{"id":61631,"date":"2013-12-01T00:00:00","date_gmt":"2018-12-04T08:00:17","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/dietary-advice-for-reducing-cardiovascular-risk-4\/"},"modified":"2018-12-04T09:00:17","modified_gmt":"2018-12-04T08:00:17","slug":"dietary-advice-for-reducing-cardiovascular-risk-4","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/dietary-advice-for-reducing-cardiovascular-risk-4\/","title":{"rendered":"Dietary advice for reducing cardiovascular risk."},"content":{"rendered":"<p><strong>BACKGROUND<\/strong><br \/>\nChanges in population diet are likely to reduce cardiovascular disease and cancer, but the effect of dietary advice is uncertain. This review is an update of a previous review published in 2007.<\/p>\n<p><strong>OBJECTIVE<\/strong>S<br \/>\nTo assess the effects of providing dietary advice to achieve sustained dietary changes or improved cardiovascular risk profile among healthy adults.<\/p>\n<p><strong>SEARCH METHODS<\/strong><br \/>\nWe searched the Cochrane Central Register of Controlled Trials, the Database of Abstracts of Reviews of Effects (DARE) and the HTA database on The Cochrane Library (Issue 4, 2010). We searched MEDLINE (Ovid) (1950 to week 2 October 2010) and EMBASE (Ovid) (1980 to Week 42 2010). Additional searches were done on CAB Health (1972 to December 1999), CVRCT registry (2000), CCT (2000) and SIGLE (1980 to 2000). Dissertation abstracts and reference lists of articles were checked and researchers were contacted.<\/p>\n<p><strong>SELECTION CRITERIA<\/strong><br \/>\nRandomised studies with no more than 20% loss to follow-up, lasting at least three months and involving healthy adults comparing dietary advice with no advice or minimal advice. Trials involving children, trials to reduce weight or those involving supplementation were excluded.<\/p>\n<p><strong>DATA COLLECTION AND ANALYSIS<\/strong><br \/>\nTwo review authors independently assessed trial quality and extracted data. Study authors were contacted for additional information.<\/p>\n<p><strong>MAIN RESULTS<\/strong><br \/>\nForty-four trials with 52 intervention arms (comparisons) comparing dietary advice with no advice were included in the review; 18,175 participants or clusters were randomised. Twenty-nine of the 44 included trials were conducted in the USA. Dietary advice reduced total serum cholesterol by 0.15 mmol\/L (95% CI 0.06 to 0.23) and LDL cholesterol by 0.16 mmol\/L (95% CI 0.08 to 0.24) after 3 to 24 months. Mean HDL cholesterol levels and triglyceride levels were unchanged.<\/p>\n<p>Dietary advice reduced blood pressure by 2.61 mm Hg systolic (95% CI 1.31 to 3.91) and 1.45 mm Hg diastolic (95% CI 0.68 to 2.22) and 24-hour urinary sodium excretion by 40.9 mmol (95% CI 25.3 to 56.5) after 3 to 36 months but there was heterogeneity between trials for the latter outcome. Three trials reported plasma antioxidants, where small increases were seen in lutein and &beta;-cryptoxanthin, but there was heterogeneity in the trial effects. Self-reported dietary intake may be subject to reporting bias, and there was significant heterogeneity in all the following analyses. Compared to no advice, dietary advice increased fruit and vegetable intake by 1.18 servings\/day (95% CI 0.65 to 1.71). Dietary fibre intake increased with advice by 6.5 g\/day (95% CI 2.2 to 10.82), while total dietary fat as a percentage of total energy intake fell by 4.48% (95% CI 2.47 to 6.48) with dietary advice, and saturated fat intake fell by 2.39% (95% CI 1.4 to 3.37).Two trials analysed incident cardiovascular disease (CVD) events (TOHP I\/II).<\/p>\n<p>Follow-up was 77% complete at 10 to 15 years after the end of the intervention period and estimates of event rates lacked precision but suggested that sodium restriction advice probably led to a reduction in cardiovascular events (combined fatal plus non-fatal events) plus revascularisation (TOHP I hazards ratio (HR) 0.59, 95% CI 0.33 to 1.08; TOHP II HR 0.81, 95% CI 0.59 to 1.12).<\/p>\n<p><strong>CONCLUSIONS<\/strong><br \/>\nDietary advice appears to be effective in bringing about modest beneficial changes in diet and cardiovascular risk factors over approximately 12 months, but longer-term effects are not known.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-61631","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK, CV4 7AL.","annee":"2013","mois":"12","numero":"12","page":"CD002128","auteurs":[{"ID":25304,"post_author":"0","post_date":"2018-12-03 22:16:32","post_date_gmt":"2018-12-03 21:16:32","post_content":"","post_title":"Karen Rees","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"karen-rees","to_ping":"","pinged":"","post_modified":"2018-12-03 22:16:32","post_modified_gmt":"2018-12-03 21:16:32","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/karen-rees\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":34784,"post_author":"0","post_date":"2018-12-04 00:34:47","post_date_gmt":"2018-12-03 23:34:47","post_content":"","post_title":"Mariana Dyakova","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"mariana-dyakova","to_ping":"","pinged":"","post_modified":"2018-12-04 00:34:47","post_modified_gmt":"2018-12-03 23:34:47","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/mariana-dyakova\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":39806,"post_author":"0","post_date":"2018-12-04 02:03:41","post_date_gmt":"2018-12-04 01:03:41","post_content":"","post_title":"Nicola Wilson","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"nicola-wilson","to_ping":"","pinged":"","post_modified":"2018-12-04 02:03:41","post_modified_gmt":"2018-12-04 01:03:41","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/nicola-wilson\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":34785,"post_author":"0","post_date":"2018-12-04 00:34:47","post_date_gmt":"2018-12-03 23:34:47","post_content":"","post_title":"Kirsten Ward","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"kirsten-ward","to_ping":"","pinged":"","post_modified":"2018-12-04 00:34:47","post_modified_gmt":"2018-12-03 23:34:47","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/kirsten-ward\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":14652,"post_author":"0","post_date":"2018-12-03 19:12:21","post_date_gmt":"2018-12-03 18:12:21","post_content":"","post_title":"Margaret Thorogood","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"margaret-thorogood","to_ping":"","pinged":"","post_modified":"2018-12-03 19:12:21","post_modified_gmt":"2018-12-03 18:12:21","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/margaret-thorogood\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":23165,"post_author":"0","post_date":"2018-12-03 21:19:45","post_date_gmt":"2018-12-03 20:19:45","post_content":"","post_title":"Eric J Brunner","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"eric-j-brunner","to_ping":"","pinged":"","post_modified":"2018-12-03 21:19:45","post_modified_gmt":"2018-12-03 20:19:45","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/eric-j-brunner\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":6406,"post_author":"0","post_date":"2018-12-03 17:38:01","post_date_gmt":"2018-12-03 16:38:01","post_content":"","post_title":"The Cochrane database of systematic reviews","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"the-cochrane-database-of-systematic-reviews","to_ping":"","pinged":"","post_modified":"2018-12-03 17:38:01","post_modified_gmt":"2018-12-03 16:38:01","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/the-cochrane-database-of-systematic-reviews\/","menu_order":0,"post_type":"source","post_mime_type":"","comment_count":"0","filter":"raw"}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.6 (Yoast SEO v23.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Dietary advice for reducing cardiovascular risk. - Aprifel<\/title>\n<meta name=\"description\" content=\"Dietary advice for reducing cardiovascular risk. - Aprifel\" \/>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dietary advice for reducing cardiovascular risk.\" \/>\n<meta property=\"og:description\" content=\"Dietary advice for reducing cardiovascular risk.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/dietary-advice-for-reducing-cardiovascular-risk-4\/\" \/>\n<meta property=\"og:site_name\" content=\"Aprifel\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/dietary-advice-for-reducing-cardiovascular-risk-4\/\",\"url\":\"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/dietary-advice-for-reducing-cardiovascular-risk-4\/\",\"name\":\"Dietary advice for reducing cardiovascular risk. - Aprifel\",\"isPartOf\":{\"@id\":\"https:\/\/www.aprifel.com\/fr\/#website\"},\"datePublished\":\"2018-12-04T08:00:17+00:00\",\"dateModified\":\"2018-12-04T08:00:17+00:00\",\"description\":\"Dietary advice for reducing cardiovascular risk. - Aprifel\",\"breadcrumb\":{\"@id\":\"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/dietary-advice-for-reducing-cardiovascular-risk-4\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/dietary-advice-for-reducing-cardiovascular-risk-4\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/dietary-advice-for-reducing-cardiovascular-risk-4\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\/\/www.aprifel.com\/fr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"R\u00e9sum\u00e9s\",\"item\":\"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Dietary advice for reducing cardiovascular risk.\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.aprifel.com\/fr\/#website\",\"url\":\"https:\/\/www.aprifel.com\/fr\/\",\"name\":\"Aprifel\",\"description\":\"Agence pour la Recherche et l\u2019Information en Fruits et L\u00e9gumes\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.aprifel.com\/fr\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Dietary advice for reducing cardiovascular risk. - Aprifel","description":"Dietary advice for reducing cardiovascular risk. - Aprifel","robots":{"index":"noindex","follow":"follow"},"og_locale":"fr_FR","og_type":"article","og_title":"Dietary advice for reducing cardiovascular risk.","og_description":"Dietary advice for reducing cardiovascular risk.","og_url":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/dietary-advice-for-reducing-cardiovascular-risk-4\/","og_site_name":"Aprifel","twitter_card":"summary_large_image","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/dietary-advice-for-reducing-cardiovascular-risk-4\/","url":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/dietary-advice-for-reducing-cardiovascular-risk-4\/","name":"Dietary advice for reducing cardiovascular risk. - Aprifel","isPartOf":{"@id":"https:\/\/www.aprifel.com\/fr\/#website"},"datePublished":"2018-12-04T08:00:17+00:00","dateModified":"2018-12-04T08:00:17+00:00","description":"Dietary advice for reducing cardiovascular risk. - Aprifel","breadcrumb":{"@id":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/dietary-advice-for-reducing-cardiovascular-risk-4\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/dietary-advice-for-reducing-cardiovascular-risk-4\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/dietary-advice-for-reducing-cardiovascular-risk-4\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/www.aprifel.com\/fr\/"},{"@type":"ListItem","position":2,"name":"R\u00e9sum\u00e9s","item":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/"},{"@type":"ListItem","position":3,"name":"Dietary advice for reducing cardiovascular risk."}]},{"@type":"WebSite","@id":"https:\/\/www.aprifel.com\/fr\/#website","url":"https:\/\/www.aprifel.com\/fr\/","name":"Aprifel","description":"Agence pour la Recherche et l\u2019Information en Fruits et L\u00e9gumes","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.aprifel.com\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"}]}},"_links":{"self":[{"href":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/wp-json\/wp\/v2\/resume\/61631"}],"collection":[{"href":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/wp-json\/wp\/v2\/resume"}],"about":[{"href":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/wp-json\/wp\/v2\/types\/resume"}],"wp:attachment":[{"href":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/wp-json\/wp\/v2\/media?parent=61631"}],"wp:term":[{"taxonomy":"mots_cles","embeddable":true,"href":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/wp-json\/wp\/v2\/mots_cles?post=61631"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}