[Nutritional education of the coronary patient in practice].
BACKGROUND
The Mediterranean diet is one of the food models which showed its ability at the patient at high cardiovascular risk in numerous cohort studies and two major interventional studies: Lyon Heart Study in 1999 and PREDIMED in 2013.


OBJECTIVE
Propose a practical assistance in the analysis of the dietary habits of the coronary patient with a simplified food frequency questionnaire.


METHODS
Hundred coronary patients followed a program of cardiac rehabilitation and benefited from a nutritional education. The analysis of their dietary habits was made with the questionnaire of frequency of consumption of Rennes upon their arrival and 6months later. We have coded again these data by means of a simplified questionnaire with 15 items and compared the results and their evolution in 6months.


RESULTS
On studied 200 questionnaires, the score of Rennes was 10.6±4.5 and the simplified score 8.2±3.4 with a coefficient of correlation of Pearson r=0.94 (0.91-0.95) at risk P<0.0001. Initial scores were respectively 8.0±4.4 and 6.3±3.4 (r=0.93) and the scores at 6months 13.1±2.9 and 10.1±2.2 (r=0.86). The evolution of the scores of 100 patients were respectively 14.2±11.7% and 12.6±11% (P<0.26).


CONCLUSIONS
The use of a simplified questionnaire allows to analyze the dietary habits of the coronary patient and to estimate their evolution during a therapeutic educational program.
Service de réadaptation cardiovasculaire, centre hospitalier Loire-Vendée-Océan, boulevard des Régents, 44270 Machecoul, France. Electronic address: pavy.bruno@wanadoo.fr.
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Pavy
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Caillon
D008076:Cholesterol, HDL / Q000097:blood; D003324:Coronary Artery Disease / Q000628:therapy*; D038441:Diet, Mediterranean; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology; D016540:Smoking Cessation; D011795:Surveys and Questionnaires
D008076:Cholesterol, HDL
Coronary patient; Patient coronarien; Questionnaire alimentaire simplifié; Simplified food frequency questionnaire; Therapeutic education; Éducation thérapeutique