hospital discharge (P < 0.001), private health care (P < 0.001), a stable relationship status (P, 0.016), and older age (P < 0.001). CONCLUSION: The overall post-ACS diet quality remained unsatisfactory, especially in terms of cardioprotective components and among patients receiving public health care. Sociodemographic factors and the assistance model/quality were determinants of the observed differences in dietary quality.
OBJECTIVE: The aim of this study was to investigate the quality of the diets consumed by patients with acute coronary syndrome (ACS) who received public and private health care. METHODS: This observational, prospective, longitudinal cohort study evaluated patients with ACS who attended three private and one public cardiology reference hospitals. Information about dietary parameters during the 6 mo before the acute ACS event was collected at admission and 180 d later using a semiquantitative food frequency questionnaire. Diet quality was assessed using the Alternative Healthy Eating Index (2010), and a multilinear regression model was developed to evaluate the associated variables. RESULTS: The 581 volunteers included in this study comprised 325 (55.9%) and 256 (44.1%) patients treated at private and public hospitals, respectively. Although the dietary index increased significantly after ACS (P < 0001), diet quality remained unsatisfactory, particularly in terms of reductions in the consumption of cardioprotective components (vegetables, fruits, and eicosapentaenoic and docosahexaenoic fatty acids). Compared with patients receiving private health care, those attending a public hospital reported lower dietary quality (P < 0.001). The best diet quality was found to correlate with female sex (P < 0.001), receipt of dietary guidance at hospital discharge (P < 0.001), private health care (P < 0.001), a stable relationship status (P, 0.016), and older age (P < 0.001). CONCLUSION: The overall post-ACS diet quality remained unsatisfactory, especially in terms of cardioprotective components and among patients receiving public health care. Sociodemographic factors and the assistance model/quality were determinants of the observed differences in dietary quality.
Authors: Ingrid Maria Novais Barros de Carvalho Costa; Danielle Góes da Silva; Joselina Luzia Meneses Oliveira; José Rodrigo Santos Silva; Fabrício Anjos de Andrade; Juliana de Góes Jorge; Larissa Marina Santana Mendonça de Oliveira; Rebeca Rocha de Almeida; Victor Batista Oliveira; Larissa Santos Martins; Jamille Oliveira Costa; Márcia Ferreira Cândido de Souza; Larissa Monteiro Costa Pereira; Luciana Vieira Sousa Alves; Silvia Maria Voci; Marcos Antonio Almeida-Santos; Felipe J Aidar; Leonardo Baumworcel; Antônio Carlos Sobral Sousa Journal: Clin Pract Date: 2022-07-08
Authors: Juliana Santos Barbosa; Márcia Ferreira Cândido de Souza; Jamille Oliveira Costa; Luciana Vieira Sousa Alves; Larissa Marina Santana Mendonça de Oliveira; Rebeca Rocha de Almeida; Victor Batista Oliveira; Larissa Monteiro Costa Pereira; Raysa Manuelle Santos Rocha; Ingrid Maria Novais Barros de Carvalho Costa; Diva Aliete Dos Santos Vieira; Leonardo Baumworcel; Marcos Antonio Almeida-Santos; Joselina Luzia Menezes Oliveira; Eduardo Borba Neves; Alfonso López Díaz-de-Durana; María Merino-Fernández; Felipe J Aidar; Antônio Carlos Sobral Sousa Journal: Int J Environ Res Public Health Date: 2022-08-15 Impact factor: 4.614
Authors: Ingrid Maria Novais Barros de Carvalho Costa; Danielle Góes da Silva; Joselina Luzia Meneses Oliveira; José Rodrigo Santos Silva; Larissa Monteiro Costa Pereira; Luciana Vieira Sousa Alves; Fabrício Anjos de Andrade; Juliana de Góes Jorge; Larissa Marina Santana Mendonça de Oliveira; Rebeca Rocha de Almeida; Victor Batista Oliveira; Larissa Santos Martins; Jamille Oliveira Costa; Márcia Ferreira Cândido de Souza; Silvia Maria Voci; Marcos Antonio Almeida-Santos; Victoria Vieira Abreu; Felipe J Aidar; Leonardo Baumworcel; Antônio Carlos Sobral Sousa Journal: Prev Med Rep Date: 2022-09-03