PMID- 18782704
OWN - NLM
STAT- MEDLINE
DCOM- 20090409
LR  - 20161124
IS  - 1522-6662 (Electronic)
IS  - 1098-3511 (Linking)
VI  - 11
IP  - 4
DP  - 2008
TI  - Changing lifestyle habits as secondary prophylaxis after coronary artery bypass 
      grafting.
PG  - E243-7
LID - 10.1532/HSF98.20081004 [doi]
AB  - BACKGROUND: Many studies have investigated the effect on mortality and morbidity 
      of modified risk factors after coronary artery bypass grafting (CABG). We 
      performed a retrospective survey to evaluate changing lifestyle habits after CABG 
      during 1990-2003, focusing on the correlation between lifestyle habits and 
      freedom from symptoms and regained exercise tolerances. METHODS: We reviewed data 
      from 2269 patients who had undergone CABG in the year 1990, 1993, 1998, 2000, 
      2001, 2002, or 2003. Data were collected with a questionnaire that addressed 
      lifestyle modifications and their outcomes with regard to quality of life for up 
      to 5 years after surgery. RESULTS: We observed significant decreases in changing 
      dietary habits after surgery in patients who had surgery in 2000-2003 compared 
      with patients who had surgery in 1990-1998 (15.9% +/- 1.6% vs 24.7% +/- 2.6%; P < 
      .001). In addition, the desire for nutritional counselling decreased steadily 
      over time (35.1% +/- 7.9% vs 26.6% +/- 1.4%; P <.0001). Notably, among patients 
      50-59 years old, fewer men than women followed a strict diet (males 20.0% vs 
      females 41.5%; P = .001). Patients suffering from recurrent angina consulted 
      nutritionists more often than patients without angina (36.6% vs 29.8%; P = .016). 
      The more the patients were restricted in terms of physical fitness, as determined 
      by the New York Heart Association (NYHA) class, the more likely they were to 
      adhere to a healthy diet (NYHA III 22.2% vs NYHA II 14.6% vs NYHA I 10.2%; P 
      <.001). Among patients 60-79 years old, men exercised more often than women 
      (72.4% +/- 2.4% vs 51.1% +/- 4.9%; P <.001) and suffered less frequently from 
      recurrent angina (13.4% +/- 4.0% vs 28.8% +/- 10.8%; P = .002). CONCLUSIONS: 
      Despite knowledge of hypercholesterolemia or obesity as agents contributing to 
      advancing coronary heart disease, attention to nutrition tends to significantly 
      decrease over time in patients who have undergone CABG. Thus patients who have 
      undergone CABG, especially male patients older than 50, years would benefit from 
      dietary education. Similarly, female patients older than 60 years would benefit 
      from increased physical activity. Patients obviously tend to delay lifestyle 
      modification until symptoms occur. Hence they must be reminded of the importance 
      of healthy nutrition and adequate physical activity.
FAU - Vachenauer, Robert
AU  - Vachenauer R
AD  - Department of Cardiac and Vascular Surgery, University Hospital of Zurich, 
      Switzerland. Robert.Vachenauer@usz.ch
FAU - Grunenfelder, Jurg
AU  - Grunenfelder J
FAU - Plass, Andre
AU  - Plass A
FAU - Slankamenak, Ksenija
AU  - Slankamenak K
FAU - Pantic, Lilijana
AU  - Pantic L
FAU - Kisner, Dilek
AU  - Kisner D
FAU - Genoni, Michele
AU  - Genoni M
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Heart Surg Forum
JT  - The heart surgery forum
JID - 100891112
RN  - 97C5T2UQ7J (Cholesterol)
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Angina Pectoris/prevention & control
MH  - Cholesterol/blood
MH  - *Coronary Artery Bypass
MH  - Ergometry
MH  - *Feeding Behavior
MH  - Female
MH  - Humans
MH  - *Life Style
MH  - Male
MH  - Middle Aged
MH  - Physical Fitness
MH  - Postoperative Period
MH  - Preventive Medicine/*methods
MH  - Quality of Life
MH  - Retrospective Studies
MH  - Secondary Prevention
MH  - Surveys and Questionnaires
EDAT- 2008/09/11 09:00
MHDA- 2009/04/10 09:00
CRDT- 2008/09/11 09:00
PHST- 2008/09/11 09:00 [pubmed]
PHST- 2009/04/10 09:00 [medline]
PHST- 2008/09/11 09:00 [entrez]
AID - VK1348607G6703T8 [pii]
AID - 10.1532/HSF98.20081004 [doi]
PST - ppublish
SO  - Heart Surg Forum. 2008;11(4):E243-7. doi: 10.1532/HSF98.20081004.