{"id":55163,"date":"2002-10-01T00:00:00","date_gmt":"2018-12-04T05:56:13","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/compliance-with-national-cholesterol-education-program-dietary\/"},"modified":"2018-12-04T06:56:13","modified_gmt":"2018-12-04T05:56:13","slug":"compliance-with-national-cholesterol-education-program-dietary","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/compliance-with-national-cholesterol-education-program-dietary\/","title":{"rendered":"Compliance with national cholesterol education program dietary and lifestyle guidelines among older women with self-reported hypercholesterolemia: the women’s health initiative"},"content":{"rendered":"

"PURPOSE: Dietary therapy remains the first line of treatment for patients with high blood cholesterol levels. Among free-living persons, compliance with National Cholesterol Education Program (NCEP) dietary recommendations is uncertain.<\/p>\n

SUBJECTS AND METHODS: We performed a cross-sectional, baseline analysis of 91,627 postmenopausal women enrolled in the Women's Health Initiative Observational Study. Among women with self-reported hypercholesterolemia, we ascertained factors associated with compliance with National Cholesterol Education Program dietary recommendations, defined for the Step II diet as less than or equal to30% of total calories from fat, <7% of calories from saturated fat, and daily dietary cholesterol <200 mg.<\/p>\n

RESULTS: Of the 13,777 participants who reported having high cholesterol levels requiring drug therapy, only 20% reported total fat, saturated fat, and dietary cholesterol consump-tion consistent with Step II dietary goals. Factors associated with Step II dietary compliance included having a college degree (odds ratio [OR] = 1.26; 95% confidence interval [CI]: 1.14 to 1.40), a prior cardiovascular event (OR = 1.48; 95% CI: 1.28 to 1.70), and consumption of five or more daily servings of fruits or vegetables (OR = 3.0; 95% CI: 2.7 to 3.3). Being married, smoking, a sedentary lifestyle, and a higher body mass index were all associated with reduced compliance (all P <0.0001). In the subsample in which plasma lipid levels were measured, dietary compliance was associated with higher levels of low-density lipoprotein cholesterol (P = 0.02).<\/p>\n

CONCLUSION: Since the inception of the NCEP in 1985, health care providers, public health programs, and patients have not successfully implemented the dietary recommendations."<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-55163","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"\" HSIA J;2150 PENN AVE NW 4-414; WASHINGTON DC 20037, USA.\"","annee":"2002","mois":"10","numero":"113:5","page":"384-392","auteurs":[{"ID":37351,"post_author":"0","post_date":"2018-12-04 01:15:22","post_date_gmt":"2018-12-04 00:15:22","post_content":"","post_title":"Marcia L Stefanick","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"marcia-l-stefanick","to_ping":"","pinged":"","post_modified":"2018-12-04 01:15:22","post_modified_gmt":"2018-12-04 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05:56:11","post_content":"","post_title":"Cochrane","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"cochrane","to_ping":"","pinged":"","post_modified":"2018-12-04 06:56:11","post_modified_gmt":"2018-12-04 05:56:11","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/cochrane\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":55162,"post_author":"0","post_date":"2018-12-04 06:56:12","post_date_gmt":"2018-12-04 05:56:12","post_content":"","post_title":"Frishman","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"frishman","to_ping":"","pinged":"","post_modified":"2018-12-04 06:56:12","post_modified_gmt":"2018-12-04 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03:50:13","post_content":"","post_title":"Rodabough","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"rodabough","to_ping":"","pinged":"","post_modified":"2018-12-04 04:50:13","post_modified_gmt":"2018-12-04 03:50:13","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/rodabough\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":20729,"post_author":"0","post_date":"2018-12-03 20:39:38","post_date_gmt":"2018-12-03 19:39:38","post_content":"","post_title":"Milagros C Rosal","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"milagros-c-rosal","to_ping":"","pinged":"","post_modified":"2018-12-03 20:39:38","post_modified_gmt":"2018-12-03 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