STUDY REGARDING
THE LIFESTYLE AND EATING HABITS AS RISK FACTORS FOR HEART DISEASE,
IN CORONARY PATIENTS FROM THEHEART DISEASE CLINIC II ADULTS
UMF Tg-Mures
Nutrition and Dietetics
Supervisor: Dr. Dan Mircea Farcas, MD Cardiologist
Author: Luminita Boros Huza
1. Pointing out the most important risk factors related to diet and lifestyle, as seen in these patients.
2. Targeted plan for nutritional education, to eliminate the risk factors reviled.
Method: • Examining 40 hospitalized patients• From October 2013 to March 2014• Correlation of data with the diagnostic and lab
analysis of FOGC.
Personal Data
Lifestyle and Nutrition
Anthropometrical Data
Secondary Diagnosis
Lab Analysis
Atherosclerotic Plaque → thickening + stiffening of arterial walls → decrease of arterial lumen.
Risk Factors: Unbiased: age, gender, heredity, genetic
condition of the lipid metabolism. Biased: smoking, obesity, dyslipidemia (LDL↑,
HDL↓) high blood pressure, diabetes, sedentariness, mental stress.
Other factors: metabolic syndrome; impaired glucose tolerance; triglycerides↑; PCR↑; fibrinogen ↑; homocysteinemy ↑; Lp (a); infections; autoimmune disease, periodontitis.
Age:
Gender:
Monthly Income: medium to low
Formal education level: medium to low
Smoking
Physical Activity None of the patients performs intense physical activity
Mental Stress
Vegetables Suggested intake: 3-4 servings/day
Fruits Suggested intake: 2-4 servings/day
Grains 52.5% consume only refined grains 47.5% consume refined and whole grains
Risk factors: Diet
Proteins
Risk factors: Diet
Protein intake
Excess Deficit Normal intake
Animal protein
Fatty meat 57,5% Lean meat42,5
%
Fish meat≤1 serving/week 60% Fish meat ≥ 2
servings/week 40%
Whole milk/ dairy
97,5%Low fat milk and
dairy2,5%
Eggs ≥ 6/week
10% Eggs ≤ 4/week 90%
Vegetable
protein
Beans ≤ 1serving/week
47,5%
Beans ≥ 2 servings/week
52,5%
Nuts ≤ 1 serving/week
62,5%
Nuts 2-4 servings/week
17,5%
Nuts - daily intake 20%
Fats
Sweets
BMI
Abdominal circumferenceFemale Male
Lab Analysis
Lipid profile HDL and LDL were not determined for all the patients Values impossible to interpret because of statins
treatment
Glycemia
Analysis Value Percentage
Total cholesterol
> 190 mg% 42,5%
Triglycerides > 150 mg% 30%
Low income, low formal education, smoking, lack of physical activity and atherogenic diet increase the risk for coronary artery disease
Dietary recommendations: Vegetables↑; fruits↑; whole grains↑; beans↑; nuts↑ Animal proteins and fats↓; choosing low or nonfat dairy
products Restricted sweets consumption (possible already
restricted) Physical exercise, limited by the existing
pathology Quitting smoke Stress management
Hypolipidaemic, hypocaloric, salt restriction Mediterranean Diet DASH Diet Dr. Dean Ornish Diet
Dietary Supplements Omega 3, Mg, CoQ10, niacin, vitamin C,
nattokinaza
Thank you
