Difficulties in changing the diet in relation to dietary fat intake among patients with coronary heart disease

ABSTRACT OBJECTIVE: To study barriers in following nutritional advice among coronary heart disease patients in relation to dietary fat intake. DESIGN: A cross-sectional study using 4-day

food records and a questionnaire with regard to barriers to or difficulties in following dietary advice. SUBJECTS: Altogether, 362 male subjects with coronary heart disease from two separate

patient populations (91+271) were included in the study, with the mean age of 50 years and 60 years, respectively. The patients were classified into low (≤30 E%) or high (>30 E%) fat

intake groups. The patients with low dietary fat intake obtained on an average 10 E% less energy from fat as compared to the high dietary fat intake group. RESULTS: Overall, most patients

with coronary heart disease reported difficulties in following nutritional advice when eating in social situations. Patients with high dietary fat intake reported more frequently than

patients with low fat intake that they eat like other people without thinking about what they eat. On the other hand, there were no differences between the high and low fat intake groups in

the barriers: eating at work, food price, shopping, taste or knowledge of nutrition. CONCLUSIONS: Our results suggest that the sensitivity to social influence is an important factor

explaining noncompliance with dietary advice among patients with high dietary fat intake. SPONSORSHIP: Supported by research grants from the Finnish Heart Association, the Finnish Cultural

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institutional subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS MISPERCEPTION OF DIET QUALITY AMONG US ADULTS: IMPLICATIONS FOR CARDIOMETABOLIC

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May 2023 DIETARY HABITS AND COMPLIANCE WITH DIETARY GUIDELINES IN PATIENTS WITH ESTABLISHED CARDIOVASCULAR DISEASE Article 27 May 2024 AUTHOR INFORMATION AUTHORS AND AFFILIATIONS *

Department of Clinical Nutrition, University of Kuopio, Kuopio, Finland M Koikkalainen, H Mykkānen, A Erkkilā & M Uusitupa * Finnish Institute for Behavioral Science, Tampere, Finland M

Koikkalainen & R Lappalainen * Rehabilitation Foundation, Helsinki, Finland J Julkunen & T Saarinen * Department of Medicine, University of Kuopio, Kuopio, Finland K Pyōrālā *

Department of General Hospital Psychiatry, Tampere University Hospital, Tampere, Finland R Lappalainen Authors * M Koikkalainen View author publications You can also search for this author

inPubMed Google Scholar * H Mykkānen View author publications You can also search for this author inPubMed Google Scholar * A Erkkilā View author publications You can also search for this

author inPubMed Google Scholar * J Julkunen View author publications You can also search for this author inPubMed Google Scholar * T Saarinen View author publications You can also search for

this author inPubMed Google Scholar * K Pyōrālā View author publications You can also search for this author inPubMed Google Scholar * M Uusitupa View author publications You can also

search for this author inPubMed Google Scholar * R Lappalainen View author publications You can also search for this author inPubMed Google Scholar RIGHTS AND PERMISSIONS Reprints and

permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Koikkalainen, M., Mykkānen, H., Erkkilā, A. _et al._ Difficulties in changing the diet in relation to dietary fat intake among patients with

coronary heart disease. _Eur J Clin Nutr_ 53, 120–125 (1999). https://doi.org/10.1038/sj.ejcn.1600688 Download citation * Received: 08 June 1998 * Revised: 11 September 1998 * Accepted: 20

September 1998 * Published: 10 February 1999 * Issue Date: 01 February 1999 * DOI: https://doi.org/10.1038/sj.ejcn.1600688 SHARE THIS ARTICLE Anyone you share the following link with will be

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initiative KEYWORDS * counselling * dietary fat * nutrition * perceived barriers