Document Detail

Age, sex, educational attainment, and race/ethnicity in relation to consumption of specific foods contributing to the atherogenic potential of diet.
MedLine Citation:
PMID:  8483859     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: We examined which specific foods contributed to the atherogenic potential of diet in population segments defined by age, sex, educational attainment, and race/ethnicity. Data from the 1989 New York State Healthy Heart Program baseline survey were analyzed. METHODS: This telephone survey was conducted in eight communities (total population approximately 1.24 million people) in New York State. Response rate was 65.5% (N = 4,179); 3,606 subjects ages 20 to 64 years who reported their level of educational attainment with self-described ethnicity of white (N = 1,935), black (N = 1,035), or Hispanic (N = 636) were retained in the analysis. Diet was assessed using a 17-item food frequency questionnaire which focused on commonly eaten food high in saturated fat and cholesterol. Connor's cholesterol/saturated-fat index was used as a scale of the atherogenic potential of the diet. RESULTS: Eggs, whole milk, cheese, beef, and butter/margarine were the foods contributing most to the cholesterol/saturated-fat index score in all age-, sex-, and race/ethnicity-specific population segments examined, together contributing a total of 52 to 72% of the cholesterol/saturated-fat index score as measured by the 17-item diet questionnaire. CONCLUSIONS: The implication for public health campaigns directed at reducing the atherogenic potential of diet atherogenicity and for primary care practitioners seeking to influence the diet of patients with high blood cholesterol is that substitutions of less atherogenic food choices for these five foods would appear to be appropriate for most adults.
S Shea; T A Melnik; A D Stein; S M Zansky; C Maylahn; C E Basch
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Preventive medicine     Volume:  22     ISSN:  0091-7435     ISO Abbreviation:  Prev Med     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-06-03     Completed Date:  1993-06-03     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0322116     Medline TA:  Prev Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  203-18     Citation Subset:  IM    
Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York.
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MeSH Terms
African Americans
Age Factors
Analysis of Variance
Arteriosclerosis / epidemiology,  ethnology,  etiology*
Cholesterol, Dietary
Dairy Products / statistics & numerical data
Diet Surveys
Diet, Atherogenic*
Dietary Fats
Educational Status
Eggs / statistics & numerical data
European Continental Ancestry Group
Food Habits / ethnology*
Health Education
Hispanic Americans
Meat / statistics & numerical data
Middle Aged
New York / epidemiology
Nutrition Assessment
Reproducibility of Results
Sex Factors
Urban Population
Grant Support
Reg. No./Substance:
0/Cholesterol, Dietary; 0/Dietary Fats

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