Evaluación de una maniobra nutricional tendiente a reducir los niveles de colesterol en pacientes portadores de enfermedad coronaria en el sistema público de salud chileno

Background: The mainstay of cholesterol reduction therapy is the diet. But the lack of compliance and prescription problems limit its usefulness. Aim: To compare the effectiveness of a nutritional intervention given by a nutritionist with the usual recommendations given by a physician to reduce the...

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Autores principales:	Martínez O,Solange, Zegers B,Yvette, Stockins F,Benjamín, Bustos M,Luis, Sanhueza C,Antonio, Rivera S,Adriana, Soto M,Lidia, Mackay W,Angélica, Vega Q,Danitza, Rapimán D,Pablo, Atton M,Rousmery, Alberti R,Gigliola
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2004
Materias:	Coronary arteriosclerosis Coronary disease Lipoproteins LDL cholesterol
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004001200002
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spelling	oai:scielo:S0034-988720040012000022006-03-21Evaluación de una maniobra nutricional tendiente a reducir los niveles de colesterol en pacientes portadores de enfermedad coronaria en el sistema público de salud chilenoMartínez O,SolangeZegers B,YvetteStockins F,BenjamínBustos M,LuisSanhueza C,AntonioRivera S,AdrianaSoto M,LidiaMackay W,AngélicaVega Q,DanitzaRapimán D,PabloAtton M,RousmeryAlberti R,Gigliola Coronary arteriosclerosis Coronary disease Lipoproteins LDL cholesterol Background: The mainstay of cholesterol reduction therapy is the diet. But the lack of compliance and prescription problems limit its usefulness. Aim: To compare the effectiveness of a nutritional intervention given by a nutritionist with the usual recommendations given by a physician to reduce the LDL cholesterol levels in patients with coronary artery disease, treated at the Regional public hospital in Temuco. Material and Methods: One hundred and forty patients with coronary heart disease (last acute episode at least three months before), without nutritional interventions nor cholesterol-lowering drugs, who gave informed consent, were randomized to receive either instructions by their physician or to take part in a nutritional program. The nutritional intervention consisted in five educational sessions, adapted from the NCEP and from a program of the Nutrition Department of the Catholic University of Chile. Patients randomized to the medical intervention received the standard written recommendations about diet. Lipid profile was measured before the intervention and after a three and twelve months follow up. Results: After one year the group on the nutritional program reduced LDL cholesterol by 11.1% (p=0.03). There were no changes in the medical group. However, only 10% patients on the nutritional intervention group and 8% of those with medical recommendations achieved LDL cholesterol levels less than 100 mg/dl. There were no changes in triglycerides, weight or body mass index during the period. Conclusions: Although this nutritional intervention proved to be more effective than usual medical instructions, most patients on secondary prevention did not achieve acceptable LDL cholesterol levels (Rev Méd Chile 2004; 132: 1457-65)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.12 20042004-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004001200002es10.4067/S0034-98872004001200002
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Coronary arteriosclerosis Coronary disease Lipoproteins LDL cholesterol
spellingShingle	Coronary arteriosclerosis Coronary disease Lipoproteins LDL cholesterol Martínez O,Solange Zegers B,Yvette Stockins F,Benjamín Bustos M,Luis Sanhueza C,Antonio Rivera S,Adriana Soto M,Lidia Mackay W,Angélica Vega Q,Danitza Rapimán D,Pablo Atton M,Rousmery Alberti R,Gigliola Evaluación de una maniobra nutricional tendiente a reducir los niveles de colesterol en pacientes portadores de enfermedad coronaria en el sistema público de salud chileno
description	Background: The mainstay of cholesterol reduction therapy is the diet. But the lack of compliance and prescription problems limit its usefulness. Aim: To compare the effectiveness of a nutritional intervention given by a nutritionist with the usual recommendations given by a physician to reduce the LDL cholesterol levels in patients with coronary artery disease, treated at the Regional public hospital in Temuco. Material and Methods: One hundred and forty patients with coronary heart disease (last acute episode at least three months before), without nutritional interventions nor cholesterol-lowering drugs, who gave informed consent, were randomized to receive either instructions by their physician or to take part in a nutritional program. The nutritional intervention consisted in five educational sessions, adapted from the NCEP and from a program of the Nutrition Department of the Catholic University of Chile. Patients randomized to the medical intervention received the standard written recommendations about diet. Lipid profile was measured before the intervention and after a three and twelve months follow up. Results: After one year the group on the nutritional program reduced LDL cholesterol by 11.1% (p=0.03). There were no changes in the medical group. However, only 10% patients on the nutritional intervention group and 8% of those with medical recommendations achieved LDL cholesterol levels less than 100 mg/dl. There were no changes in triglycerides, weight or body mass index during the period. Conclusions: Although this nutritional intervention proved to be more effective than usual medical instructions, most patients on secondary prevention did not achieve acceptable LDL cholesterol levels (Rev Méd Chile 2004; 132: 1457-65)
author	Martínez O,Solange Zegers B,Yvette Stockins F,Benjamín Bustos M,Luis Sanhueza C,Antonio Rivera S,Adriana Soto M,Lidia Mackay W,Angélica Vega Q,Danitza Rapimán D,Pablo Atton M,Rousmery Alberti R,Gigliola
author_facet	Martínez O,Solange Zegers B,Yvette Stockins F,Benjamín Bustos M,Luis Sanhueza C,Antonio Rivera S,Adriana Soto M,Lidia Mackay W,Angélica Vega Q,Danitza Rapimán D,Pablo Atton M,Rousmery Alberti R,Gigliola
author_sort	Martínez O,Solange
title	Evaluación de una maniobra nutricional tendiente a reducir los niveles de colesterol en pacientes portadores de enfermedad coronaria en el sistema público de salud chileno
title_short	Evaluación de una maniobra nutricional tendiente a reducir los niveles de colesterol en pacientes portadores de enfermedad coronaria en el sistema público de salud chileno
title_full	Evaluación de una maniobra nutricional tendiente a reducir los niveles de colesterol en pacientes portadores de enfermedad coronaria en el sistema público de salud chileno
title_fullStr	Evaluación de una maniobra nutricional tendiente a reducir los niveles de colesterol en pacientes portadores de enfermedad coronaria en el sistema público de salud chileno
title_full_unstemmed	Evaluación de una maniobra nutricional tendiente a reducir los niveles de colesterol en pacientes portadores de enfermedad coronaria en el sistema público de salud chileno
title_sort	evaluación de una maniobra nutricional tendiente a reducir los niveles de colesterol en pacientes portadores de enfermedad coronaria en el sistema público de salud chileno
publisher	Sociedad Médica de Santiago
publishDate	2004
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004001200002
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Evaluación de una maniobra nutricional tendiente a reducir los niveles de colesterol en pacientes portadores de enfermedad coronaria en el sistema público de salud chileno

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