Literature DB >> 31349110

Implementation of a Brazilian Cardioprotective Nutritional (BALANCE) Program for improvement on quality of diet and secondary prevention of cardiovascular events: A randomized, multicenter trial.

Bernardete Weber1, Ângela C Bersch-Ferreira2, Camila R Torreglosa3, Aline Marcadenti4, Enilda S Lara2, Jacqueline T da Silva2, Rosana P Costa2, Renato H N Santos2, Otavio Berwanger2, Rosa Bosquetti2, Raira Pagano2, Luis G S Mota2, Juliana D de Oliveira2, Rafael M Soares2, Andrea P Galante2, Suzana A da Silva2, Fernando G Zampieri2, Cristiane Kovacs5, Fernanda C Amparo5, Priscila Moreira5, Renata A da Silva5, Karina G Dos Santos5, Aline S Monteiro5, Catharina C J Paiva5, Carlos D Magnoni5, Annie S B Moreira6, Daniela O Peçanha7, Karina C S Missias7, Lais S de Paula7, Deborah Marotto7, Paula Souza8, Patrícia R T Martins8, Elisa M Dos Santos8, Michelle R Santos8, Luisa P Silva8, Rosileide S Torres9, Socorro N A A Barbosa9, Priscila M de Pinho9, Suzi H A de Araujo9, Adriana O L Veríssimo9, Aldair S Guterres9, Andrea F R Cardoso9, Moacyr M Palmeira9, Bruno R B de Ataíde9, Lilian P S Costa9, Helyde A Marinho10, Celme B P de Araújo10, Helen M S Carvalho10, Rebecca O Maquiné10, Alessandra C Caiado10, Cristina H de Matos11, Claiza Barretta11, Clarice M Specht11, Mihaela Onofrei11, Renata T A Bertacco12, Lucia R Borges12, Eduardo G Bertoldi12, Aline Longo12, Bruna L P Ribas12, Fernanda Dobke12, Alessandra D B Pretto12, Nathalia P Bachettini12, Alexandre Gastaud12, Rodrigo Necchi12, Gabriela C Souza13, Priccila Zuchinali13, Bianca M Fracasso13, Sara Bobadra13, Tamirys D Sangali13, Joyce Salamoni13, Luíza M Garlini13, Gabriela S Shirmann14, Mônica L P de Los Santos14, Vera M S Bortonili14, Cristiano P Dos Santos14, Guilherme C M Bragança14, Cíntia L Ambrózio14, Susi B E Lima14, Jéssica Schiavini14, Alechandra S Napparo14, Jorge L Boemo14, Francisca E Z Nagano15, Paulo V G Modanese15, Natalia M Cunha15, Caroline Frehner15, Lannay F da Silva15, Franciane S Formentini15, Maria E M Ramos16, Salvador S Ramos16, Marilia C S Lucas16, Bruna G Machado16, Karen B Ruschel16, Jâniffer R Beiersdorf16, Cristine E Nunes16, Rafael L Rech16, Mônica Damiani16, Marina Berbigier16, Soraia Poloni17, Izabele Vian17, Diana S Russo17, Juliane A Rodrigues17, Maria A P de Moraes17, Laura M da Costa17, Mirena Boklis17, Raquel M El Kik18, Elaine F Adorne18, Joise M Teixeira18, Eduardo P Trescastro18, Fernanda L Chiesa18, Cristina T Telles18, Livia A Pellegrini18, Luisa F Reis18, Roberta G M Cardoso18, Vera E Closs18, Naoel H Feres19, Nilma F da Silva19, Neyla E Silva19, Eliane S Dutra20, Marina K Ito20, Mariana E P Lima20, Ana P P F Carvalho21, Maria I S Taboada21, Malaine M A Machado21, Marta M David22, Délcio G S Júnior22, Camila Dourado22, Vanessa C F O Fagundes22, Rose M Uehara22, Sandramara Sasso22, Jaqueline S O Vieira22, Bianca A S de Oliveira22, Juliana L Pereira22, Isa G Rodrigues23, Claudia P S Pinho23, Antonio C S Sousa24, Andreza S Almeida24, Monique T de Jesus24, Glauber B da Silva24, Luciana V S Alves24, Viviane O G Nascimento24, Sabrina A Vieira24, Amanda G L Coura25, Clenise F Dantas25, Neuma M F S Leda25, Auriene L Medeiros25, Ana C L Andrade25, Josilene M F Pinheiro26, Luana R M de Lima26, Letícia S Sabino26, Camila V S de Souza26, Sandra M L Vasconcelos27, Francisco A Costa27, Raphaela C Ferreira27, Isadora B Cardoso27, Laís N P Navarro27, Rosielle B Ferreira27, André E S Júnior27, Maria B G Silva27, Karine M M Almeida27, Andreza M Penafort28, Ana P O de Queirós28, Geysa M N Farias28, Daniele M O Carlos29, Cíntia G N C Cordeiro29, Valdiana B Vasconcelos29, Edite M V M C de Araújo29, Viviane Sahade30, Carine S A Ribeiro30, Givaldo A Araujo30, Luciana B Gonçalves30, Camile S Teixeira30, Lívia M A J Silva30, Laís B da Costa30, Tainah S Souza30, Sende O de Jesus30, Adriana B Luna31, Barbara R S da Rocha31, Maria A Santos31, José A F Neto32, Luciana P P Dias32, Rosângela C A Cantanhede32, Jadson M Morais32, Rita C L Duarte32, Elza C B Barbosa32, Janaina M A Barbosa32, Rosângela M L de Sousa32, Alexsandro F Dos Santos32, Adriana F Teixeira32, Emilio H Moriguchi33, Neide M Bruscato33, Josiele Kesties33, Lilian Vivian33, Waldemar de Carli33, Marina Shumacher33, Maria C O Izar34, Marina T Asoo34, Juliana T Kato34, Celma M Martins34, Valéria A Machado34, Célia R O Bittencourt34, Thiago T de Freitas34, Viviane A R Sant'Anna34, Júlia D Lopes34, Simone C P M Fischer34, Sônia L Pinto35, Kellen C Silva35, Lúcia H A Gratão35, Luciana C Holzbach35, Luciano M Backes36, Milena P Rodrigues36, Keyla L A L Deucher36, Maiara Cantarelli36, Vanessa M Bertoni36, Daniela Rampazzo36, Josefina Bressan37, Helen H M Hermsdorff37, Ana P S Caldas37, Matheus B Felício37, Camila R Honório37, Alessandra da Silva37, Simone R Souza38, Priscila A Rodrigues38, Tatiana M X de Meneses38, Magali C C Kumbier39, Ana L Barreto39, Alexandre B Cavalcanti2.   

Abstract

BACKGROUND: Appropriate dietary recommendations represent a key part of secondary prevention in cardiovascular disease (CVD). We evaluated the effectiveness of the implementation of a nutritional program on quality of diet, cardiovascular events, and death in patients with established CVD.
METHODS: In this open-label, multicenter trial conducted in 35 sites in Brazil, we randomly assigned (1:1) patients aged 45 years or older to receive either the BALANCE Program (experimental group) or conventional nutrition advice (control group). The BALANCE Program included a unique nutritional education strategy to implement recommendations from guidelines, adapted to the use of affordable and regional foods. Adherence to diet was evaluated by the modified Alternative Healthy Eating Index. The primary end point was a composite of all-cause mortality, cardiovascular death, cardiac arrest, myocardial infarction, stroke, myocardial revascularization, amputation, or hospitalization for unstable angina. Secondary end points included biochemical and anthropometric data, and blood pressure levels.
RESULTS: From March 5, 2013, to Abril 7, 2015, a total of 2534 eligible patients were randomly assigned to either the BALANCE Program group (n = 1,266) or the control group (n = 1,268) and were followed up for a median of 3.5 years. In total, 235 (9.3%) participants had been lost to follow-up. After 3 years of follow-up, mean modified Alternative Healthy Eating Index (scale 0-70) was only slightly higher in the BALANCE group versus the control group (26.2 ± 8.4 vs 24.7 ± 8.6, P < .01), mainly due to a 0.5-serving/d greater intake of fruits and of vegetables in the BALANCE group. Primary end point events occurred in 236 participants (18.8%) in the BALANCE group and in 207 participants (16.4%) in the control group (hazard ratio, 1.15; 95% CI 0.95-1.38; P = .15). Secondary end points did not differ between groups after follow-up.
CONCLUSIONS: The BALANCE Program only slightly improved adherence to a healthy diet in patients with established CVD and had no significant effect on the incidence of cardiovascular events or death.
Copyright © 2019 The Authors. Published by Elsevier Inc. All rights reserved.

Entities:  

Mesh:

Year:  2019        PMID: 31349110     DOI: 10.1016/j.ahj.2019.06.010

Source DB:  PubMed          Journal:  Am Heart J        ISSN: 0002-8703            Impact factor:   4.749


  6 in total

1.  Culinary Medicine: Paving the Way to Health Through Our Forks.

Authors:  Kimberly Parks; Rani Polak
Journal:  Am J Lifestyle Med       Date:  2019-09-11

2.  BALANCE Dietary Index in Patients with Heart Failure, and Its Adherence in Sergipe, Brazil.

Authors:  Jamille Oliveira Costa; Felipe J Aidar; Juliana Santos Barbosa; Luciana Vieira Sousa Alves; Victor Batista Oliveira; Larissa Marina Santana Mendonça de Oliveira; Raysa Manuelle Santos Rocha; Diva Aliete Dos Santos Vieira; Ingrid Maria Novais Barros de Carvalho Costa; Márcia Ferreira Cândido de Souza; Joselina Luzia Menezes Oliveira; Leonardo Baumworcel; Eduardo Borba Neves; Alfonso López Díaz-de-Durana; Marcos Antonio Almeida-Santos; Antônio Carlos Sobral Sousa
Journal:  Clin Pract       Date:  2022-05-31

3.  Effect of pecan nuts and extra-virgin olive oil on glycemic profile and nontraditional anthropometric indexes in patients with coronary artery disease: a randomized clinical trial.

Authors:  Júlia L Dos Santos; Vera L Portal; Melissa M Markoski; Alexandre S de Quadros; Ângela Bersch-Ferreira; Aline Marcadenti
Journal:  Eur J Clin Nutr       Date:  2021-11-22       Impact factor: 4.884

4.  Absolute and Relative Agreement between the Current and Modified Brazilian Cardioprotective Nutritional Program Dietary Index (BALANCE DI) and the American Heart Association Healthy Diet Score (AHA-DS) in Post Myocardial Infarction Patients.

Authors:  Camila Weschenfelder; Philip Sapp; Terrence Riley; Kristina Petersen; Jacqueline Tereza da Silva; Angela Cristine Bersch-Ferreira; Rachel Helena Vieira Machado; Erlon Oliveira de Abreu-Silva; Lucas Ribeiro Silva; Bernardete Weber; Alexandre Schaan de Quadros; Penny Kris-Etherton; Aline Marcadenti
Journal:  Nutrients       Date:  2022-03-25       Impact factor: 5.717

5.  The AHA Recommendations for a Healthy Diet and Ultra-Processed Foods: Building a New Diet Quality Index.

Authors:  Leandro Teixeira Cacau; Aline Marcadenti; Angela Cristine Bersch-Ferreira; Bernardete Weber; Jussara Carnevale de Almeida; Cíntia Corte Real Rodrigues; Paulo Andrade Lotufo; Isabela Martins Bensenor; Dirce Maria Marchioni
Journal:  Front Nutr       Date:  2022-04-11

Review 6.  Effects of Supervised Cardiac Rehabilitation Programmes on Quality of Life among Myocardial Infarction Patients: A Systematic Review and Meta-Analysis.

Authors:  María Mansilla-Chacón; José L Gómez-Urquiza; María Begoña Martos-Cabrera; Luis Albendín-García; José L Romero-Béjar; Guillermo A Cañadas-De La Fuente; Nora Suleiman-Martos
Journal:  J Cardiovasc Dev Dis       Date:  2021-11-27
  6 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.