Awareness Level and Practices of Heart Healthy Diet of Patients Undergoing Coronary Artery Bypass Grafting

Heart healthy diet in CABG patients

Authors

  • Mujahid Ul Islam Rehman Medical Institute, Peshawar, Pakistan
  • Imtiaz Ahmad Rehman Medical Institute, Peshawar, Pakistan
  • Azam Jan Rehman Medical Institute, Peshawar, Pakistan
  • Muhammad Shahid Rehman Medical Institute, Peshawar
  • Bahauddin Khan Rehman Medical Institute, Peshawar, Pakistan
  • Rafat Shakil Rehman Medical Institute, Peshawar, Pakistan
  • Noor Ali Shah Rehman Medical Institute, Peshawar, Pakistan
  • Faizan Ahmad Ali Rehman Medical Institute, Peshawar, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v5i6.577

Keywords:

Heart Health, Healthy Diet, Coronary Artery, Bypass, Patients

Abstract

Change in dietary habits with reduction in specific type of foods with heavy calories may help in prevention of many types of primary and secondary Cardiovascular Diseases (CVD). Coronary artery disease (CAD) is the most common cause of death all over the world and mostly treated by Coronary Artery Bypass Grafting (CABG). The recommended diet according to the guidelines, is high in fruits, vegetables and whole grains and is low in high fats and processed foods. The factors involved in consumption of low-quality diet mainly are lack of public awareness about the role of dietary style in development of CVD, lack of food due to low socioeconomic conditions, cultural and traditional differences of food preparation and availability of poor-quality food in markets Objectives: To assess the level of awareness amongst the patients of coronary artery bypass grafting in its worst form. Methods: The study was performed on 91 patients of CAD, admitted for CABG in tertiary care hospital. A questionnaire-based survey was conducted for a period of eight months. All patients admitted for revascularization for CAD were included. Details of patients co morbidities were collected and their socioeconomic status was confirmed from the medical record. They were scored on their general education, knowledge about heart healthy diet according to American Heart Association (AHA) dietary guidelines and their dietary practices were scored healthy or non-healthy based on their answers. Results: Among the patients, approximately, 75.82% were males, 96.7% had age above 49 years, half of the patients had some sort of awareness regarding heart healthy diet, 37% were following healthy diet, 50% were partially following and 4.4% were not following at all. Conclusion: The awareness of participants regarding heart healthy diet was over all poor and also their dietary practices were even worse and not in accordance to the medical recommendations. There is a need to increase awareness in heart patients regarding healthy diet choices so that their risk of disease progression can be reduced

References

Zhong VW, Ning H, Van Horn L, Carnethon MR, Wilkins JT, Lloyd-Jones DM, Allen NB. Diet quality and long-term absolute risks for incident cardiovascular disease and mortality. The American Journal of Medicine. 2021 Apr 1;134(4):490-8.

Mendy VL, Vargas R, Cannon-Smith G, Payton M, Enkhmaa B, Zhang L. Food insecurity and cardiovascular disease risk factors among Mississippi adults. International journal of environmental research and public health. 2018 Sep;15(9):2016.

Prasad S, Mishra MK, Yadav T. Coronary Artery Disease Awareness: Levels of Socioeconomic Status and Dietary Restriction. Nepal Journal of Health Sciences. 2021 Jul 30;1(1):37-42.

Volgman AS, Palaniappan LS, Aggarwal NT, Gupta M, Khandelwal A, Krishnan AV, Lichtman JH, Mehta LS, Patel HN, Shah KS, Shah SH. Atherosclerotic cardiovascular disease in South Asians in the United States: epidemiology, risk factors, and treatments: a scientific statement from the American Heart Association. Circulation. 2018 Jul 3;138(1):e1-34.

Shaheen A, Fatima A, Saleem Z, Arshad H, Khan TM, Khan S, Sharif B, Mumtaz M. How Fast Foods Impact Coronary Artery Disease Incidence: A Cross-Sectional Study. European Journal of Medical and Health Sciences. 2021 Oct 14;3(5):52-5.

X. Wang, M. Gao, S. Zhou, J. Wang,F.Liu, F. Tian, J. Jin,Q.Ma,X.Xue, J. Liu, Y. Liu, Trend in young coronary artery disease in China from 2010 to 2014: a retrospective study of young patients≤ 45,BMC cardiovascular disorders17(1):1-8,2017.

M. M. Al-Nozha, M. R. Arafah, Y. Y. Al-Mazrou, M. A. Al-Maatouq, N. B. Khan, M. Z. Khalil, A. H. Al-Khadra, K. Al-Marzouki, M. A. Abdullah,S. S.Al-Harthi, M. S. Al-Shahid, Coronary artery disease in Saudi Arabia, Saudi med J25(9):1165-71, 2004.

Yu E, Malik VS, Hu FB. Cardiovascular disease prevention by diet modification: JACC health promotion series. Journal of the American College of Cardiology. 2018 Aug 21;72(8):914-26.

T. H. Jafar, Z. Qadri, N. Chaturvedi,Coronary artery disease epidemic in Pakistan: more electrocardiographic evidence of ischaemia in women than in men, Heart94(4):408-13, 2008

Bowen KJ, Sullivan VK, Kris-Etherton PM, Petersen KS. Nutrition and cardiovascular disease—an update. Current atherosclerosis reports. 2018 Feb;20(2):1-1.

Reamy BV, Williams PM, Kuckel DP. Prevention of cardiovascular disease. Primary Care: Clinics in Office Practice. 2018 Mar 1;45(1):25-44.

Magnani JW, Mujahid MS, Aronow HD, Cené CW, Dickson VV, Havranek E, Morgenstern LB, Paasche-Orlow MK, Pollak A, Willey JZ. Health literacy and cardiovascular disease: fundamental relevance to primary and secondary prevention: a scientific statement from the American Heart Association. Circulation. 2018 Jul 10;138(2):e48-74.

Registrar General of India Report on Medical Certification of Cause of Death 2013Office of the Registrar General, New Delhi, India (2015)[Available at: www.censusindia.gov.in/2011-document/mccd_2013.pdf (Last cited April 13, 2016)]R. Gupta, I. Mohan, J. Narula. Trends in Coronary heart disease epidemiology in India

Aydın F, Akşit E, Turgay Yıldırım Ö, Hüseyinoğlu Aydın A, Samsa M. Assessment of secondary prevention aware-ness among patients with coronary artery disease: a survey including patients from 3 centers. Turk Kardiyol Dern Ars 2021;49:556-68.

Tokgözoğlu L, Kaya EB, Erol C, Ergene O; EUROASPI-RE III Turkey Study Group. EUROASPIRE III: a compa-rison between Turkey and Europe. Turk Kardiyol Dern Ars 2010;38:164-72.

World Health Organization. Best Buys’ and Other Recommended Interventions for the Prevention and Control of Noncommunicable Diseases. Geneva: World Health Organization; 2017.

Arnett DK, Blumenthal RS, Albert MA, Buroker AB, Goldberger ZD, Hahn EJ, et al. 2019 ACC/AHA guideline on the primary prevention of cardiovascular disease: A report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. J Am Coll Cardiol. 2019;74(10):e177-232. doi.org/10.1016/j. jacc.2019.03.010

He H., Yu Y., Li Y., Kou C.G., Li B., Tao Y.C. Dyslipidemia awareness, treatment, control and influence factors among adults in the Jilin province in China: a cross-sectional study. Lipids Health Dis. 2014;13:122

Wang C., Yu Y., Zhang X., Li Y., Kou C., Li B. Awareness, treatment, control of diabetes mellitus and the risk factors: Survey results from Northeast China. PLoS One. 2014;9:e103594

Méndez-Chacón E., Santamaría-Ulloa C., Rosero-Bixby L. Factors associated with hypertension prevalence, unawareness and treatment

Kelly-Irving M, Mulot S, Inamo J, Ruidavets JB, Atallah A, Lang T. Improving stroke prevention in the French West Indies: Limits to lay knowledge of risk factors. Stroke. 2010;41(11):2637-44. doi.org/10.1161/STROKEAHA.110.592659

Winham DM, Jones KM. Knowledge of young African American adults about heart disease: A cross-sectional survey. BMC Public Health. 2011;11(1):248. doi. org/10.1186/1471-2458-11-248

Jones EJ, Appel SJ, Eaves YD, Moneyham L, Oster RA, Ovalle F. Cardiometabolic risk, knowledge, risk perception, and self-efficacy among American Indian women with previous gestational diabetes. J Obstet Gynecol Neonatal Nurs. 2012;41(2):246-57. https://doi. org/10.1111/j.1552-6909.2012.01339.x PMid:22834848 21. Haron H, Kamal NF

Ahmed AA, Al-Shami AM, Jamshed S, Zawiah M, Elnaem MH, Ibrahim MI. Awareness of the risk factors for heart attack among the general public in Pahang, Malaysia: A cross-sectional study. Risk Manag Healthc Policy. 2020;13:3089-102. doi. org/10.2147/RMHP.S281285 PMid:33380849 17. Aminde LN, Takah

Haron H, Kamal NF, Yahya HM, Shahar S. Knowledge, attitude and practice (KAP) of Malay elderly on salt intake and its relationship with blood pressure. Front Public Health. 2020;8:559071. doi.org/10.3389/fpubh.2020.559071

Khan NS, Shehnaz SI, Guruswami GK, Ibrahim SAM, Mustafa SAJ. Knowledge of warning signs, presenting symptoms and risk factors of coronary heart disease among the population of Dubai and Northern Emirates in UAE: A cross-sectional study. Nepal J Epidemiol. 2017;7(2):670-80. doi.org/10.3126/nje.v7i2.17973

Awad A, Al-Nafisi H. Public knowledge of cardiovascular disease and its risk factors in Kuwait: A cross-sectional survey. BMC Public Health. 2014;14(1):1131. doi. org/10.1186/1471-2458-14-1131

Aminde LN, Takah N, Ngwasiri C, Noubiap JJ, Tindong M, Dzudie A, et al. Population awareness of cardiovascular disease and its risk factors in Buea, Cameroon. BMC Public Health. 2017;17(1):1-10.

Ministry of Health and Prevention-United Arab Emirates. “Healthy Heart” Campaign: Ministry of Health and Prevention- United Arab Emirates; 2014. Available from: https://www.mohap. gov.ae/en/mediacenter/news/pages/1346.aspx. [Last accessed on 2021 Jul 12].

Waśniowska A, Kopeć G, Szafraniec K, Misiowiec W, Waligóra M, Brózda M, et al. Assessment of knowledge on cardiovascular disease risk factors by postal survey in residents of Małopolska Voivodeship: Małopolska CArdiovascular PReventive Intervention Study (M-CAPRI). Ann Agric Environ Med. 2017;24(2):201-6. doi. org/10.5604/12321966.1228400

Downloads

Published

2022-06-30
CITATION
DOI: 10.54393/pbmj.v5i6.577
Published: 2022-06-30

How to Cite

Islam, M. U. ., Ahmad, I. ., Jan, A. ., Shahid, M., Khan, B. ., Shakil, R. ., Ali Shah, N. ., & Ahmad Ali, F. . (2022). Awareness Level and Practices of Heart Healthy Diet of Patients Undergoing Coronary Artery Bypass Grafting : Heart healthy diet in CABG patients. Pakistan BioMedical Journal, 5(6), 195–199. https://doi.org/10.54393/pbmj.v5i6.577

Issue

Section

Original Article

Plaudit

Most read articles by the same author(s)