Document Detail

Nutritional contributors to cardiovascular disease in the elderly.
MedLine Citation:
PMID:  3510241     Owner:  NLM     Status:  MEDLINE    
Cardiovascular disease, so common in the elderly, has become an urgent public health concern. Major contributing factors include hypertension, dyslipidemia, impaired glucose tolerance, physical indolence, and cigarette smoking. Diet plays a major role in atherogenesis by its influence in blood lipids, blood pressure, and glucose tolerance, although its impact in the elderly is speculative owing to a paucity of direct evidence. But a rationale exists. Most cardiovascular risk factors are more prevalent in the elderly than in the young adult. The rise in blood pressure and blood lipids with advancing age is not inevitable. Diet may contribute to hypertension through an excess of calories, saturated fat, cholesterol, or salt and a deficiency of potassium, calcium, and magnesium. Antiatherogenic diets low in saturated fat and cholesterol, rich in fiber, and with substitution of polyunsaturated fat and restricted calories tend to normalize serum lipids and to cause lesions to involute. Emphasis on vegetable protein and fiber-rich food has merit because they provide more fiber, polyunsaturated fatty acids, magnesium, selenium, complex carbohydrate, potassium, and copper, and less cholesterol, saturated fat, and sodium. The recommended fat-modified diets are adequate in protein, vitamins, and minerals and need not be deficient in any nutrient or economically nonfeasible. The accelerating decline in cardiovascular mortality, which has included the elderly, indicates that such disease is controllable and not inevitable, even in the elderly. The decrease has occurred concurrently with reduced consumption of saturated fat and cholesterol, increased use of vegetable oils, and improved levels of cardiovascular risk factors.
W B Kannel
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  34     ISSN:  0002-8614     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  1986 Jan 
Date Detail:
Created Date:  1986-02-14     Completed Date:  1986-02-14     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  27-36     Citation Subset:  IM    
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MeSH Terms
Age Factors
Alcohol Drinking
Blood Pressure
Cardiovascular Diseases / etiology*,  mortality
Cholesterol / blood
Dietary Fats / adverse effects*
Energy Intake
Follow-Up Studies
Hypertension / etiology
Middle Aged
Nutritional Physiological Phenomena*
Sex Factors
United States
Reg. No./Substance:
0/Dietary Fats; 57-88-5/Cholesterol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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