Vol 15, No 1 (2020)
Original paper
Published online: 2020-02-27
Evaluation of nutrition knowledge using the komPAN questionnaire in acute coronary syndrome patients hospitalized in an invasive cardiology unit. A preliminary report
DOI: 10.5603/FC.2020.0012
Folia Cardiologica 2020;15(1):1-5.
Abstract
Introduction. Cardiovascular diseases are the major cause of mortality in Poland. Thus, both primary and secondary prevention should include lifestyle modification, including proper nutrition. The aim of the study was to examine dietary habits and nutritional beliefs for the purpose of evaluating the nutrition knowledge of cardiac patients after an acute coronary syndrome [ACS; non-ST-segment myocardial infarction (NSTEMI) and ST-segment myocardial infarction (STEMI)] undergoing invasive treatment.
Material and methods. The study included 100 patients, including 35 women and 65 men aged 53.43 ± 10.11 years [mean ± standard deviation (SD)], admitted urgently due to ACS to the 2nd Department of Cardiology. The study used part C of the questionnaire: “Nutrition Beliefs” that consisted of 25 statements assessing nutrition knowledge. For each correct answer (“True” or “False”), 1 point was assigned, and for an incorrect answer or “Hard to say”, 0 points were assigned. Then, the points were added up.
Results. It was found that only 20.8% (N = 21) of subjects followed dietary recommendations as advised by a physician. The majority of respondents were diagnosed with an excessive body mass: obesity in 35.4% (N = 35) of subjects, and overweight in 38.4% (N = 38) of subjects. Nutritional self-assessment was reported to be at a good level in 71.3% of patients (N = 72). However, the actual nutrition knowledge was found to be at a good level in only 6.9% (N = 7) of subjects.
Conclusion. Patient nutrition knowledge as assessed using the komPAN questionnaire was found to be mostly at a satisfactory level, despite high self-assessment res ults provided by the respondents. There is a great need for regular nutrition education.
Keywords: cardiovascular diseasesnutrition knowledgekomPAN questionnaire
References
- http://stat.gov.pl/obszary-tematyczne/ludnosc/ludnosc/statystyka-zgonow-i-umieralnosci-z-powodu-chorob-ukladu-krazenia,22, 1. (10.12.2017).
- Thygesen K, Alpert JS, Jaffe AS, et al. Writing Group on the Joint ESC/ACCF/AHA/WHF Task Force for the Universal Definition of Myocardial Infarction, ESC Committee for Practice Guidelines (CPG). Third universal definition of myocardial infarction. Eur Heart J. 2012; 33(20): 2551–2567.
- World Health Organization. Waist circumference and waist-hip ratio. Report of a WHO Expert Consultation. , Geneva 2008.
- Saluk-Juszczak J. Antocyjany jako składnik żywności funkcjonalnej stosowanej w profilaktyce chorób układu krążenia. Postepy Hig Med Dosw. 2010; 64: 451–458.
- Stewart RAH, Wallentin L, Benatar J, et al. STABILITY Investigators. Dietary patterns and the risk of major adverse cardiovascular events in a global study of high-risk patients with stable coronary heart disease. Eur Heart J. 2016; 37(25): 1993–2001.
- Schuler G, Hambrecht R, Schlierf G, et al. Regular physical exercise and low-fat diet. Effects on progression of coronary artery disease. Circulation. 1992; 86(1): 1–11.
- Cybulska B, Kłosiewicz-Latoszek L, Szostak WB, et al. Prewencja chorób sercowo-naczyniowych — postępy 2015. Med Prakt. 2016; 304: 23–32.
- Piejko L, Nowak Z, Nawrat-Szołtysik A, et al. Wybrane zachowania zdrowotne a jakość diety pacjentów z rozpoznaną chorobą niedokrwienną serca i po przebytym zawale serca. Rozprawy Naukowe Akademii Wychowania Fizycznego we Wrocławiu. 2017; 59: 30–37.
- Łuczak M, Posłuszna-Owcarz M. Rehabilitacja kardiologiczna czynnikiem poprawy jakości życia chorych po przebytym zawale mięśnia sercowego. Innowacje w Pielęgniarstwie. 2016; 1(4): 16–25.
- Kobuszewska L, Sokołowska B, Kobus G, et al. Poziom wiedzy pacjentów kierowanych na koronarografię na temat prewencji wtórnej choroby wieńcowej. Probl Hig Epidemiol. 2014; 95: 165–169.
- Waśkiewicz A, Piotrowski W, Sygnowska E, et al. Quality of Nutrition and Health Knowledge in Subjects With Diagnosed Cardio-Vascular Diseases in the Polish population — National Multicentre Health Survey (WOBASZ). Kardiol Pol. 2008; 66(5): 507–513.