Abstract
Hippocrates’ famous aphorism “we are what we eat” is more than ever pertinent at the present time. Indeed, strong scientific evidence has demonstrated that dietary patterns are important determinants of health status, especially concerning the cardiovascular system. However, nutrition must be considered not only as an energetic source, but must be integrated with its other components: culture, beliefs, tradition, and pleasure. This complexity explains why behavioral modifications in nutrition are so difficult to promote and sustain in subjects, often needing deep changes in the ways of being and thinking. Moreover, as cardiovascular prevention is multifactorial, healthy food choices must often be associated with other behavioral modifications, such as smoking cessation or physical exercise, so our main task will be to help patients to cope with all these recommendations.
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References
Verschuren WMM, Jacobs DR, Bloenberg B, et al. Serum total cholesterol and long-term coronary heart disease mortality in different cultures. Twenty-five-year follow-up of the Seven Countries Study. JAMA 1995;274:131–136.
Yusuf FS, Hawken S, Ounpuu S, et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the InterHeart Study): case control study. Lancet 2004;364:937–952.
Hooper L, Summerbell CD, Higgins JP, et al. Dietary fat intake and prevention of cardiovascular disease: systematic review. BMJ 2001;322:757–763.
Buer ML, Fehily AM, Gilbert JF, et al. Effects of changes in fat, fish and fibre intakes on death, and reinfarction: Diet and Reinfarction Trial (DART). Lancet 1989;ii:757–761.
Singh RB, Niaz MA, Sharma JP, Kumar R, Rastogi V, Moshiri M. Randomized, double-blind, placebo controlled trial of fish oil and mustard oil in patients with suspected acute myocardial infarction: The Indian experiment of infarct survival. Cardiovasc Drugs Ther 1997;11:485–491.
GISSI Prevenzione Investigators. Dietary supplementation with n-3 polyunsaturated fatty acids and vitamins after myocardial infarction: results of the GISSI-Prevenzione trial. Lancet 1999;354:447–455.
De Lorgeril M, Salen P, Martin JL, Monjaud I, Delaye J, Mamelle N. Mediterranean diet, traditional risk factors and the rate of cardiovascular complications after myocardial infarction. Final report of the Lyon Diet Heart Study. Circulation 1999;99:779–785.
De Backer G, Ambrosioni E, Borch-Johnsen K, et al. Third Joint Task Force of European and Other Societies Cardiovascular Disease Prevention in Clinical Practice. European guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J 2003;24(17):1601–1610.
National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third Report of the National Cholesterol Education Program (NCEP). Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults (ATP III) final report. Circulation 2002;106:3143–3421.
Lagstrom H, Seppanen R, Jokinen E, et al. Nutrient intakes and cholesterol values of the parents in a prospective randomised child-targeted coronary heart disease risk factor intervention trial. The STRIP Project. Eur J Clin Nutr 1999;53:654–661.
Thompson RL, Summerbell CD, Hooper L, et al. Dietary advice given by a dietician versus other health professional or self-help resources to reduce blood cholesterol (Cochrane Review). In: The Cochrane Library Issue 3, 2003. Oxford: Update Software.
Cavallaro V, Dwyer J, Houser RF, et al. Influence of dietician presence on outpatient cardiac rehabilitation nutrition services. J Am Diet Assoc 2004;104:611–14.
Pritchard DA, Hyndman J, Taba F. Nutritional counselling in general practice: a cost effective analysis. J Epidemiol Community Health 1999;53:311–316.
Foster KY, Diehl NS, Shaw D, et al. Medical students’ readiness to provide lifestyle counselling for overweight patients. Eat Behav 2002;3:1–13.
Erkkila AT, Sarkkinen EJ, Lehtos S, Pyomala K, Uustitupa MI. Diet in relation to socio-economic status in patients with coronary heart disease. Eur J Clin Nutr 1999;53:662–668.
Wardle J, Steptoe A. Socio-economic differences in attitudes and beliefs about healthy lifestyles. J Epidemiol Community Health 2003;57:440–443.
Prochaska JO, DiClemente CC. Stages of change in the modification of problem behaviors. Prog Behav Modif 1992;28:183–218.
Frame CJ, Green CG, Herr DG, Taylor ML. A 2-year stage of change evaluation of dietary fat and fruit and vegetables intake behaviours of cardiac rehabilitation patients. Am J Health Promot 2003;17:361–368.
Koikkalainen M, Mykkanen H, Erkilla A, Julkunen J, Saarinen T, Pyorala K. Difficulties in changing the diet in relation to dietary fat intake among patients with coronary heart disease. Eur J Clin Nutr 1999;53:120–125.
Marchand C, Divernois JF, Assal JP, Slama G, Hivon R. An analysis using concept mapping of diabetic patients’ knowledge, before and after patient education. Medical Teacher 2002;24:90–99.
Rozin P, Fischler C, Imada S, Sarubin A, Wrzesniewski A. Attitudes to food and the role of food in life in the USA, Japan, Flemish Belgium and France: possible implications for the diet health debate. Appetite 1999;33:163–180.
Ammerman AS, Lindquist CH, Lohr KN, Hersey J. The efficacy of behavioural interventions to modify dietary fat and fruit and vegetable intake:a review of the evidence. Prev Med 2002;35(1):25–41.
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Monpére, C. (2007). Nutritional Counseling: Practical Models. In: Perk, J., et al. Cardiovascular Prevention and Rehabilitation. Springer, London. https://doi.org/10.1007/978-1-84628-502-8_26
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DOI: https://doi.org/10.1007/978-1-84628-502-8_26
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