title: [Myocardial infarct patients with and without intensive nutrition consultation over several years-- comparison of physiological and social variables].
abstract: After three years of experience with change of nutrition in 300 infarction patients of the Höhenried long-term study (150 patients with intensive change of nutrition and 150 patients serving as control group) and 50 randomized study participants from the control group, the following results could be found: 1. In infarction patients, who underwent rehabilitation and follow-up examinations (group with change of nutrition), the increase of the P/S quotient causes no serum cholesterol and serum triglyceride decrease compared with the control group. 2. Alcohol and nicotine consumption cannot be further decreased by intensive nutrition consultation compared with the lasting effect of the comprehensive care. 3. As well, no further weight reduction (no less than the patient obtained during the rehabilitation phase) can be attained in the "nutrition change" and the control group. 4. From the "nutrition change" group more patients took up work again after the infarction compared with the control group, although age and social status are identical in both groups. These results are contradictory to nearly all other studies. We explain this difference by the fact that both groups were under comprehensive care. The care of the patient is a very decisive factor, which is the reason for keeping low the mentioned risk factors.
mesh_terms: D002784:Cholesterol / Q000097:blood; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D004041:Dietary Fats / Q000008:administration & dosage; D004044:Dietary Proteins / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000097:blood / Q000378:metabolism*; D009747:Nutritional Physiological Phenomena; D012017:Referral and Consultation; D011795:Surveys and Questionnaires; D013997:Time Factors; D014815:Vitamins / Q000008:administration & dosage
chemical_list: D004040:Dietary Carbohydrates; D004041:Dietary Fats; D004044:Dietary Proteins; D014815:Vitamins; D002784:Cholesterol
vernacular_title: Herzinfarktpatienten mit und ohne mehrjährige intensive Ernährungsberatung - Vergleich von physiologischen und sozialen Variablen