Document Detail


Differences in nutrition status by body mass index in patients with peripheral artery disease.
MedLine Citation:
PMID:  22901446     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Peripheral Arterial Disease (PAD) is most prevalent in the elderly and associated with increased cardio vascular disease (CVD) morbidity and mortality. Treatment focuses on improving functional capacity and reducing CVD risk factors. To date, little is understood about dietary habits and weight in this patient population. Nutritional and weight recommendations are based on heart health, and little is known about the unique needs of elderly PAD patients with multiple comorbidities. This prospective study compared 1) the dietary intake of nonobese PAD patients in comparison with those who were obese and; 2) dietary intake of those patients with the Estimated Average Requirement (EAR) based on age, gender and BMI. Nutritional intake was assessed with the Block 98 Food Frequency Questionnaire. Body mass index (BMI) was calculated in accordance with the National Heart, Lung, and Blood Institute (NHLBI) guidelines.The study population was divided into obese (BMI ≥ 30) and nonobese (NO) groups. Comparisons between groups were performed using the Mann-Whitney U test for continuous variables and the Chi-square test for ordinal variables. All tests were two-tailed and P < 0.05 was considered significant. The Estimated Average Requirement (EAR) cut-point method was used to compare nutritional variables with Dietary Reference Intakes (DRI). The study population included 189 NO (BMI < 30) and 111 obese (BMI > 30) individuals. Obese participants reported greater intake of foods containing cholesterol and trans-fatty acids and more frequent intake of B vitamins in comparison with the NO BMI group. Additionally, the nutrient intake of all participants by age, gender and BMI was lower than the EAR for magnesium, folate, and Vitamin E. These results suggest that the nutritional intake of PAD patients differs based on gender and BMI. Additionally, EAR was lower for specific nutrients than recommended. Further investigation is needed to examine the association between nutritional intake and nutrition-related deficits.
Authors:
Roberta K Oka; Hugh F Alley
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing     Volume:  30     ISSN:  1532-6578     ISO Abbreviation:  J Vasc Nurs     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-08-20     Completed Date:  2013-01-23     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  9014475     Medline TA:  J Vasc Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  77-87     Citation Subset:  N    
Copyright Information:
Copyright © 2012 Society for Vascular Nursing, Inc. Published by Mosby, Inc. All rights reserved.
Affiliation:
Department of Nursing, VA Palo Alto Health Care Systems, Palo Alto, California 94304, USA. Roberta.oka@va.gov
Data Bank Information
Bank Name/Acc. No.:
ClinicalTrials.gov/NCT00537225
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MeSH Terms
Descriptor/Qualifier:
Aged
Algorithms
Body Mass Index*
Body Weight
Chi-Square Distribution
Dietary Supplements
Energy Intake*
Female
Food Habits*
Humans
Male
Nutrition Assessment
Nutritional Status*
Obesity / complications,  nursing*,  pathology,  physiopathology
Peripheral Arterial Disease / complications,  nursing*,  pathology,  physiopathology
Prospective Studies
Statistics, Nonparametric
Trans Fatty Acids
Grant Support
ID/Acronym/Agency:
3R01NR009197-04S1/NR/NINR NIH HHS; 3R01NR009197-04S2/NR/NINR NIH HHS; 3R01NR009197-04S3/NR/NINR NIH HHS; 5R01NR9197/NR/NINR NIH HHS; R01 NR009197/NR/NINR NIH HHS
Chemical
Reg. No./Substance:
0/Trans Fatty Acids
Comments/Corrections
Comment In:
J Vasc Nurs. 2013 Jun;31(2):62   [PMID:  23683762 ]
J Vasc Nurs. 2013 Jun;31(2):63   [PMID:  23683763 ]

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