Protein Intake and Physical Activity in Newly Diagnosed Patients with Acute Coronary Syndrome: A 5-Year Longitudinal Study

Nutrients

Cristina Franzelli¹  Agostino Brugnera²  Andrea Greco²  Francesco Fattirolli³  Marco D'Addario⁴  Roberta Adorni⁴  Francesco Zanatta⁴  Patrizia Steca⁴  Alessandro Maloberti⁵  Cristina Giannattasio⁵ 

[1] Cardiac Rehabilitation Centre-CTO Hospital, 20126 Milan, Italy;Department of Human and Social Sciences, University of Bergamo, Bergamo 24129, Italy;Department of Medical and Surgical Critical Care, Cardiac Rehabilitation Unit, University of Florence, Florence 50139, Italy;Department of Psychology, University of Milano-Bicocca, Milan 20126, Italy;School of Medicine and Surgery University of Milano-Bicocca, Milan 20126, Italy;

关键词: acute coronary syndrome;    healthy behaviors;    diet;    legumes;    fish;    red/processed meat;   

DOI  :  10.3390/nu13020634

来源: DOAJ

【 摘 要 】

Cardiovascular disease is one of the most common causes of hospitalization and is associated with high morbidity and mortality rates. Among the most important modifiable and well-known risk factors are an unhealthy diet and sedentary lifestyle. Nevertheless, adherence to healthy lifestyle regimes is poor. The present study examined longitudinal trajectories (pre-event, 6-, 12-, 24-, 36-, and 60-month follow-ups) of protein intake (fish, legumes, red/processed meat) and physical activity in 275 newly-diagnosed patients with acute coronary syndrome. Hierarchical Generalized Linear Models were performed, controlling for demographic and clinical variables, the season in which each assessment was made, and the presence of anxiety and depressive symptoms. Significant changes in protein intake and physical activity were found from pre-event to the six-month follow-up, suggesting the adoption of healthier behaviors. However, soon after the six-month follow-up, patients experienced significant declines in their healthy behaviors. Both physical activity and red/processed meat intake were modulated by the season in which the assessments took place and by anxiety symptoms over time. The negative long-term trajectory of healthy behaviors suggests that tailored interventions are needed that sustain patients' capabilities to self-regulate their behaviors over time and consider patient preference in function of season.

【 授权许可】

Unknown