title: Potential factors associated with fruit and vegetable intake after premature acute coronary syndrome: a prospective cohort study.
abstract: Studies on dietary changes and their associated factors are limited, particularly with respect to younger cardiovascular patients. Our objective was to evaluate the factors associated with fruit and vegetable intake among adults with premature acute coronary syndrome (ACS) 1 year after the event. We used data from GENESIS-PRAXY, a multicentre prospective study of adults aged 18-55 years, hospitalised for ACS. Participants were 704 adults from 24 centres in Canada, 1 in USA and 1 in Switzerland. Data were collected through questionnaires and chart reviews at baseline and 1 year post-ACS. Fruit and vegetable intake was low among adults with premature ACS, and remained suboptimal at 1 year post-ACS, with only 21% meeting the minimum recommendations of at least 5 daily servings. The findings suggest that patient lifestyle characteristics, such as the number of hours spent at work and baseline intake are factors that may be associated with the intake of fruits and vegetables. More research is needed to assess effective strategies to increase fruit and vegetable intake among patients with premature ACS so that they meet dietary recommendations.
authors.affiliation: a Department of Epidemiology , Biostatistics and Occupational Health, McGill University , Montreal , Quebec , Canada .|b Division of Clinical Epidemiology , Research Institute of McGill University Health Centre , Montreal , Quebec , Canada .
authors.forename: Sylvie S L
authors.initials: SS
authors.lastname: Leung Yinko
authors.affiliation: b Division of Clinical Epidemiology , Research Institute of McGill University Health Centre , Montreal , Quebec , Canada .
authors.forename: Roxanne
authors.initials: R
authors.lastname: Pelletier
authors.affiliation: b Division of Clinical Epidemiology , Research Institute of McGill University Health Centre , Montreal , Quebec , Canada .
authors.forename: Hassan
authors.initials: H
authors.lastname: Behlouli
authors.affiliation: c Montreal Behavioural Medicine Centre, Hôpital Du Sacré-Coeur De Montréal , Montreal , Quebec , Canada .|d Department of Exercise Science , Concordia University , Montreal , Quebec , Canada .
authors.forename: Simon L
authors.initials: SL
authors.lastname: Bacon
authors.affiliation: e Department of Epidemiology and Biostatistics , Schulich School of Medicine and Dentistry, Western University , London , Ontario , Canada .
authors.forename: Igor
authors.initials: I
authors.lastname: Karp
authors.affiliation: f Department of Medicine , Preventive and Genomic Cardiology, McGill University Health Centre , Montreal , Quebec , Canada .
authors.forename: George
authors.initials: G
authors.lastname: Thanassoulis
authors.affiliation: g Division of General Internal Medicine , McGill University Health Centre , Montreal , Quebec , Canada .
authors.forename: Stella S
authors.initials: SS
authors.lastname: Daskalopoulou
authors.affiliation: h Divisions of Cardiology and Clinical Epidemiology , Jewish General Hospital and McGill University , Montreal , Quebec , Canada .
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Eisenberg
authors.affiliation: i Department of Medicine , University of British Columbia , Vancouver, British Columbia , Canada .
authors.forename: Nadia A
authors.initials: NA
authors.lastname: Khan
authors.affiliation: c Montreal Behavioural Medicine Centre, Hôpital Du Sacré-Coeur De Montréal , Montreal , Quebec , Canada .|j Department of Psychology , University of Quebec at Montreal , Montreal , Quebec , Canada , and.|k Research Centre, Montreal Heart Institute , Montreal , Quebec , Canada.
authors.forename: Kim L
authors.initials: KL
authors.lastname: Lavoie
authors.affiliation: b Division of Clinical Epidemiology , Research Institute of McGill University Health Centre , Montreal , Quebec , Canada .|g Division of General Internal Medicine , McGill University Health Centre , Montreal , Quebec , Canada .
authors.forename: Louise
authors.initials: L
authors.lastname: Pilote
mesh_terms: D054058:Acute Coronary Syndrome / Q000178:diet therapy*; D000293:Adolescent; D000328:Adult; D004032:Diet; D005500:Follow-Up Studies; D005638:Fruit; D006801:Humans; D008019:Life Style; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014675:Vegetables; D055815:Young Adult
keywords: Acute coronary syndrome; fruit; vegetable; young adult