Dietary changes in relationship to risk factors and coronary heart disease mortality
Authors:
Jiří Brát 1; Michal Vrablík 2; Otto Herber 3
Authors place of work:
Vím, co jím a piju o. p. s., ředitelka Lucie Gonzálezová
1; III. interní klinika 1. LF UK a VFN Praha, přednosta prof. MUDr. Štěpán Svačina, DrSc., MBA
2; Ústav všeobecného lékařství 1. LF UK Praha, přednosta doc. MUDr. Bohumil Seifert, Ph. D.
3
Published in the journal:
Vnitř Lék 2015; 61(9): 815-820
Category:
Reviews
Summary
Europe is a region, which is most severely affected by non-communicable diseases. Cardiovascular disease is the leading cause of disability and death. Complex interactions between diet, lifestyle, and lipoprotein metabolism significantly contribute to the development of atherosclerosis and its complications. Role of diet in prevention of coronary heart disease becomes sometime underestimated in comparison with pharmacological treatment. Coronary heart disease (CHD) mortality has declined substantially in the Czech Republic in the last decade of the 20th century. Significant and positive dietary changes, mainly reduction of saturated fatty acids intake and its replacement by polyunsaturated fatty acids, contributed to decline of the average serum cholesterol level in population. Fall in CHD mortality was attributable to reduction in this major cardiovascular risk factor and not driven by pharmacological intervention. The Czech Republic is not the only country where similar trends have been recorded. Improvements in dietary habits seem to be one of the most important strategies in cardiovascular disease prevention
Key words:
coronary heart disease – coronary heart disease mortality – dietary habits – cholesterol – polyunsaturated fatty acids – saturated fatty acids
Zdroje
1. Mackay J, Mensah GA. The Atlas of Heart Disease and Stroke. WHO: Geneva 2004. ISBN 9789241562768. Dostupné z WWW: <http://www.who.int/cardiovascular_diseases/resources/atlas/en/>.
2. Joint WHO/FAO expert consultation. Diet, nutrition and prevention of chronic diseases. WHO Technical Report Series 916. WHO: Geneva 2003. ISBN 92 4 120916 X. Dostupné z WWW: <http://www.who.int/dietphysicalactivity/publications/trs916/download/en/>.
3. Report of an Expert Consultation. Fats and Fatty Acids in Human Nutrition. FAO Food and Nutrition Paper 91. Rome/Geneva: FAO/WHO 2010. ISBN 978–92–5-106733–8. Dostupné z WWW: <http://foris.fao.org/preview/25553–0ece4cb94ac52f9a25af77ca5cfba7a8c.pdf>.
4. Hu FB, Willett WC. Optimal diets for prevention of coronary heart disease. JAMA 2002; 288(20): 2569–2578.
5. Nařízení Komise (EU) č. 1226/2014 ze dne 17. listopadu 2014 o schválení zdravotního tvrzení při označování potravin, jež se týká snížení rizika onemocnění Text s významem pro EHP. Dostupné z WWW: <http://www.eurlex.cz/dokument.aspx?celex=32014R1226>.
6. Puska P, Vartiainen E, Laatikainen T (eds). The North Karelia Project: From North Karelia to national action. University Printing House: Helsinky 2009. ISBN 978–952–245–000–5. Dostupné z WWW: <https://www.julkari.fi/bitstream/handle/10024/80109/731beafd-b544–42b2-b853-baa87db6a046.pdf?sequence=1>.
7. Puska P. Fat and heart disease: yes we can make a change – the case of North Karelia (Finland). Ann Nutr Metab 2009; 54(Suppl 1): 33–38.
8. Bandosz P, O’Flaherty M, Drygas W et al. Decline in mortality from coronary heart disease in Poland after socioeconomic transformation: modelling study. BMJ 2012; 344:d8136. Dostupné z DOI: <http://dx.doi.org/10.1136/bmj.d8136>.
9. Zatonski WA, Willett W. Changes in dietary fat and declining coronary heart disease in Poland: population based study. BMJ 2005; 331(7510): 187–188.
10. Zatonski WA, McMichael AJ, Powles JW. Ecological study of reasons for sharp decline in mortality from ischaemic heart disease in Poland since 1991. BMJ 1998; 316(7137): 1047–1051.
11. Ramazauskiene V, Petkeviciene J, Klumbiene J et al. Diet and serum lipids: changes over socio-economic transition period in Lithuanian rural population. BMC Public Health 2011; 11: 447. Dostupné z DOI: <http://dx.doi.org/10.1186/1471–2458–11–447>.
12. Český statistický úřad. Spotřeba potravin 1948–2012. Dostupné z WWW: <http://www.czso.cz/csu/2013edicniplan.nsf/publ/2140–13-n_2013>.
13. Štatistický úrad Slovenskej republiky. Spotreba vybraných druhov potravín na 1 obyvateľa (1990–2013). Dostupné z WWW: <http://www.statistics.sk/pls/elisw/objekt.send?uic=465&m_sso=2&m_so=40&ic=52>.
14. Zatonski W, Campos H, Willett W. Rapid declines in coronary heart disease mortality in Eastern Europe are associated with increased consumption of oils rich in alpha-linolenic acid. Eur J Epidemiol 2008; 23(1): 3–10.
15. Bruthans J, Cífková R, Lánská V et al. Explaining the decline in coronary heart disease mortality in the Czech Republic between 1985 and 2007. Eur J Prev Cardiol 2014; 21(7): 829–839.
16. European health for all database (HFA-DB), WHO Regional Office for Europe. Updated April 2014. Dostupné z WWW. <http://data.euro.who.int/hfadb>.
17. Thorsson B, Steingrimsdottir L, Halldorsdottir S et al. Changes in total cholesterol levels in Western societies are not related to statin, but rather dietary factors: the example of the Icelandic population. Eur Heart J 2013; 34(24): 1778–1782.
18. Ginter E, Simko V. Dramatic decline of ischaemic heart disease mortality in post communist central Europe: recovery from totality. Cent Eur J Public Health 2012; 20(2): 101–103.
19. Rasmussen BE, Vessby B, Usitupa M et al. Effects of dietary saturated, monounsaturated, and n-3 fatty acids on blood pressure in healthy subjects. Am J Clin Nutr 2006; 83(2): 221–226.
20. Micha R, Khatibzadeh S, Shi P et al. Global, regional, and national consumption levels of dietary fats and oils in 1990 and 2010: a systematic analysis including 266 country-specific nutrition surveys. BMJ 2014; 348:g2272. Dostupné z DOI: <http://dx.doi.org/10.1136/bmj.g2272>.
21. Brát J, Doležal M, Dostálová J. Mastné kyseliny, tuky a jejich dostupnost na trhu v České republice. Med Tribune 2014; 10(9): B6-B7.
22. Imamura F, Micha R, Khatibzadeh S et al. Dietary quality among men and women in 187 countries 1990 and 2010: a systematic assessment. Lancet Glob Health 2015; 3(3): e132-e142. Dostupné z DOI: <http://dx.doi.org/10.1016/S2214–109X(14)70381-X>.
Štítky
Diabetology Endocrinology Internal medicineČlánok vyšiel v časopise
Internal Medicine
2015 Číslo 9
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